标题：老年抑郁症患者认知功能受损与社会支持的相关性及其危险因素分析

      作者：秦碧勇 1，戴立磊 2，郑 艳 3
    (1.湖北医药学院附属人民医院神经内科，湖北 十堰 442000；
2.荆门市康复医院，湖北 荆门 448000；
3.湖北医药学院附属人民医院护理部，湖北 十堰 442000)

      卷次： 2015年26卷19期

      【摘要】 目的 探讨老年抑郁症患者认知功能受损与社会支持的相关性，并分析认知功能受损的危险因
素。方法 使用一般情况调查表和老年抑郁量表(GSD)、简易智力状态检查表(MMSE)、社会支持量表(SSRS)，采
用横断面研究方法对我院神经内科住院的 184例老年抑郁症患者进行调查，按认知功能是否受损分为受损组
121例，非受损组63例。结果 两组患者的年龄、受教育程度、是否独居、是否吸烟方面比较差异均有统计学意
义(P<0.05)；受损组患者的SSRS评分明显低于非受损组，差异有统计学意义(P<0.05)；两组患者的SSRS评分、
GSD评分、MMSE评分三者之间有相关性(P<0.01)；二元Logistic回归分析显示，年龄、受教育程度、是否独居、是
否吸烟、有无子女、社会支持是认知功能受损的影响因素。结论 老年抑郁症认知功能受损的患者年龄明显较
大、受教育程度较低、独居，并且社会支持明显不足；社会支持越差，抑郁症状越严重，认知功能受损越明显；高
龄、独居、吸烟是认知功能受损的危险因素，有子女、受教育程度高、社会支持较好是保护因素。

      【关键词】 老年抑郁症；认知功能；社会支持；危险因素；横断面调查；

      【中图分类号】 R749.4 【文献标识码】 A 【文章编号】 1003—6350（2015）19—2847—04


Correlation between the cognitive function damage and social support of elderly depression and the risk factors
of cognitive function damage.
QIN Bi-yong 1, DAI Li-lei 2, ZHENG Yan 3. 1. Department of Neurology, Renmin
Hospital, Hubei University of Medicine, Shiyan 442000, Hubei, CHINA; 2. Jingmen Rehabilitation Hospital, Jingmen
448000, Hubei, CHINA; 3. Department of Nursing Administration, Renmin Hospital, Hubei University of Medicine, Shiyan
442000, Hubei, CHINA

【Abstract】 Objective To investigate the correlation between the cognitive function damage and social support
of elderly depression and to analyze the risk factors of cognitive function damage. Methods A total of 184 elderly pa-
tients with depression in the Department of Neurology, Renmin Hospital, Hubei University of Medicine were measured
with general questionnaire, geriatric depression scale (GSD), mini-mental state examination (MMSE), social support rat-
ing scale (SSRS). We divided all the subjects into two groups according to whether there was the cognitive function dam-
age: cognitive function damage group (121 cases) and normal cognitive function group (63 cases). Results There were
statistically significant differences between the two groups in age, living alone, level of education and smoking (P<
0.05). The SSRS scores of cognitive function damage group were significant lower than those of the normal cognitive
function group (P<0.05). There were correlations between the SSRS scores, GSD scores and MMSE scores (P<0.01).
Logistic regression analysis showed that the age, level of education, living alone, smoking, having children, social sup-
port were the influencing factors of cognitive function damage. Conclusion The elderly depression patients with cog-
nitive function damage tend to have older age, lower level of education, insufficient social support, and are solitary.
·论 著·doi:10.3969/j.issn.1003-6350.2015.19.1037