Shyu Y-I L, Chen M-C, Cheng H-S, Deng H-C, Liang J, Wu C-C, Tsai W-C
School of Nursing, Chang Gung University, 259 Wen-Hua 1st Road, Kwei-Shan, Taoyuan, 333, Taiwan.
Osteoporos Int. 2008 Nov;19(11):1541-7. doi: 10.1007/s00198-008-0592-4. Epub 2008 Mar 11.
This study examined how depression risk interfaces with health outcomes of hip-fractured patients during the first year after hospital discharge. Physical function recovery and health outcome trajectories were much poorer for hip-fractured elders with persistent depression risk than for those with transitory and no risk for depression.
This study examined how depression risk interfaces with the trajectories of physical activities and health-related quality of life (HRQoL) among hip-fractured elderly patients during the first 12 months after hospital discharge.
Based on 12-month scores for the Chinese version of Geriatric Depression Scale, patients over age 60 years (N = 147) were classified as (a) at persistent risk for depression, (b) at transitory risk for depression, and (c) at no risk for depression. Outcomes were measured by the Chinese Barthel Index and Medical Outcomes Study Short Form, Taiwan version, and analyzed by the generalized estimating equations approach.
Patients who were at persistent risk for depression (n = 46, 31.3%) had much less chance of recovering activities of daily living (OR = 0.16, CI = 0.06-0.42) and walking ability (OR = 0.09, CI = 0.04-0.21) than patients at no risk for depression (n = 36, 24.5%). The trajectories of SF-36 scores for the physical and mental health summary scales were significantly different among the three depression groups; those "at persistent risk for depression" were the poorest and those "at no risk for depression" were the best.
These results may provide a reference for developing timely assessments and interventions for hip-fractured elders at risk of depression.
本研究调查了髋部骨折患者出院后第一年抑郁风险与健康结局之间的关系。与存在短暂抑郁风险和无抑郁风险的髋部骨折老年人相比，存在持续抑郁风险的髋部骨折老年人的身体功能恢复和健康结局轨迹要差得多。
本研究调查了髋部骨折老年患者出院后头12个月内抑郁风险与身体活动轨迹及健康相关生活质量（HRQoL）之间的关系。
根据中文版老年抑郁量表的12个月得分，将60岁以上患者（N = 147）分为：（a）存在持续抑郁风险；（b）存在短暂抑郁风险；（c）无抑郁风险。结局通过中文版巴氏指数和台湾版医学结局研究简表进行测量，并采用广义估计方程法进行分析。
与无抑郁风险的患者（n = 36，24.5%）相比，存在持续抑郁风险的患者（n = 46，31.3%）恢复日常生活活动（OR = 0.16，CI = 0.06 - 0.42）和步行能力（OR = 0.09，CI = 0.04 - 0.21）的机会要少得多。三个抑郁组在SF - 36身体和心理健康总结量表得分轨迹上存在显著差异；“存在持续抑郁风险”组最差，“无抑郁风险”组最好。
这些结果可为对有抑郁风险的髋部骨折老年人进行及时评估和干预提供参考。
