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目的探讨中国老年冠心病患者抑郁症状检出率。方法检索中国知网(CNKI)、万方数据库(Wanfang Data)、维普(VIP)、Pubmed及Web of Science中英文数据库,收集国内老年冠心病患者抑郁症状/情绪文献。应用STATA软件,对所提取的数据进行异质性检验,由检验结果选定随机效应模型对数据进行合并分析。结果最终纳入15篇文献,分析报告数量19个,总样本量为2 402人。老年冠心病患者抑郁症状合并检出率为48.1%(95%CI:41.2%~54.9%),男性患者检出率低于女性,且差异有统计学意义(40.2%vs.54.8%,P<0.05);轻中度患者的检出率高于重度患者,且差异有统计学意义(30.5%vs.13.8%,P<0.05);两种抑郁量表的检出率大致相同(GDS量表:47.9%vs.HAMD量表:49.3%)。结论老年冠心病患者的抑郁症状检出率存在性别和抑郁程度差异,女性患者检出率明显高于男性,轻中度抑郁症状高于重度。
Objective To investigate the prevalence of depressive symptoms in elderly patients with coronary heart disease in China. Methods CNKI, Wanfang Data, VIP, Pubmed and Web of Science databases were searched to collect the depressive symptoms / emotional documents of elderly patients with coronary heart disease in China. Using STATA software, the data extracted were heterogeneously tested, and the random effects model selected by the test results was used to analyze the data. The results eventually included 15 articles, with 19 reports analyzed and a total sample size of 2,260. The detection rate of depressive symptoms in elderly patients with coronary heart disease was 48.1% (95% CI: 41.2% -54.9%). The detection rate of male patients was lower than that of women (40.2% vs.54.8%, P < 0.05). The detection rate of patients with mild to moderate disease was higher than that of severe patients (30.5% vs.13.8%, P <0.05). The detection rates of two kinds of depression scale were the same (GDS scale : 47.9% vs. HAMD scale: 49.3%). Conclusion The detection rate of depressive symptoms in elderly patients with coronary heart disease has the difference of gender and depressive degree. The detection rate of female patients is obviously higher than that of male, and mild to moderate depressive symptoms are higher than severe ones.