应激事件、抑郁症状与老年人的生存和死亡率相关。
Stressful events, depressive symptoms, and frailty associated to older adults' survival and mortality.
机构信息
University of Campinas, Faculty of Nursing, Campinas, São Paulo, Brazil; University Austral of Chile, Institute of Nursing, Valdivia, Los Ríos, Chile.
University of Campinas, Faculty of Nursing, Campinas, São Paulo, Brazil.
出版信息
Geriatr Nurs. 2022 Jul-Aug;46:62-68. doi: 10.1016/j.gerinurse.2022.04.025. Epub 2022 May 21.
This study analyzed factors associated with survival and mortality risk of community-dwelling older adults, considering the intensity of stressful life events, depressive symptoms, insomnia, frailty, multimorbidity, and sociodemographic factors. This is a longitudinal study on survival of older adults interviewed between 2008-2009, with follow-up after 8 years. Survival and mortality risks were analyzed using the Kaplan-Meier curve, Log Rank test, and Cox proportional-hazards model (p < 0.05). Stressful events affecting older adults' children or grandchildren were associated with higher mortality risk; depressive symptoms and frailty were associated with lower survival. Comprehensive care for older adults must involve events regarding their family relationships, especially those affecting their progeny, due to the impact they can have on older adults' survival, besides evaluating depressive symptoms and frailty.
本研究分析了与社区居住的老年人的生存和死亡风险相关的因素，考虑了生活压力事件的强度、抑郁症状、失眠、虚弱、多种合并症和社会人口因素。这是一项对 2008-2009 年期间接受访谈的老年人进行的生存纵向研究，随访 8 年后进行分析。采用 Kaplan-Meier 曲线、Log Rank 检验和 Cox 比例风险模型（p<0.05）分析生存和死亡风险。影响老年人的子女或孙子女的生活压力事件与更高的死亡风险相关；抑郁症状和虚弱与较低的生存相关。老年人的综合护理必须涉及到他们的家庭关系事件，特别是那些影响他们后代的事件，因为这些事件会对老年人的生存产生影响，除此之外，还需要评估抑郁症状和虚弱。
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