Nursing Department, The First Affiliated Hospital of China Medical University, 155 Nanjing North Street, Shenyang, 110001, China.
China Medical University, Shenyang, 110122, China.
BMC Geriatr. 2020 Sep 29;20(1):374. doi: 10.1186/s12877-020-01777-4.
China owns he largest aged population in the world, and the elderly adults who live in pension institutions are more likely to suffer from mental disorders than other elderly adults. The purpose of this study is to discover the risky factors of depression among nursing home residents with various sleeping quality.
We conducted a cross-sectional study in Northeastern China from May to September in 2017 using multistage sampling method and 507 elderly people without cognitive impairment in six pension institutions were interviewed. The Pittsburgh Sleep Quality Index (PSQI) and Geriatric Depression Scale (GDS) were adopted to collect the information of sleep quality and depression. We used logistic regression to analyze the factors influencing depression among the elderly adults with poor or good sleep quality.
The overall depression rate among elderly adults was 21.7%. The logistic regression analysis revealed that marital status, chronic disease, regular exercise, physical ache, filial piety and chewing ability had significant effects on the depression of the elderly with good sleep quality. Loneliness, self-caring ability, chewing ability and chronic diseases had significant effects on depression of the elderly with poor sleep quality.
The prevalence of depressive symptoms in the elderly is not high. However, sleeping quality distinguishes root causes on elderly adults depression. Therefore, the risk factors of depression among elderly adults should be analyzed separately.
中国拥有世界上最大的老年人口，居住在养老院的老年人比其他老年人更容易患有精神障碍。本研究的目的是发现不同睡眠质量的养老院居民中抑郁的风险因素。
我们于 2017 年 5 月至 9 月采用多阶段抽样方法在中国东北地区进行了一项横断面研究，对 6 家养老院中无认知障碍的 507 名老年人进行了访谈。采用匹兹堡睡眠质量指数（PSQI）和老年抑郁量表（GDS）收集睡眠质量和抑郁信息。我们使用 logistic 回归分析了影响睡眠质量差和睡眠质量好的老年人抑郁的因素。
老年人的总体抑郁率为 21.7%。logistic 回归分析显示，婚姻状况、慢性病、有规律的锻炼、身体疼痛、孝顺和咀嚼能力对睡眠质量好的老年人的抑郁有显著影响。孤独感、自理能力、咀嚼能力和慢性病对睡眠质量差的老年人的抑郁有显著影响。
老年人抑郁症状的患病率并不高。然而，睡眠质量区分了老年人抑郁的根本原因。因此，应分别分析老年人抑郁的风险因素。
