江苏省老年男性退役军人抑郁现状及危险因素分析OA
Analysis of risk factors for depression among elderly male veterans in Jiangsu Province
目的 探讨江苏省老年男性退役军人抑郁发生的独立危险因素,为该群体心理健康干预策略制定提供循证依据.方法 选取2024年在江苏省第二荣军优抚医院接受短期疗养的263名江苏省籍老年男性退役军人为研究对象,采用汉密尔顿抑郁量表(HAMD)评估抑郁状态,以HAMD总分＞7分为界分为抑郁组(n=147)和非抑郁组(n=116).收集两组人群的人口学资料、慢性病患病情况、实验室检查指标,采用单因素分析、二元logistic回归分析筛选抑郁的影响因素,通过受试者工作特征(ROC)曲线评价上述独立危险因素对抑郁发生的预测价值.结果 本研究纳入的来院疗养男性退役军人抑郁患病率为55.89％.单因素分析显示,抑郁组年龄、高血压、2型糖尿病、冠心病、房颤、缺血性脑卒中、失眠症、吸烟成瘾的比例及舒张压、心功能分级、总胆红素、尿素氮、尿酸、空腹血糖、同型半胱氨酸(Hcy)水平均显著高于非抑郁组,淋巴细胞计数显著低于非抑郁组(P均＜0.05).二元logistic回归分析显示,缺血性脑卒中(OR=5.145,95％CI:1.170～22.633)、心功能分级升高(OR=12.003,95％CI:3.164～45.540)、失眠症(OR=6.071,95％CI:3.259～11.311)、Hcy 水平升高(OR=1.134,95％CI:1.047～1.229)是老年男性退役军人抑郁发生的独立危险因素,淋巴细胞计数升高是独立保护因素(OR=0.458,95％CI:0.255～0.820,P均＜0.05).ROC曲线分析显示,失眠症(AUC=0.713,95％CI:0.650～0.777)、心功能分级(AUC=0.701,95％CI:0.639～0.764)、Hcy(AUC=0.678,95％CI:0.613～0.742)对抑郁发生具有预测价值(P均＜0.001).结论 江苏省老年男性退役军人抑郁患病率较高,缺血性脑卒中、心功能下降、失眠症、Hcy升高、淋巴细胞计数降低与抑郁发生密切相关,临床可针对上述因素开展早期筛查和综合干预,降低该群体抑郁发生风险.
Objective To explore the independent risk factors for depression in elderly male veterans in Jiangsu Prov-ince,so as to provide evidence-based basis for the formulation of mental health intervention strategies for this population.Methods A total of 263 elderly male veterans from Jiangsu Province who received short-term convalescence in Jiangsu Second Rongjun Preferential Care Hospital in 2024 were selected as the research subjects.The Hamilton depression scale(HAMD)was used to evaluate the depression status.According to the HAMD total score＞7,the subjects were divided into depression group(n=147)and non-depression group(n=116).The demographic data,prevalence of chronic diseases,and laboratory examination indicators of the two groups were collected.Univariate analysis and binary logistic regression anal-ysis were used to screen the influencing factors of depression,and the predictive value of related factors was evaluated by receiver operating characteristic(ROC)curve.Results The prevalence of depression among the included elderly male veterans was 55.89％.Univariate analysis showed that the age,the proportions of hypertension,type 2 diabetes mellitus,coronary heart disease,atrial fibrillation,ischemic stroke,insomnia,smoking addiction,as well as the levels of diastolic blood pressure,cardiac function classification,total bilirubin,blood urea nitrogen,uric acid,fasting blood glucose,and homocysteine(Hey)in the depression group were significantly higher than those in the non-depression group,while the lymphocyte count was significantly lower than that in the non-depression group(all P＜0.05).Binary logistic regression anal-ysis showed that ischemic stroke(OR=5.145,95％CI:1.170-22.633),elevated cardiac function classification(OR=12.003,95％CI:3.164-45.540),insomnia(OR=6.071,95％CI:3.259-11.311),and elevated Hcy level(OR=1.134,95％CI:1.047-1.229)were independent risk factors for depression in elderly male veterans,while elevated lym-phocyte count was an independent protective factor(OR=0.458,95％CI:0.255-0.820,all P＜0.05).ROC curve anal-ysis showed that insomnia(AUC=0.713,95％CI:0.650-0.777),cardiac function classification(AUC=0.701,95％CI:0.639-0.764),and Hcy(AUC=0.678,95％CI:0.613-0.742)had predictive value for the occurrence of depression(all P＜0.001).Conclusion The prevalence of depression among elderly male veterans in Jiangsu Province is relatively high.Ischemic stroke,decreased cardiac function,insomnia,elevated Hcy,and decreased lymphocyte count are closely related to the occurrence of depression.Early screening and comprehensive intervention targeting the above factors can be carried out clinically to reduce the risk of depression in this population.
陈啸;张嘉玮;李佟;徐慧竹;薛红玉
江苏省第二荣军优抚医院老年医学科心理病区,江苏无锡 214000江苏省第二荣军优抚医院老年医学科心理病区,江苏无锡 214000江苏省第二荣军优抚医院老年医学科心理病区,江苏无锡 214000江苏省第二荣军优抚医院老年医学科心理病区,江苏无锡 214000江苏省第二荣军优抚医院老年医学科心理病区,江苏无锡 214000
医药卫生
老年人男性退役军人抑郁危险因素江苏省
agedmaleveteransdepressionrisk factorsJiangsu Province
《右江医学》 2026 (5)
456-462,7
无锡市卫生健康委员会科研重大项目(Z202322)
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