沈阳医学院学报2025，Vol.27Issue(2)：123-128,173,7.DOI:10.16753/j.cnki.1008-2344.2025.02.003
医养结合机构非卧床老年人抑郁的发生现状及危险因素分析
Prevalence and risk factors of depression in non-bedridden elderly in integrated medical and elderly care institutions
摘要
Abstract
Objective:To investigate the prevalence of depression in non-bedridden elderly in integrated medical and elderly care institutions and analyze its risk factors.Methods:Using convenience sampling,196 non-bedridden elderly individuals from integrated medical and elderly care institutions in Chizhou from Jan 2023 to Jan 2024 were selected as subjects.The Geriatric Depression Scale-15(GDS-15)was used to assess the depression levels of the elderly.A general information questionnaire,the Pittsburgh Sleep Quality Index(PSQI),and the SF-12 Health Survey were used to collect factors related to depression in non-bedridden elderly.Multivariable logistic regression analysis was performed to identify risk factors for depression in non-bedridden elderly in integrated medical and elderly care institutions.Results:Among the 196 non-bedridden elderly individuals,68 exhibited depression,with a detection rate of 34.69%.Multivariable logistic regression analysis revealed that lower education level(OR=2.644,95%CI:1.259-5.551),lack of physical exercise(OR=2.976,95%CI:1.456-6.081),cognitive training(OR=2.981,95%CI:1.446-6.145),and social activities(OR=3.822,95%CI:1.805-8.093),poorer health status(OR=3.450,95%CI:1.578-7.543),and lower quality of life(OR=3.979,95%CI:1.890-8.375)were independent risk factors for depression(P＜0.05).Conclusions:The detection rate of depression among non-bedridden elderly in integrated medical and elderly care institutions is relatively high.Targeted interventions,such as strengthening mental health management,promoting cultural education,physical exercise,and social participation,and improving quality of life,should be implemented to prevent depression.关键词
医养结合机构/非卧床老年人/抑郁/现状调查/危险因素Key words
integrated medical and elderly care institutions/non-bedridden elderly/depression/current status survey/risk factors分类
临床医学引用本文复制引用
何红芳,赵德如..医养结合机构非卧床老年人抑郁的发生现状及危险因素分析[J].沈阳医学院学报,2025,27(2):123-128,173,7.基金项目
安徽省2024年青年骨干教师境内访学研修资助项目(No.JNFX2024131) （No.JNFX2024131）
"医养结合"背景下社区居家养老服务的探索研究安徽省高校科研重点项目(No.2024AH052916) （No.2024AH052916）
