关键词: 抑郁, 焦虑, 老年人, 住院病人, 全科, 医院, 综合, 影响因素分析

Abstract: Background　Mental health status may affect the prognosis of the disease，prolong the hospital stay and increase the economic burden in the elderly.In view of this，to prevent the negative emotions from worsening in hospitalized elderly patients，it is particularly important to identify negative emotions timely，and rapidly evaluate the status of anxiety，depression and tendency of suicide，and based on this，to deliver appropriate psychological interventions.Objective　To investigate the prevalence and influencing factors of anxiety and depression in hospitalized elderly patients from a general medicine ward of a general hospital.Methods　Participants were 407 elderly hospitalized patients who were recruited from the General Medicine Ward，West China Hospital，Sichuan University during March to July 2017.The Huaxi Emotional-distress Index（HEI） developed by this hospital was used to screen the prevalence of anxiety and depression（HEI>8 points was determined as having anxiety and depression）．The General Data Questionnaire developed by our research team was used to collect sociodemographic data.Multiple Logistic regression was adopted to analyze the influencing factors of anxiety and depression.Results　The median HEI for the participants was 2.0（4.0）．And 35 cases（8.6%） were found with anxiety and depression.Multiple Logistic regression analysis showed that gender and comorbidity were the independent influencing factors for anxiety and depression in these patients（P<0.05）．Conclusion　In general，the mental status is relatively good in this group.Female and having at least a comorbidity are associated with higher risk of developing anxiety and depression.So more attention should be given to these priority subgroups clinically，in order to timely deliver interventions based on the detected psychological problems to promote the rehabilitation of such patients.

Key words: Depression；Anxiety；Aged；Inpatients；General practice；Hospitals, general；Root cause analysis