Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon; INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon.
Ecole Supérieure des Affaires, Beirut, Lebanon; Ecole des Hautes Etudes en Sante Publique, Rennes, France.
Arch Gerontol Geriatr. 2020 Mar-Apr;87:103879. doi: 10.1016/j.archger.2019.05.004. Epub 2019 May 11.
To assess correlates of mental and nutritional health among elderly in Lebanon, inside nursing homes compared to their private homes.
This cross-sectional study was conducted between June and August 2016 on 500 elderly.
Higher somatic (Beta = 0.259) and cognitive anxiety (Beta = 0.508), increased age (Beta = 0.174) were significantly associated with higher depression, whereas having a secondary (Beta = -4.006) and a university (Beta = -6.829) levels of education compared to illiteracy, living home (Beta = -2.557) compared to living in a nursing home and male gender (Beta = -1.280) were significantly associated with lower depression. Increased BMI (Beta = 0.056), a married (Beta = 0.687) and a widowed (Beta = 1.022) status compared to a single status were associated with a better nutritional status, whereas an increased somatic anxiety (Beta = -0.061), secondary (Beta = -0.79) and university (Beta = -1.196) educational levels compared to illiteracy were significantly associated with a worse nutritional status. Increased cognitive (Beta = 1.160) and affective (Beta = 0.788) anxiety and age (Beta = 0.191) were associated with higher stress, whereas a primary (Beta = -6.991), secondary (Beta = -11.812) and university (Beta = -13.927) educational levels, male gender (Beta = -2.015) were significantly associated with lower stress compared to females. A significantly higher mean depression score was found in patients living in nursing homes compared to those living at home (13.74 vs. 11.18). No difference was found between the two groups concerning the nutritional status and stress score.
Living in nursing homes was associated with more malnutrition and depression. An increased awareness of the personnel working in nursing homes and family members of these older adults can help improve their psychological status.
评估黎巴嫩养老院和私人住宅中老年人的心理健康和营养状况相关因素。
本横断面研究于 2016 年 6 月至 8 月期间对 500 名老年人进行了调查。
较高的躯体性焦虑（Beta = 0.259）和认知性焦虑（Beta = 0.508）、年龄增长（Beta = 0.174）与更高的抑郁程度显著相关，而与文盲相比，具有中学（Beta = -4.006）和大学（Beta = -6.829）教育水平、居住在养老院（Beta = -2.557）而不是养老院，以及男性（Beta = -1.280）与较低的抑郁程度显著相关。增加 BMI（Beta = 0.056）、已婚（Beta = 0.687）和丧偶（Beta = 1.022）与单身状态相比，与更好的营养状况相关，而躯体性焦虑增加（Beta = -0.061）、中学（Beta = -0.79）和大学（Beta = -1.196）与文盲相比，教育水平显著与较差的营养状况相关。认知（Beta = 1.160）和情感（Beta = 0.788）焦虑增加和年龄增长（Beta = 0.191）与压力增加有关，而与女性相比，小学（Beta = -6.991）、中学（Beta = -11.812）和大学（Beta = -13.927）教育水平、男性（Beta = -2.015）与较低的压力显著相关。与居住在家中的患者相比，居住在养老院中的患者的抑郁评分明显更高（13.74 分 vs. 11.18 分）。两组之间在营养状况和压力评分方面没有差异。
居住在养老院与营养不良和抑郁的发生有关。提高养老院工作人员和这些老年人的家庭成员的意识，可以帮助改善他们的心理状态。
