农村老年人运动障碍综合征与阈下抑郁现状及其相关性分析

Status quo and correlation analysis of locomotive syndrome and subthreshold depression in rural elderly

目的:探讨农村老年人运动障碍综合征(LS)和阈下抑郁(SD)的现状和两者之间的关系。方法:采用分阶段随机抽样方法选取河南省豫北地区5个行政村的老年人430人为调查对象。采用一般资料调查表、老年人运动功能量表(GLFS)和简版老年抑郁量表(GDS-15)对老年人进行调查,并进行相关性分析及影响因素分析。结果:农村老年人LS发生率为29.3%,SD发生率为22.3%;Logistic回归分析显示,年龄、害怕跌倒、3种及以上慢性病和SD是老年人LS的危险因素,文化程度、家庭年平均收入和LS是SD发生的危险因素;Spearman相关性分析显示,LS与SD呈正相关(r=0.446,P<0.001)。结论:农村地区老年人LS和SD的发生率较高,二者呈正相关且互为因果,护理人员在关注老年人运动功能的同时要重视其SD状况。

Objective:To explore the status quo of the locomotive syndrome(LS)and subthreshold depression(SD)in rural elderly and the relationship between the both.Methods:A staged random sampling method was used to select 430 elderly people from 5 administrative villages in northern Henan province as the survey subjects.The general information questionnaire,the Geriatric Locomotive Function Scale(GLFS),and the 15-item Geriatric Depression Scale(GDS-15)were used to investigate the elderly.Then the correlation analysis and influencing factors were analyzed.Results:The incidence of LS in the rural elderly was 29.3%,and the incidence of SD was22.3%.Logistic regression analysis showed that age,fear of falling,3 or more chronic diseases,and SD were risk factors of LS in the elderly.And education level,family annual average income,and LS were risk factors for the occurrence of SD.Spearman correlation analysis showed that LS was positively correlated with SD(r=0.446,P<0.001).Conclusions:The incidence of LS and SD of the elderly in rural areas was relatively higher.They were positively correlated and mutual causality.Therefore,nursing staff should pay attention to patients’SD status while paying attention to the motor function of the elderly.