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住院老年人中的衰弱综合征与抑郁症状及功能残疾的关联

Frailty Syndrome in Association with Depressive Symptoms and Functional Disability among Hospitalized Elderly.

作者信息

Tavares Darlene Mara Dos Santos, Faria Pedro Martins, Pegorari Maycon Sousa, Ferreira Pollyana Cristina Dos Santos, Nascimento Janaína Santos, Marchiori Gianna Fiori

机构信息

a Associate Professor , Department of Nursing in Education and Community Health , Undergraduate Nursing Course, Federal University of Triangulo Mineiro , Uberaba , MG , Brazil.

b Undergraduate Student, Nursing Course, Federal University of Triangulo Mineiro , Uberaba , MG , Brazil.

出版信息

Issues Ment Health Nurs. 2018 May;39(5):433-438. doi: 10.1080/01612840.2018.1429035. Epub 2018 Mar 5.

Abstract

We sought to examine the frailty association with depression and functional disability in hospitalized older adults. In particular, we compared non-frail, pre-frail, and frail elderly hospitalized individuals. We performed a cross-sectional study with 255 hospitalized Brazilian elderly patients. We used a structured instrument to assess socio-economic data, the Fried frailty phenotype and used morbidity scales (Geriatric Depression; Katz; Lawton and Brody). The adjusted analysis revealed that frail elderly exhibit increased odds ratios (OR) for depressive symptoms (OR = 2.72, 95% CI: 1.12-6.62), disability related to basic activities (OR = 3.50, 95% CI: 1.26-9.60), and instrumental daily living (OR = 2.70, 95% CI: 1.12-6.44). Frailty in hospitalized older adults is associated with depressive symptomatology and functional disability.

摘要

我们试图研究住院老年人中衰弱与抑郁及功能残疾之间的关联。具体而言,我们比较了非衰弱、衰弱前期和衰弱的住院老年个体。我们对255名住院的巴西老年患者进行了一项横断面研究。我们使用一种结构化工具来评估社会经济数据、弗里德衰弱表型,并使用了发病量表(老年抑郁量表; Katz量表;Lawton和Brody量表)。校正分析显示,衰弱老年人出现抑郁症状的比值比(OR)升高(OR = 2.72,95%置信区间:1.12 - 6.62),与基本活动相关的残疾(OR = 3.50,95%置信区间:1.26 - 9.60),以及工具性日常生活活动残疾(OR = 2.70,95%置信区间:1.12 - 6.44)。住院老年人的衰弱与抑郁症状和功能残疾相关。

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