老年抑郁症患者日常活动能力现状及影响因素分析

The status and influencing factors of activities of daily living of the elderly patients withdepression

目的描述老年抑郁症患者的日常生活活动能力并探讨其影响因素。方法应用便利抽样方法,分别采用一般资料调查问卷、老年抑郁量表、日常生活活动能力量表对广州医科大学附属第二医院门诊就诊的100例老年抑郁症患者进行问卷调查。结果老年抑郁症患者日常生活活动能力总评分为(22.73±6.69)分。多重线性回归分析显示,老年抑郁量表评分(B=0.698,95%CI0.585~0.811,P<0.01)、家庭人均收入(B=-0.842,95%CI-1.382^-0.303,P=0.003)、慢性病数量(B=1.236,95%CI0.464~2.008,P=0.002)、体育锻炼(B=-0.847,95%CI-1.618^-0.076,P=0.032)、以前职业(B=-0.272,95%CI-0.486^-0.058,P=0.013)是日常生活活动能力评分的独立影响因素。结论老年抑郁症患者日常生活活动能力明显受损,应积极关注并开展以家庭、社会为中心的干预措施,以保证其生命质量,从而减轻家庭、社会负担。

Objective To describe and explore the influencing factors of the activities of daily living of the elderly patients with depression.Methods A descriptive correlative design.The study was conducted in a hospital of Guangzhon from July 2012to December 2015.100outpatients were selected by convenient sampling method.The instruments consisted of General information questionnaires,Geriatric Depression Scale(GDS),Activity of Daily Living Scale.Results The mean score of overall activities of daily living was 22.73±6.69.Based on multiple regression analysis,the score of Geriatric Depression Scale (GDS)(B=0.698,95%CI 0.585-0.811,P <0.01),family income per capital (B=-0.842,95%CI-1.382-- 0.305,P=0.003),number of chronic illness (B=1.256,95%CI 0.464-2.008,P=0.002),physical exercises (B=-0.847,95%CI-1.618--0.076,P=0.032),occupation (B=-0.272,95%CI-0.486--0.058,P=0.013) emerged as independent factors of disability in activities of daily living.Conclusions The activities of daily living of the elderly patients with depression is obviously damaged.We should pay attention to the ADL of the patients and carry out the family and social intervention to ensure their quality of life and reduce the burden of family and society.