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辅助生活设施居民中抑郁症的发病率:患病率及相关风险因素。

The incidence of depression among residents of assisted living: prevalence and related risk factors.

作者信息

Almomani Fidaa M, Bani-Issa Wegdan

机构信息

Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.

Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.

出版信息

Clin Interv Aging. 2017 Oct 9;12:1645-1653. doi: 10.2147/CIA.S147436. eCollection 2017.

Abstract

AIM

This study aims to recognize and estimate the prevalence of depression and its risk factors among residents of assisted living facilities (ALs) in Jordan.

BACKGROUND

Depression is commonly experienced by residents of ALs. The condition is, however, often misunderstood as a part of normal aging and may be overlooked by health care professionals. Little is known about the extent of depression and its risk factors among AL residents in Jordan.

SUBJECTS AND METHODS

A national representative sample of 221 residents selected from all AL units across Jordan was recruited to the study. Data on expected risk factors for depression were collected, including sociodemographics; smoking status; number of roommates; number of family members; assessments for cognitive functioning, for lower limb functioning, for hand, shoulder, and arm impairments; and oral health status. Levels of depression among the sample respondents were also assessed.

RESULTS

The study found that around 60% of the participants reported depressive manifestations, with 48.0% of AL residents exhibiting impaired cognitive functions, one-third (33.2%) having >50% upper limb disability, two-thirds (63.2%) being at moderate risk of falls, and 69.7% having fair to poor oral health status. Being female, and having a higher level of education, disability of the upper limbs, and impairment of cognitive functions were found to be independent risk factors for depression in participants.

CONCLUSION

Depression is relatively common among residents of AL units in Jordan. Health care professionals, nurses, physiotherapists, and dentists working in these facilities need to work cooperatively to identify the manifestations of depression in residents and collaboratively implement the best practice in the treatment of depression and circumvent its long-term impacts on the health of residents.

摘要

目的

本研究旨在识别并评估约旦辅助生活设施(AL)居民中抑郁症的患病率及其风险因素。

背景

AL居民普遍患有抑郁症。然而,这种情况常被误解为正常衰老的一部分,可能会被医护人员忽视。对于约旦AL居民中抑郁症的程度及其风险因素,人们知之甚少。

对象与方法

从约旦所有AL单位中选取221名具有全国代表性的居民作为研究样本。收集了抑郁症预期风险因素的数据,包括社会人口统计学信息、吸烟状况、室友数量、家庭成员数量、认知功能评估、下肢功能评估、手部、肩部和手臂损伤评估以及口腔健康状况。还评估了样本受访者的抑郁水平。

结果

研究发现,约60%的参与者报告有抑郁表现,48.0%的AL居民存在认知功能受损,三分之一(33.2%)的居民上肢残疾率超过50%,三分之二(63.2%)的居民有中度跌倒风险,69.7%的居民口腔健康状况为一般至较差。研究发现,女性、受教育程度较高、上肢残疾以及认知功能受损是参与者患抑郁症的独立风险因素。

结论

抑郁症在约旦AL单位的居民中相对常见。在这些设施工作的医护人员、护士、物理治疗师和牙医需要合作,识别居民抑郁症的表现,并共同实施抑郁症治疗的最佳实践,规避其对居民健康的长期影响。

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