社区老年人生活质量与抑郁症状发生相关性的前瞻性研究

Prospective Cohort Study on Relationship between Quality of Life and Depressive Symptoms in the Community Elderly

目的探讨老年人的生活质量与抑郁症状发生的关系。方法2006年随机抽取西安市某社区60岁以上无抑郁症状的老年人93名,运用简明健康测量量表(SF-36)评定其生活质量;至2008年再次追踪随访,并用老年抑郁量表(geriatric depression scale,GDS)测评抑郁症状的发生情况。结果抑郁组老年人的基线生活质量总分明显低于非抑郁组(P<0.05),生活质量及其5个维度的得分与抑郁得分呈显著负相关(P<0.05);总体健康维度低分组发生抑郁症状的危险性是高分组的4.24倍。结论全面提高老年人的生活质量,尤其是加强健康自评,对预防抑郁症状的发生有积极作用。

Objective To investigate the relationship between quality of life(QOL)and occurrence of depressive symptoms prospectively.Methods Ninety-three elderly people over 60 years without depressive symptoms in a community of Xi an were sampled randomly in 2006.The QOL were evaluated by the Medical Outcomes Study 36-Item Short-Form Health Survey(SF-36).Following-up was done in 2008 and the Geriatric Depression Scale(GDS)was used to survey the occurrence status of depressive symptoms.Results The total score of QOL o...