Tanner Elizabeth K, Martinez Iveris L, Harris Melodee
Johns Hopkins University School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205, USA.
Florida International University, Miami, FL, USA.
Geriatr Nurs. 2014 May-Jun;35(3):236-40. doi: 10.1016/j.gerinurse.2014.04.006.
Coping with declining health, physical illnesses and complex medical regimens, which are all too common among many older adults, requires significant lifestyle changes and causes increasing self-management demands. Depression occurs in community-dwelling older adults as both demands and losses increase, but this problem is drastically underestimated and under-recognized. Depressive symptoms are often attributed to physical illnesses and thus overlooked, resulting in lack of appropriate treatment and diminished quality of life. The purpose of this study is to assess prevalence of depressive symptoms in community-dwelling older adults with high levels of co-morbidity and to identify correlates of depression. In this sample of 533 homebound older adults screened (76.1% female, 71.8% white, mean age 78.5 years) who were screened using the Geriatric Depression Scale (SF), 35.9% scored greater than 5. Decreased satisfaction with family support (p << 0.001) and functional status (p ≤ 0.001) and increased loneliness (p < 0.001) were significant independent predictors of depression status in this sample; thus, these factors should be considered when planning care.
应对健康状况下降、身体疾病和复杂的医疗方案（这些在许多老年人中都很常见）需要显著改变生活方式，并导致自我管理需求不断增加。随着需求和损失的增加，社区居住的老年人会出现抑郁症，但这个问题被严重低估和忽视了。抑郁症状往往被归因于身体疾病，因此被忽视，导致缺乏适当的治疗和生活质量下降。本研究的目的是评估患有多种合并症的社区居住老年人中抑郁症状的患病率，并确定抑郁症的相关因素。在这个由533名居家老年人组成的样本中（76.1%为女性，71.8%为白人，平均年龄78.5岁），使用老年抑郁量表（SF）进行筛查，35.9%的人得分高于5分。对家庭支持的满意度降低（p << 0.001）、功能状态降低（p ≤ 0.001）和孤独感增加（p < 0.001）是该样本中抑郁状态的显著独立预测因素；因此，在规划护理时应考虑这些因素。
