新冠肺炎流行期间居家老人抑郁现状及影响因素分析

Status quo of depression and its influencing factors in elderly people at home during outbreak of novel coronavirus pneumonia

目的:了解新冠肺炎流行期间居家老人发生抑郁的现状及其影响因素。方法:采用简版老年抑郁量表、社会支持评定量表、简易应对方式问卷、广泛性焦虑量表、Charlson共病指数、FRAIL量表对92名居家老人进行问卷调查。结果:92名老人有抑郁症状者18名,占19.57%;衰弱患者中的抑郁症状发生率达50%;衰弱(OR=6.284,95%CI:1.127~35.026)、焦虑(OR=4.894,95%CI:1.412~16.959)、消极应对(OR=1.376,95%CI:1.067~1.776)、社会支持(OR=0.820,95%CI:0.704~0.956)是新冠肺炎流行期间居家老人发生抑郁症状的影响因素。结论:疫情期间居家老人抑郁发生与衰弱、焦虑、应对方式不良、社会支持不够有关,应该加大对此类人群的关注。

Objective:To investigate the status quo of depression and its influencing factors in elderly people at home during the outbreak of novel coronavirus pneumonia.Methods:92 elderly people at home were surveyed by GDS-15,SSRS,SCSQ,GAD-7,CCI and FRAIL syndrome scale.Results:Among 92 elderly people,18(19.57%)had depressive symptoms and 50%of the frail patients had depressive symptoms.Frailty(OR=6.284,95%CI:1.127-35.026),anxiety(OR=4.894,95%CI:1.412-16.959),negative coping(OR=1.376,95%CI:1.067-1.776)and social support(OR=0.820,95%CI:0.704-0.956)were the independent risk factors for the occurrence of depressive symptoms in elderly people at home during the outbreak of novel coronavirus pneumonia.Conclusion:The occurrence of depression in elderly people at home during the outbreak of novel coronavirus pneumonia is associated with frailty,anxiety,poor coping styles and insufficient social support.We should pay more attention to these people.