[1]刘顺芳,牛桂芳,孙建萍,等.养老机构老年人阈下抑郁现状及影响因素分析[J].医学信息,2023,36(16):93-97103.[doi:10.3969/j.issn.1006-1959.2023.16.017]
　LIU Shun-fang,NIU Gui-fang,SUN Jian-ping,et al.Analysis of Subthreshold Depression and its Influencing Factors in Nursing Home for Seniors[J].Journal of Medical Information,2023,36(16):93-97103.[doi:10.3969/j.issn.1006-1959.2023.16.017]
点击复制

养老机构老年人阈下抑郁现状及影响因素分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年16期
页码:
93-97103
栏目:
论著
出版日期:
2023-08-15

文章信息/Info

Title:
Analysis of Subthreshold Depression and its Influencing Factors in Nursing Home for Seniors
文章编号:
1006-1959（2023）16-0093-06
作者:
刘顺芳; 牛桂芳; 孙建萍; 等
（1.山西中医药大学护理学院，山西 太原 030024；2.山西省人民医院呼吸与危重症医学科，山西 太原 030012；3.中国科学技术大学附属第一医院/安徽省立医院神经外科，安徽 合肥 230036）
Author(s):
LIU Shun-fang; NIU Gui-fang; SUN Jian-ping; et al.
(1.School of Nursing,Shanxi University of Chinese Medicine,Taiyuan 030024,Shanxi,China; 2.Department of Respiratory and Critical Care Medicine,Shanxi Provincial People’s Hospital,Taiyuan 030012,Shanxi,China; 3.Department of Neurosurgery,the First Affiliated Hospital of University of Science and Technology of China/Anhui Provincial Hospital,Hefei 230036,Anhui,China)
关键词:
养老机构; 阈下抑郁; 老年人
Keywords:
Nursing home; Subthreshold depression; Aged
分类号:
R563
DOI:
10.3969/j.issn.1006-1959.2023.16.017
文献标志码:
A
摘要:
目的 了解养老机构老年人阈下抑郁发生现状，并分析其影响因素。方法 采用便利抽样法，于2022年1月-6月选取贵阳市4所养老机构的234名老年人为研究对象，采用一般资料调查法、流调中心用抑郁自评量表、汉密尔顿17项抑郁量表评估老年人是否出现阈下抑郁，并对阈下抑郁的现状和影响因素进行分析。结果 养老机构老年人阈下抑郁发生率为44.02%。单因素分析显示，不同婚姻状况、居住类型、跌倒史、亲友探望频率、参加集体活动频率、参加运动锻炼频率、患病种类、服用几种药物、有无慢性疼痛、生活自理能力的养老机构老年人阈下抑郁发生率比较，差异有统计学意义（P＜0.05）；Logistic回归分析显示，与配偶同住（OR=-1.709，P＜0.05）、经常参加集体活动（OR=-0.923，P＜0.05）、经常参加运动锻炼（OR=-0.973，P＜0.05）是阈下抑郁发生的保护因素，亲友探望频率每月1次和半年1次及以上（OR=0.999，P＜0.05；OR=1.271，P＜0.05）、患2~3种疾病（OR=1.225，P＜0.05）、有慢性疼痛（OR=0.793，P＜0.05）是阈下抑郁发生的危险因素。结论 养老机构老年人阈下抑郁发生率较高，医护人员应根据其影响因素制定针对性的干预措施，以预防或延缓养老机构老年人阈下抑郁的发生和发展。
Abstract:
Objective To understand the current situation of subthreshold depression in nursing home for seniors, and to analyze its influencing factors.Methods From January to June 2022, 234 elderly people from 4 nursing home for seniors in Guiyang City were selected as the research objects by convenient sampling method. The general data survey method, the Center for Epidemiological Studies Depression Scale, and the Hamilton 17-Item Depression Scale were used to evaluate whether the elderly had subthreshold depression, and the current situation and influencing factors of subthreshold depression were analyzed.Results The incidence of subthreshold depression in nursing home for seniors was 44.02%. Univariate analysis showed that there were significant differences in the incidence of subthreshold depression in nursing home for seniors with different marital status, type of residence, history of falls, frequency of visiting relatives and friends, frequency of participating in collective activities, frequency of participating in exercise, type of disease, taking several drugs, with or without chronic pain and self-care ability (P<0.05). Logistic regression analysis showed that living with spouse (OR=-1.709, P<0.05), frequency of participating in collective activities (OR=-0.923, P<0.05), and frequency of participating in exercise (OR=-0.973, P<0.05) were protective factors for subliminal depression, while the frequency of visiting relatives and friends once a month and once every six months or more (OR=0.999, P<0.05; OR=1.271, P<0.05), with 2-3 diseases (OR=1.225, P<0.05), and chronic pain (OR=0.793, P<0.05) were risk factors for subthreshold depression.Conclusion The incidence of subthreshold depression nursing home for seniors is high. Medical staff should formulate targeted intervention measures according to its influencing factors to prevent or delay the occurrence and development of subthreshold depression.

参考文献/References:

[1]王静,王君俏,曹育玲,等.上海市养老机构老年人生活体验的质性研究[J].中华护理杂志,2014,49(1):11-15.[2]Lee YY,Stockings EA,Harris MG,et al.The risk of developing major depression among individuals with subthreshold depression: a systematic review and meta-analysis of longitudinal cohort studies[J].Psychol Med,2019,49(1):92-102.[3]Han SYS,Cooper JD,Ozcan S,et al.Integrating proteomic, sociodemographic and clinical data to predict future depression diagnosis in subthreshold symptomatic individuals[J].Translational Psychiatry,2019,9(1):277.[4]Blakemore A,Dickens C,Chew-Graham CA,et al.Depression predicts emergency care use in people with chronic obstructive pulmonary disease:a large cohort study in primary care[J].International Journal of Chronic Obstructive Pulmonary Disease,2019,14:1343-1353.[5]肖顺贞.临床科研设计[M].北京:北京大学医学出版社,2008:151. [6]牟晓秋,张琳琳,吕雨梅,等.脑卒中患者卒中后阈下抑郁患病率变化趋势及影响因素分析[J].中华现代护理杂志,2019,25(34):4441-4445.[7]谭曦.阈下抑郁的团体中医心理干预研究[D].北京:北京中医药大学,2011.[8]杨怡,胡慧,艾亚婷,等.武汉市社区老年人阈下抑郁及营养状况的相关性研究[J].职业与健康,2021,37(15):2114-2117.[9]Yoon S,Shin C,Han C.Depression and Cognitive Function in Mild Cognitive Impairment: A 1-Year Follow-Up Study[J].Journal of Geriatric Psychiatry and Neurology,2017,30(5):280-288.[10]成孟丽,贺莉萍,周一平,等.郴州市社区老年人抑郁情绪的流行病学调查[J].中国老年学杂志,2017,37(21):5429-5430. [11]李咪咪.空巢老人失能状况对焦虑症状的影响：社会支持作用机制的探讨[D].太原:山西医科大学,2020.[12]徐凤麟,孙建萍,吴红霞,等.太原市养老机构老年人述情障碍现状及影响因素分析[J].中华护理杂志,2018,53(8):990-995.[13]Choi E,Han KM,Chang J,et al.Social participation and depressive symptoms in community-dwelling older adults: Emotional social support as a mediator[J].Journal of Psychiatric Research,2021,137:589-596.[14]李珍,甄薇,毛宗福.武汉市社区老年人抑郁状况及其影响因素研究[J].现代预防医学,2018,45(1):102-105. [15]吕利明,张晓华,王雪霞,等.中青年乳腺癌术后患者阈下抑郁及社会参与状况研究[J].护理学杂志,2017,32(6):84-87.[16]周晶晶.农村老年人慢性疾病及抑郁研究[D].南京:东南大学,2017.[17]Erdal A,Flo E,Selbaek G,et al.Associations between pain and depression in nursing home patients at different stages of dementia[J].Journal of Affective Disorders,2017,218:8.[18]张焕丽.炎性疼痛大鼠海马5-HT水平、5-HT2A受体mRNA和BDNFmRNA的表达和作用研究及度洛西汀的干预作用[D].济宁:济宁医学院,2017.

相似文献/References:

[1]谭诗亮,邬颖华.青少年阈下抑郁中西医心理行为治疗的研究进展[J].医学信息,2018,31(10):37.[doi:10.3969/j.issn.1006-1959.2018.10.012]
　TAN Shi-liang,WU Ying-hua.Research Progress of Chinese and Western Psychological Behavior Therapy for Adolescents with Subthreshold Depression[J].Journal of Medical Information,2018,31(16):37.[doi:10.3969/j.issn.1006-1959.2018.10.012]
[2]刘聪聪,李家莹,杨雯雯,等.泰安市老年人医养结合意愿的影响因素分析[J].医学信息,2021,34(12):151.[doi:10.3969/j.issn.1006-1959.2021.12.041]
　LIU Cong-cong,LI Jia-ying,YANG Wen-wen,et al.Analysis on the Influencing Factors of the Willingness to Combine Medical Care for the Elderly in Tai’an City[J].Journal of Medical Information,2021,34(16):151.[doi:10.3969/j.issn.1006-1959.2021.12.041]

更新日期/Last Update: 1900-01-01