[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]
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养老机构老年人阈下抑郁现状及影响因素分析()
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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.

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更新日期/Last Update: 1900-01-01