长者抑郁症-PPT（精）.ppt

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Auditing Depression in the elderly population using GDS-15 in a General Practice Clinic in Hong Kong长者抑郁症-于普通科诊所使用GDS-15问卷
Dr. CHOI Kin
Honorary Clinical Associate Professor
Department munity & Family Medicine,
Chinese University of Hong Kong
蔡坚医生
香港中文大学社区及家庭医学系名誉临床副教授
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Geriatric population in Hong Kong香港的长者人口
1996: % population >65
一九九六年:% 人口超过六十五岁

2001: % population >65
二零零一年:% 人口超过六十五岁

2031: 24% population >65
二零三一年:24% 人口超过六十五岁
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Depression in the elderly –Size of the problem in USA长者抑郁症问题–于美国的严重性
Depression affects 5 million out of 31 million Americans aged over 65.
在三千一百万 65岁以上的美国人当中,有五百万人受抑郁症影响
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13% munity dwelling older adults suffers from major or minor depression
13% 于社区居住的长者受不同程度的抑郁症困扰
24% of older medical outpatients, 30% of older acute care patients, 43% of nursing home dwelling older adults suffers from depression
24%的年长门诊病人,30%年长重症患者,及43%居于疗养院的长者受到抑郁症困扰
Kurlowicz et al Try This: best practices in nursing care to older adults Issue no. 4 2007
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Depression –Size of the problem – world-wide抑郁症问题–对全球的严重性
The World anization estimates that depression will e the second most important cause of disability worldwide (after ischemic heart disease) by 2020.
世界卫生组织估计抑郁症将于二零二零年(继缺血性心脏病)成为全球第二个致残主因。
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World-wide prevalence of elderly depression长者抑郁症于全球的普及性
9 – 35%
Inner London 18% (1994)
内伦敦(一九九四年): 18%
Rural Malaya 18% of elderly with chronic illness
马来亚偏远地区: 18%有长期病患的长者
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Rural China 26% over 65 screened positive
中国偏远地区:在六十五岁以上人士当中,26% 被评定为阳性
Hong Kong 1994 over 75 using GDS – 15, % for men and % for women are depressed (Woo et al)
香港(一九九四年):向七十五岁以上人士使用GDS-15问卷调查,%%女性有抑郁症(Woo et al)
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The Prevalence of depressive symptoms in a regional geriatric day hospital 抑郁症征状于地区性长者日间医院的普遍性
Wong et Chao 2004
The prevalence of depressive symptoms in patients in the geriatric day hospital was as high as %. Depressive symptoms were monly found in female (%) patients than in male (