Đặc điểm lâm sàng rối loạn trầm cảm và một số yếu tố liên quan ở người cao tuổi điều trị ngoại trú tại Bệnh viện Hữu Nghị=Clinical characteristics of depressional disorders and some related factors in elderly people receiving outpatient treatment at Huu Nghi Hospital

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Tác giả: Văn Thành Đào, Thị Thu Trang Hoàng, Thị Thanh Thu Lê, Thị Hồng Nguyễn, Thị Thu Hằng Nguyễn, Thị Thu Giang Tào

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Lê Thị Thanh Thu; Nguyễn Thị Thu Hằng; Đào Văn Thành; Nguyễn Thị Hồng; Tào Thị Thu Giang; Hoàng Thị Thu Trang Y Dược Thái Bình (Đại học Y Dược Thái Bình), 2024

Mô tả vật lý: tr.146-152

Bộ sưu tập: Metadata

ID: 244499

Thêm vào giỏ

Clinical features of depressive disorder in the elderly treated as outpatients at Huu Nghi hospital. Comment on some factors related to depressive disorder in the elderly outpatient treatment at Huu Nghi Hospital. Method: Cross-sectional description on 35 patients at Medical Examination Department B - Huu Nghi Hospital from July to December 2020. Results: 54,3% severe depression, 40% depression Moderate cold, common in the 60-69 age group. Abdominal fullness 74,3%. Anxiety 68,6%, sweating 65,7%, dizziness 45,7%, hot flashes 54,3%, rapid pulse 57,1%. Patients did not speak, rarely spoke 68.6%, restlessness, insecurity 85,7%, memory loss 74,3%. Disorientation 2,9%, conduct disorder 5,7%, anxiety 85,7%, panic 11,4%. Retired 71,4%, lost a loved one 22,9%, suffered from endocrine disease (diabetes) 37,1%, musculoskeletal disease 22,9%. The most commonly prescribed antidepressants are Stablon 88,6%, Amitriptyline 11,4%. Conclusions: Clinical features of depressive disorder were found in the elderly. There is an association between depressive disorder in the elderly with psychosocial factors and other comorbid medical diseases.Đặc điểm lâm sàng rối loạn trầm cảm ở người cao tuổi điều trị ngoại trú tại bệnh viện Hữu Nghị. Nhận xét một số yếu tố liên quan đến rối loạn trầm cảm ở người cao tuổi điều trị ngoại trú tại bệnh viện Hữu Nghị. Phương pháp: Mô tả cắt ngang trên 35 bệnh nhân tại Khoa khám bệnh B - Bệnh viện Hữu Nghị từ tháng 07 đến tháng 12 năm 2020. Kết quả: Có 54,3% trầm cảm nặng, 40% trầm cảm vừa, gặp nhiều ở lứa tuổi 60-69. Đầy bụng 74,3%. Hồi hộp 68,6%, vã mồ hôi 65,7%, chóng mặt 45,7%, bốc hỏa 54,3%, mạch nhanh 57,1%. Bệnh nhân không nói, ít nói 68,6%, bồn chồn, bất an 85,7%, giảm trí nhớ 74,3%. Rối loạn định hướng 2,9%, rối loạn hành vi 5,7%, lo âu 85,7%, hoảng sợ 11,4%. Về hưu 71,4%, mất người thân 22,9%, mắc bệnh nội tiết (đái tháo đường) 37,1%, bệnh về cơ xương khớp 22,9%. Thuốc chống Trầm cảm hay kê đơn nhất là Stablon 88,6%, Amitriptylin 11,4%. Kết luận: Bệnh nhân có biểu hiện TC mức độ nhẹ 5,7%, TC mức độ vừa 40% và TC mức độ nặng là 54,3%. Biểu hiện chậm chạp ít hoạt động chiếm 37,1%, trạng thái ức chế tâm thần vận động cũng khá hay gặp tuy rằng không có sự khác biệt theo các nhóm tuổi. Nghỉ hưu là 71,4%, đây là sang chấn tâm lý rất thường gặp. Yếu tố do bệnh lý cơ thể: thường gặp nhất ở người già là bệnh lý cơ xương khớp (47,69%).

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