Volume 22 Issue 4
Apr.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(4): 544-547
HE Huan, SUN Zhonghua, WENG Yangyang, JIA Jian, QU Chen. DCPR was used to assess psychosomatic disorders after SARS-Cov-2 in elderly patients with coronary heart disease[J]. Chinese Journal of General Practice, 2024, 22(4): 544-547. doi: 10.16766/j.cnki.issn.1674-4152.003445
Citation: HE Huan, SUN Zhonghua, WENG Yangyang, JIA Jian, QU Chen. DCPR was used to assess psychosomatic disorders after SARS-Cov-2 in elderly patients with coronary heart disease[J]. Chinese Journal of General Practice, 2024, 22(4): 544-547. doi: 10.16766/j.cnki.issn.1674-4152.003445
shu

DCPR was used to assess psychosomatic disorders after SARS-Cov-2 in elderly patients with coronary heart disease

doi: 10.16766/j.cnki.issn.1674-4152.003445
  • 1.

    Department of Geriatrics, the Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210000, China

Funds:

 LR2021005

  • Received Date: 2023-09-16
    Available Online: 2024-05-29
    Abstract
  •   Objective  To provide individualized interventions aimed at improving the quality of life of elderly patients, the diagnostic criteria for psychosomatic research (DCPR) was used to evaluate the psychosomatic related disorders in elderly patients with coronary atherosclerotic heart disease after infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2).  Methods  Using random sampling, 101 elderly patients with coronary heart disease admitted to the Second Affiliated Hospital of Nanjing Medical University from September 2022 to June 2023 were selected as the research subjects. According to whether they were infected with SARS-CoV-2, 69 cases were in the infected group and 32 cases were in the uninfected group. The DCPR scale was used to evaluate the current psychosomatic status of the patients, and statistical methods such as group t-test, Wilcoxon rank-sum test, χ2 test, and logistic regression analysis were used to analyze the impact of psychosomatic symptoms on the elderly patients with coronary heart disease after infection with COVID-19.  Results  The infected group was more likely to develop depressed moods [Mild depression: 27 (39.10%) vs. 5 (15.60%); Moderate to severe depression: 9 (13.10%) vs. 1 (3.10%)]and psychosomatic symptoms [(37 (53.60%) vs. 25 (78.10%), χ2=5.537, P < 0.05]. The differences in the scores of happiness total score, sleep disturbance, psychological distress, and abnormal disorder behavior between the two groups were all statistically significant(P < 0.05).  Conclusion  Infection with SARS-CoV-2 is one of the influencing factors of psychosomatic disorders in elderly patients with coronary heart disease, DCPR can make a more comprehensive assessment and help to propose reasonable and targeted interventions in time.

     

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    • References(20)
  • [1]
    CHEN Y, KLEIN S L, GARIBALDI B T, et al. Aging in COVID-19: vulnerability, immunity and intervention[J]. Ageing Res Rev, 2021, 65: 101205. DOI: 10.1016/j.arr.2020.101205.
    [2]
    NAPOLI C, TRITTO I, BENINCASA G, et al. Cardiovascular involvement during COVID-19 and clinical implications in elderly patients[J]. Ann Med Surg (Lond), 2020, 57: 236-243. DOI: 10.1016/j.amsu.2020.07.054.
    [3]
    刘洋, 王新芳, 吴京凤, 等. 老年综合评估对高龄冠心病合并焦虑患者生活质量的影响[J]. 中国社区医师, 2022, 38(25): 145-147. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202225049.htm

    LIU Y, WANG X F, WU J F, et al. Effect of geriatric comprehensive assessment on the quality of life of elderly patients with coronary heart disease complicated with anxiety[J]. Chinese Community Doctors, 2022, 38(25): 145-147. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202225049.htm
    [4]
    包海童, 谈萍, 俞沛文, 等. 基于老年综合评估的2型糖尿病病人衰弱影响因素分析[J]. 实用老年医学, 2022, 36(12): 1264-1268. doi: 10.3969/j.issn.1003-9198.2022.12.019

    BAO H T, TAN P, YU P W, et al. Analysis of influencing factors of frailty in patients with type 2 diabetes mellitus based on comprehensive assessment of geriatrics[J]. Practical Geriatrics, 2022, 36(12): 1264-1268. doi: 10.3969/j.issn.1003-9198.2022.12.019
    [5]
    王小娇, 王宁, 崔宏, 等. 应用老年综合评估技术分析老年脑卒中恢复期病人营养状态的影响因素[J]. 实用老年医学, 2022, 36(8): 809-812. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA202208014.htm

    WANG X J, WANG N, CUI H, et al. The comprehensive geriatric assessment technique was used to analyze the influencing factors of nutritional status of elderly patients recovering from stroke[J]. Practical Geriatrics, 2022, 36(8): 809-812. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA202208014.htm
    [6]
    FAVA G A, SONINO N. The clinical domains of psychosomatic medicine[J]. J Clin Psychiatry, 2005, 66(7): 849-858. doi: 10.4088/JCP.v66n0707
    [7]
    SPITZER R L, KROENKE K, WILLIAMS J B, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7[J]. Arch Intern Med, 2006, 166(10): 1092-1097. doi: 10.1001/archinte.166.10.1092
    [8]
    KROENKE K, SPITZER R L, WILLIAMS J B. The PHQ-9: validity of a brief depression severity measure[J]. J Gen Intern Med, 2001, 16(9): 606-613. doi: 10.1046/j.1525-1497.2001.016009606.x
    [9]
    LI L, PENG T, LIU R, et al. Development of the psychosomatic symptom scale (PSSS) and assessment of its reliability and validity in general hospital patients in China[J]. Gen Hosp Psychiatry, 2020, 64: 1-8. doi: 10.1016/j.genhosppsych.2020.01.008
    [10]
    PIOLANTI A, OFFIDANI E, GUIDI J, et al. Use of the Psychosocial Index: a sensitive tool in research and practice[J]. Psychother Psychosom, 2016, 85(6): 337-345. doi: 10.1159/000447760
    [11]
    LEE K, JEONG G C, YIM J. Consideration of the psychological and mental health of the elderly during COVID-19: a theoretical review[J]. Int J Environ Res Public Health, 2020, 17(21): 8098. DOI: 10.3390/ijerph17218098.
    [12]
    HAN Q, ZHENG B, DAINES L, et al. Long-term sequelae of COVID-19: a systematic review and meta-analysis of one-year follow-up studies on post-COVID symptoms[J]. Pathogens, 2022, 11(2): 269. DOI: 10.3390/pathogens11020269.
    [13]
    苗连海, 陈继群, 朱德发, 等. 老年综合评估模式对老年冠心病患者的临床疗效[J]. 中国慢性病预防与控制, 2022, 30(3): 218-220. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202203013.htm

    MIAO L H, CHEN J Q, ZHU D F, et al. Clinical efficacy of geriatric comprehensive assessment model in elderly patients with coronary heart disease[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2022, 30(3): 218-220. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202203013.htm
    [14]
    PARLAPANI E, HOLEVA V, NIKOPOULOU V A, et al. A review on the COVID-19-related psychological impact on older adults: vulnerable or not?[J]. Aging Clin Exp Res, 2021, 33(6): 1729-1743. doi: 10.1007/s40520-021-01873-4
    [15]
    SAYINKASAR K, KARAMAN E. Life in lockdown: Social isolation, loneliness and quality of life in the elderly during the COVID-19 pandemic: a scoping review[J]. Geriatr Nurs, 2021, 42(5): 1222-1229. doi: 10.1016/j.gerinurse.2021.03.010
    [16]
    LEE Y, LUI L M W, CHEN L D, et al. Government response moderates the mental health impact of COVID-19: a systematic review and meta-analysis of depression outcomes across countries[J]. J Affect Disord, 2021, 290: 364-377. doi: 10.1016/j.jad.2021.04.050
    [17]
    ARMITAGE R, NELLUMS L B. COVID-19 and the consequences of isolating the elderly[J]. Lancet Public Health, 2020, 5(5): e256. DOI: 10.1016/S2468-2667(20)30061-X.
    [18]
    SEPÚLVEDA-LOYOLA W, RODRÍGUEZ-SÁNCHEZ I, PÉREZ-RODRÍGUEZ P, et al. Impact of social isolation due to COVID-19 on health in older people: mental and physical effects and recommendations[J]. J Nutr Health Aging, 2020, 24(9): 938-947. doi: 10.1007/s12603-020-1500-7
    [19]
    IZQUIERDO M, MERCHANT R A, MORLEY J E, et al. International exercise recommendations in older adults (ICFSR): expert consensus guidelines[J]. J Nutr Health Aging, 2021, 25(7): 824-853.
    [20]
    姚元龙, 史威力, 冯娴, 等. 老年共病的研究管理策略[J]. 中华全科医学, 2022, 20(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.002574

    YAO Y L, SHI W L, FENG X, et al. Research management strategies for multimorbidity in elderly patients[J]. Chinese Journal of General Practice, 2022, 20(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.002574
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