湖北省社区老年人社会衰弱与抑郁的相关性

doi:10.3969/j.issn.1003-9198.2021.05.015

摘要/Abstract

摘要： 目的了解湖北省社区老年人群的社会衰弱与抑郁的流行情况并分析两者之间的相关性,为健康政策制定提供理论支持。方法采用社会人口学调查表、身体健康调查表、社会衰弱量表和简易版老年人抑郁量表(GDS-15)对湖北省社区老年人进行入户调查,最终回收有效问卷359份。结果 359例社区老年人被分为社会衰弱组(n=39)和无社会衰弱组(n=320),2组年龄、文化程度、婚姻状况、居住地、心理应激源、月收入、吸烟习惯、抑郁总分上差异有统计学意义(P<0.05);样本整体的社会衰弱患病率为10.86%,抑郁患病率为15.88%,社会衰弱与抑郁呈中度相关关系(r=0.435,P<0.001)。结论社会衰弱与抑郁的患病率在湖北省社区老年人群中偏高,处于社会衰弱的社区老年人同时表现为抑郁症状的比例较高,社区医务人员需对老年人的社会衰弱进行早筛查、早诊断、早干预,以提高老年人群的身心健康。

关键词: 社会衰弱, 抑郁, 社区老年人

Abstract: Objective To investigate the prevalence of social frailty and depression as well as their correlation among the community-dwelling elderly in Hubei Province, China. Methods Questionnaires composed of demographic characteristics, general health information, Social Frailty Assessing Tool and Geriatric Depression Scale (GDS-15) were disseminated through face-to-face interviews with participants at their houses. A total of 359 valid and qualified questionnaires were finally included in this research. Results The 359 community-dwelling elderly were divided into social frailty group (n=39) and non-social frailty group (n=320). The two groups showed significant differences in age, educational level, marriage status, living region, life events, monthly income, current smoking habits and depression score (P<0.05). The prevalence of social frailty and depression among community-dwelling elderly in Hubei Province was 10.86% and 15.88% respectively. Social frailty and depression had a positive correlation with statistical significance (r=0.435, P<0.001). Conclusions The prevalence of social frailty and depression are both relatively high among community-dwelling elderly in Hubei Province. The participants presenting with socially frail have shown a greater proportion of depression at the same time. Community care providers should concentrate more on the screening and diagnose of social frailty and implement interventions to them in order to improve the quality of life for the elderly.

Key words: social frailty, depression, community-dwelling elderly

中图分类号:

R 749.4

张文雅, 范俊瑶, 王甜颖, 李节. 湖北省社区老年人社会衰弱与抑郁的相关性[J]. 实用老年医学, 2021, 35(5): 491-494.

ZHANG Wen-ya, FAN Jun-yao, WANG Tian-ying, LI Jie. Correlation between social frailty and depression among community-dwelling elderly in Hubei Province, China[J]. Practical Geriatrics, 2021, 35(5): 491-494.

参考文献

[1] TSUTSUMIMOTO K, DOI T, MAKIZAKO H, et al. Association of social frailty with both cognitive and physical deficits among older people[J]. J Am Med Dir Assoc, 2017, 18(7): 603-607.
[2] CLEGG A, YOUNG J, ILIFFE S, et al. Frailty in elderly people[J]. Lancet, 2013, 381(9868): 752-762.
[3] AMENT B H L, DE VUGT M E, VERHEY F R J, et al. Are physically frail older persons more at risk of adverse outcomes if they also suffer from cognitive, social, and psychological frailty[J]. Eur J Ageing, 2014, 11(3): 213-219.
[4] BUNT S, STEVERINK N, OLTHOF J, et al. Social frailty in older adults: a scoping review[J]. Eur J Ageing, 2017, 14(3): 323-334.
[5] TEO N, GAO Q, NYUNT M S Z, et al. Social frailty and functional disability: findings from the Singapore Longitudinal Ageing Studies[J]. J Am Med Dir Assoc, 2017, 18(7): 613-637.
[6] TSUTSUMIMOTO K, DOI T, MAKIZAKO H, et al. Social frailty has a stronger impact on the onset of depressive symptoms than physical frailty or cognitive impairment: A 4-Year Follow-up Longitudinal Cohort Study[J]. J Am Med Dir Assoc, 2018, 19(6): 504-510.
[7]MA L, SUN F, TANG Z. Social frailty is associated with physical functioning, cognition, and depression, and predicts mortality[J]. J Nutr Health Aging, 2018, 22(8): 989-995.
[8] 唐丹. 简版老年抑郁量表(GDS-15)在中国老年人中的使用[J]. 中国临床心理学杂志, 2013, 21(3): 402-405.
[9] LING R E, LIU F, LU X Q, et al. Emerging issues in public health: a perspective on China’s healthcare system[J]. Public Health, 2011, 125(1): 9-14.
[10]MA C. The prevalence of depressive symptoms and associated factors in countryside-dwelling older Chinese patients with hypertension[J]. J Clin Nurs, 2018, 27(15/16): 2933-2941.
[11]TEO A R, CHOI H, ANDREA S B, et al. Does mode of contact with different types of social relationships predict depression in older adults? Evidence from a Nationally Representative Survey[J]. J Am Geriatr Soc, 2015, 63(10): 2014-2022.
[12]GAO M, SA Z, LI Y, et al. Does social participation reduce the risk of functional disability among older adults in China? A survival analysis using the 2005-2011 waves of the CLHLS data[J].BMC GERIATR, 2018, 18(1): 224.

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