Abstract:Objective To understand the depression status of bedridden elderly in old-age care institutions in Urumqi and analyze the influencing factors. Methods A total of 546 bedridden elderly people from 8 old-age care institutions in Urumqi from January to July 2018 were selected by stratified cluster sampling. A questionnaire survey was conducted with the geriatric depression scale (GDS-15) and the Barthel index rating scale. Results The incidence of depression in bedridden elderly in Urumqi′s old-age care institutions was 65.4%, including 40.3% for mild depression and 25.1% for moderate-to-severe depression. Multivariate Logistic regression analysis showed that widowhood, low education level, heavy bedridden grading, long bedtime, poor daily living ability, and the number of diseases were important factors in the incidence of depression in bedridden patients (P < 0.05). Conclusion The incidence of depression among bedridden elderly in old-age care institutions in Urumqi is high. Care workers should implement targeted intervention measures according to the characteristics of bedridden elderly, so as to improve their mental health level.
束娇娇 周燕燕 帕丽达·买买提. 乌鲁木齐市养老机构卧床老年人抑郁现状及其影响因素分析[J]. 中国医药导报, 2019, 16(11): 42-45.
SHU Jiaojiao ZHOU Yanyan Parida·Muhammat. Analysis of influencing factors and depression status quo of bedridden elderly in old-age care institutions in Urumqi. 中国医药导报, 2019, 16(11): 42-45.
[1] 国家统计局.中华人民共和国2017年国民经济和社会发展统计公报[EB/OL].(2018-02-28)[2018-04-08].http://www.Stats.Gov.cn/tjsj/zxfb/201802/t20180228_1585631.Html.
[2] 中岛纪惠子.老年看护学[M].东京:医学书院,1998:322.
[3] 焦静,李真,刘晓燕,等.25家医院住院卧床患者满意度调查及影响因素分析[J].中华现代护理杂志,2018,24(17):2026-2030.
[4] Mahoney FI,Barthel DW. Functional evalution:The Barthel index [J]. Md State Med J,1965,14(14):56-61.
[5] Chang JJ,Tabet M,Elder K,et al. Racial/ethnic differences in the correlates of mental health services use among pregnant women with depressive symptoms [J]. Matern Child Health J,2016,20(9):1911-1922.
[6] 许丽,陈茜,叶敏.成都市社区卧床老年人抑郁状况调查分析[J].华西医学,2011,26(6):936-938.
[7] 胡晓宜,陈茜.成都市老年卧床患者抑郁情绪与生命质量调查分析[J].实用医院临床杂志,2013,10(1):89-92.
[8] 戴冰,李维,熊梅,等.四川省城市老年人抑郁现状[J].中国老年学杂志,2018,38(6):1490-1492.
[9] 伍小兰,李晶,王莉莉.中国老年人口抑郁症状分析[J].人口学刊,2010(5):43-47.
[10] 迟晓华,吕静,王双艳,等.不同养老模式下老年人的心理健康状况[J].中国老年学杂志,2018,38(8):2013-2014.
[11] 陈丽,张婧.吉安市老年人抑郁状况及其影响因素[J].中国老年学杂志,2017,37(24):6238-6240.
[12] 周琴,毕鸿燕.北京农村不同性别丧偶老人抑郁状况及影响因素[J].中国老年学杂志,2015,35(4):1058-1059.
[13] Kinariwalla N,Sen A. The psychosocial impact of epilepsy on marriage:A narrative review [J]. Epilepsy Behav,2016,63:34-41.
[14] 戴悦,张宝泉,李映兰,等.中国老年人睡眠质量与抑郁焦虑相关性的Meta分析[J].中华护理杂志,2016,51(4):488-493.
[15] 王侠,化前珍,段思柳,等.陕西省空巢老人抑郁现状及影响因素分析[J].中华现代护理杂志,2018,24(14):1644-1648.
[16] Hansen MC,Flores DV,Coverdale J,et al. Correlates of depression in self-neglecting older adults:a cross-sectional study examining the role of alcohol abuse and pain in increasing vulnerability [J]. J Elder Abuse Negl,2016, 28(1):41-56.
[17] 王会会,王君俏,谢博钦,等.养老机构非卧床老年人衰弱影响因素的路径分析[J].护理学杂志,2018,33(13):76-80.
[18] 刘妍,黄小波,陈文强,等.老年遗忘型轻度认知障碍患者认知功能与抑郁障碍的相关性分析[J].中国医药导报,2018,15(5):66-70.
[19] 贺玥,古丽丹,屈模英,等.心脏术后早期下床对缓解患者术后焦虑和抑郁的影响[J].成都医学院学报,2018, 13(2):217-220.
[20] Kontio R,Joffe G,Putkonen H,et al. Seclusion and Restraint in Psychiatry:Patients′ Experiences and Practical Suggestions on How to Improve Practices and Use Alternatives [J]. Perspect Psychiatr Care,2012,48(1):16-24.
[21] Sato K,Kajimoto H,Kawakami N,et al. Effect of a guideline based multicomponent intervention on use of physical restraints in nursing homes [J]. JAMA,2012,307(20):2177-2184.
[22] 冉凌云,谢卓燃,张开宁,等.养老机构老年人抑郁状况与日常生活活动能力的相关性研究[J].昆明理工大学学报:自然科学版,2015,40(5):82-87.
[23] 黄海蓉,陈晓峰,孙仕强,等.360名深圳市退休老年人的抑郁状况及其影响因素分析[J].中国疗养医学,2016, 25(7):684-686.
[24] 宋爱芹,梁亚军,王文军,等.老年人抑郁症状与慢性病及日常生活活动能力的关联性研究[J].中华健康管理学杂志,2013,7(3):182-185.