髋部骨折老年患者术后抑郁状况的调查研究

Investigation on depression among postoperative elders with hip fracture

目的了解髋部骨折的老年患者术后抑郁水平及其影响因素。方法运用Harris髋关节功能评分表、Barthel指数和老年抑郁量表(GDS)对70例符合纳入标准的老年髋部骨折患者进行问卷调查。结果有42.9%的患者术后有抑郁情绪,不同年龄、婚姻及居住情况以及有无合并症患者的术后抑郁水平差异有统计学意义,年龄及骨折前活动能力与患者术后抑郁水平明显相关。结论髋部骨折老年患者术后心理健康状况不容乐观,提示临床护理人员在患者住院期间应给予有效的心理支持,促进患者功能锻炼和肢体功能恢复。

Objective To investigate depression level among elders with hip fracture after operation and its influencing factors. Methods Seventy elders with hip fracture who accorded with the inclusive criteria were surveyed by questionnaire with Harris Hip Score, Barthel index and Geriatric Depression Scale （GDS）. Results There were 42.9% patients with hip fracture developed depression after operation. The depression level after operation differed significantly in terms of age, marriage, living status and com- plications. The age and locomotive activity before fracture were significantly correlated with depression level. Conclusion The psychosomatic health status among elderly patients with hip fracture should be concerned. It is suggested that nurses should provide effective psychological support and promote func- tional exercise to hasten functional recovery.