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Nursing Science 2022
老年抑郁的影响因素分析及其干预模式的研究进展
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Abstract:
抑郁症在老年人中普遍存在，且受到多方面因素的影响，自杀率较高。本文就抑郁症的概念、评估工具、影响因素和干预策略等方面综述国内外老年抑郁的研究进展，为我国治疗老年抑郁症的开展提供一定的帮助。
Depression is common in the elderly, and it is affected by many factors, and the suicide rate is high. This paper reviews the research progress of senile depression at home and abroad on the concept, evaluation tools, influencing factors and intervention strategies of depres-sion, so as to provide some help for the treatment of senile depression in our country.
| [1] | [1] Malhi, G.S. and Mann, J.J. (2018) Depression. The Lancet, 392, 2299-2312.
https://doi.org/10.1016/S0140-6736(18)31948-2 |
| [2] | Gujral, S., Aizenstein, H., Reynolds, C.R., Butters, M.A. and Erickson, K.I. (2017) Exercise Effects on Depression: Possible Neural Mechanisms. Gen Hosp Psychiatry, 49, 2-10. https://doi.org/10.1016/j.genhosppsych.2017.04.012 |
| [3] | Beghi, M., Butera, E., Cerri, C.G., Cornaggia, C.M., Febbo, F., Mollica, A., et al. (2021) Suicidal Behaviour in Older Age: A Systematic Review of Risk Factors Associated to Suicide Attempts and Completed Suicides. Neuroscience & Biobehavioral Reviews, 127, 193-211. https://doi.org/10.1016/j.neubiorev.2021.04.011 |
| [4] | 邵灿, 马现仓. 积极心理学理论指导下的康复策略对老年抑郁症患者自我概念和生活质量的影响[J]. 国际老年医学杂志, 2021,42(5):272-274. |
| [5] | 徐萍, 赵丽晶, 陈莹莹, 王媛, 宋天娇, 侯欢, 等. 音乐治疗在抑郁症患者康复中的应用进展[J]. 中国临床保健杂志, 2020, 23(3): 316-320. |
| [6] | 王永军, 孙丽丽, 贾建军. 老年抑郁症与认知功能障碍研究进展[J]. 中华老年心脑血管病杂志, 2019, 21(7): 777-779. |
| [7] | Abdoli, N., Salari, N., Darvishi, N., Jafarpour, S., Solaymani, M., Mohammadi, M., et al. (2021) The Global Prevalence of Major Depressive Disorder (MDD) among the Elderly: A Systematic Review and Me-ta-Analysis. Neuroscience & Biobehavioral Reviews, 132, 1067-1073. https://doi.org/10.1016/j.neubiorev.2021.10.041 |
| [8] | 赵元. 健身交谊舞对老年人抑郁和焦虑情绪影响的实证研究[D]: [硕士学位论文]. 石家庄: 河北师范大学, 2015. |
| [9] | 曹秋云. 老年抑郁与脑卒中发病机制关系研究进展[J]. 实用老年医学, 2013, 27(7): 538-542. |
| [10] | 于薇. 音乐疗法对机构老年人抑郁的干预研究[D]: [硕士学位论文]. 武汉: 华中科技大学. |
| [11] | 罗红, 任荣, 胡道艳, 刘晶晶, 谭凡, 魏巍. 老年抑郁症及防护策略[J]. 护理实践与研究, 2012, 9(1): 127-129. |
| [12] | Kastenschmidt, E.K. and Kennedy, G.J. (2011) Depression and Anxiety in Late Life: Diagnostic Insights and Therapeutic Options. Mount Sinai Journal of Medicine, 78, 527-545. https://doi.org/10.1002/msj.20266 |
| [13] | Bilkis, M.S., Islam, M., Zaman, F., Zinia, S.N. and Rahman, M. (2020) Lifestyle and Depression in Urban Elderly of Selected District of Bangladesh. Mymensingh Medical Journal, 29, 177-182. |
| [14] | Safarova, T.P., Yakovleva, O.B., Androsova, L.V., Simonov, A.N and Klyushnik, T.P. (2020) Some In-flammation Factors and Immunophenotypes of Depression in Elderly Patients. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova, 120, 53-58. https://doi.org/10.17116/jnevro202012002153 |
| [15] | Kok, R.M. and Reynolds, C.F. (2017) Management of Depression in Older Adults: A Review. JAMA, 317, 2114-2122.
https://doi.org/10.1001/jama.2017.5706 |
| [16] | 李峥, 邹海欧, 王凌云, 姚秀钰, 李树亚, 李小雪, 等. 社区老年人认知功能和抑郁情绪的纵向研究[J]. 中华护理杂志, 2020, 55(9): 1394-1398. |
| [17] | 陈家林. 脑卒中后抑郁临床分析[C]//中国转化医学和整合医学研究会, 中华高血压杂志社. 中国转化医学和整合医学研讨会(广州站). 2015: 836-837. |
| [18] | 乔钦增, 沈志芳, 王静, 王长虹, 侯津杰. 邢台山区空巢老人抑郁症状调查及相关因素的研究[C]//中华中医药学会. 第十次中医药防治老年病学术交流会论文集. 2012: 129-131. |
| [19] | Sun, W., Matsuoka, T., Imai, A., Oya, N. and Narumoto, J. (2021) Effects of Hearing Impairment, Quality of Life and Pain on Depressive Symptoms in Elderly People: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 18, Article No. 12265. https://doi.org/10.3390/ijerph182212265 |
| [20] | 江帆. 山东省冠县听障老年人抑郁现状调查与基于助听器的干预效果评价研究[D]: [博士学位论文]. 济南: 山东大学, 2021. |
| [21] | 叶欣, 朱大伟, 高嘉敏, 陈思源, 何平. 中国老年人听力对抑郁的影响研究[J]. 人口与发展, 2019, 25(5): 66-74. |
| [22] | 周红英, 薛丽, 钱朱丽. 循证护理、心理干预对老年糖尿病患者护理效果及心理状态分析[J]. 心理月刊, 2021, 16(18): 175-176+208. |
| [23] | 王海梅, 薛静. 听力损失老年人应对抑郁的策略[J]. 中国听力语言康复科学杂志, 2020, 18(5): 370-372. |
| [24] | 武盼盼, 邵景进, 贺念, 张丽. 老年人年龄认同特征及其与心理健康的关系[J]. 心理与行为研究, 2017, 15(4): 520-527. |
| [25] | 夏艳玲, 刘中华. 中国城乡老年人的经济福利对抑郁状况影响研究[J]. 调研世界, 2018(1):17-24. |
| [26] | Nakamura, C.A., Scazufca, M., Peters, T.J., Fajersztajn, L., Van de Ven, P., Hollingworth, W., et al. (2021) Depressive and Subthreshold Depressive Symptomatology in Older Adults Living in a Socioeconomically De-prived Area in Brazil and Characteristics Associated. International Journal of Geriatric Psychiatry, 37, 1-8. https://doi.org/10.1002/gps.5665 |
| [27] | 王沛. 心理护理对老年糖尿病患者临床效果及焦虑抑郁情绪的影响评价[J]. 心理月刊, 2021, 16(17): 169-170.
https://doi.org/10.19738/j.cnki.psy.2021.17.083 |
| [28] | Zhang, Y., Chen, Y. and Ma, L. (2018) Depression and Car-diovascular Disease in Elderly: Current Understanding. Journal of Clinical Neuroscience, 47, 1-5. https://doi.org/10.1016/j.jocn.2017.09.022 |
| [29] | Zis, P., Daskalaki, A., Bountouni, I., Sykioti, P., Varrassi, G. and Paladini, A. (2017) Depression and Chronic Pain in the Elderly: Links and Management Challenges. Clinical Interventions in Aging, 12, 709-720.
https://doi.org/10.2147/CIA.S113576 |
| [30] | Voorend, C.G.N., van Oevelen, M., Nieberg, M., Meuleman, Y., Franssen, C.F.M., Joosten, H., et al. (2021) Impact of the COVID-19 Pandemic on Symptoms of Anxiety and Depres-sion and Health-Related Quality of Life in Older Patients with Chronic Kidney Disease. BMC Geriatrics, 21, Article No. 650. |
| [31] | Nery, B., Cruz, K., Faustino, A.M., and Santos, C.T.B.D. (2018) Vulnerabilities, Depression, and Religiosity in the Elderly Hospitalised in an Emergency Unit. Revista Gaúcha de Enfermagem, 39, Article ID: e20170184.
https://doi.org/10.1590/1983-1447.2018.2017-0184 |
| [32] | Obuobi-Donkor, G., Nkire, N. and Agyapong, V. (2021) Prevalence of Major Depressive Disorder and Correlates of Thoughts of Death, Suicidal Behaviour, and Death by Sui-cide in the Geriatric Population—A General Review of Literature. Behavioral Sciences, 11, Article No. 142. https://doi.org/10.3390/bs11110142 |
| [33] | Kang, Y., Kang, S., Kim, K.J., Ko, H., Shin, J. and Song, Y.M. (2018) The Association between Family Mealtime and Depression in Elderly Koreans. Korean Journal of Family Medicine, 39, 340-346.
https://doi.org/10.4082/kjfm.17.0060 |
| [34] | 朱莉. 心理护理干预对老年慢性心力衰竭患者情绪及心功能的影响[J]. 中国医药指南, 2021, 19(14): 202-203.
https://doi.org/10.15912/j.cnki.gocm.2021.14.095 |
| [35] | 艾陈涵. 老年综合评估及干预对高血压患者焦虑抑郁和血压的影响[D]: [硕士学位论文]. 昆明: 云南中医学院, 2018. |
| [36] | 陈羲. 山东省老年高血压患者心理健康状况及影响因素研究[D]: [硕士学位论文]. 济南: 山东大学, 2018. |
| [37] | 吴梅花, 林燕, 郑小娟, 陈肖虹, 赵晓立, 陈成辉, 等. 老年住院患者多重用药现状调查及其与潜在抑郁的关系[J]. 临床合理用药杂志, 2021, 14(32):148-149+152. https://doi.org/10.15887/j.cnki.13-1389/r.2021.32.059 |
| [38] | 彭霞, 张兰. 老年抑郁症与抗精神病药研究进展[J]. 中国医学创新, 2019, 16(2): 168-172. |
| [39] | 陈锋. 抗抑郁药氟伏沙明对氯吡格雷药动学和药效学影响的研究[D]: [硕士学位论文]. 佳木斯: 佳木斯大学, 2016. |
| [40] | 王虹宇, 沈旭慧. 老年人衰弱和抑郁相关性的研究进展[J]. 中西医结合护理(中英文), 2019, 5(10): 201-205. |
| [41] | Elmersj？, M., Hansen, E. and Victor, M.L. (2021) Is It Normal to Be Depressed in Old Age? Needs Assessors’ Conceptions of Older People’s Mental Illness. Health & Social Care in the Community, 30, 1182-1188.
https://doi.org/10.1111/hsc.13390 |
| [42] | 郭清华, 陈超, 栗雪琪, 薛博文. 个体化心理护理在伴有精神症状的抑郁症病人中的应用[J]. 护理研究, 2021, 35(1): 169-171. https://doi.org/10.12102/j.issn.1009-6493.2021.01.033 |
| [43] | Moccia, L., Lanzotti, P., Pepe, M., Palumbo, L., Janiri, D., Camardese, G., et al. (2022) Remission of Functional Motor Symptoms Following Esketamine Administration in a Patient with Treatment-Resistant Depression: A Single-Case Report. International Clinical Psychopharmacology, 37, 21-24. https://doi.org/10.1097/YIC.0000000000000378 |
| [44] | 宋健, 赖红, 谢小婷, 黄佳, 吴劲松. 太极拳干预老年抑郁障碍的研究进展[J]. 福建中医药, 2019, 50(4): 83-88.
https://doi.org/10.13260/j.cnki.jfjtcm.011886 |
| [45] | 谢素平, 于丽琴. 老年帕金森病合并抑郁患者护理最新研究进展[J]. 世界最新医学信息文摘, 2019, 19(10): 29-30.
https://doi.org/10.19613/j.cnki.1671-3141.2019.10.014 |
