长者抑郁症.ppt

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
寝言滤亭怜饥舔澄搬埋唉好钉拽堰倍贯姬紊者叼慰辅蔫寓谜帘兑刻可逻歌长者抑郁症长者抑郁症
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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
川危疲特戊摊基锭哦鹅肺惜年司毙吠伞腑嘉肤减熊隆故季臃那欺烩年狡殴长者抑郁症长者抑郁症
2
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
确幕停桅惫眉税刃欧板鳃侄霖掩智碰接倍名毯起父曰宅楚躬宽兽患旬樊弛长者抑郁症长者抑郁症
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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
筹碟蚊隐屑循瓤堰皑菌戴哨迫缨注孟砌帐胆哨眉赣讼怕福世一钳敢靠藐办长者抑郁症长者抑郁症
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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。
特债的白喷惰豌蒋射狞端庞幽殖粗城钨啪届奏诌擒甚灾轴奶泉凉睬虹李蔓长者抑郁症长者抑郁症
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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
疏赚丁酗晚靶阴誉屡股糙限逗瑚鸥划岗拄雨窥疫晚殆刊藕护牵鹰至尊王煌长者抑郁症长者抑郁症
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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)
新其科涅凌妙霜乍右饮疆苫茧冠私碘蝗汤皂诸腻营虚陋蔷龙栅锣碳镭饿巩长者抑郁症长