Faculty of Health Sciences, Department of Internal Medicine Nursing, Mardin Artuklu University, Mardin, Turkey.
Faculty of Nursing, Department of Fundamentals Nursing, Inönü University, Malatya, Turkey.
Psychogeriatrics. 2024 May;24(3):637-644. doi: 10.1111/psyg.13110. Epub 2024 Mar 11.
Frailty has become an important public health issue. This study was conducted to determine the effect of frailty levels of older individuals on their mental well-being and depression levels.
This descriptive cross-sectional study was conducted with a total of 325 older individuals aged 60 years and over. A demographic questionnaire form, the FRAIL Frailty Scale, the Warwick-Edinburgh Mental Well-Being Scale, and the Geriatric Depression Scale-Short Form were used to collect data. Data were evaluated using the SPSS 25.0 package program. Number, percentage, mean, standard deviation, Chi-square, correlation, and multiple regression analyses were used.
The mean age of the older individuals was 69.56 ± 7.75 years, and the variables of age, education level, income status, the person they were living with, regular medication use, forgetting to take medication, urinary incontinence, hospitalisation, and accidents were found to affect both frailty and depression (P < 0.05). There was a positive correlation between frailty and depression (r: 0.460, P < 0.001) and a negative correlation between mental frailty and well-being (r: -0.391, P < 0.001). Socio-demographic variables, depression, and mental well-being had a 40% effect on frailty (P < 0.001).
Depression status and mental well-being level are related to frailty, so negativity in one of them negatively affects the other. In line with these results, it is recommended to determine the level of depression and mental well-being of older individuals with high risk of frailty, and according to the results of the research, to provide care and support regarding the predictors affecting frailty.
衰弱已成为一个重要的公共卫生问题。本研究旨在确定老年人的衰弱程度对其心理健康和抑郁水平的影响。
本研究采用描述性横断面研究方法,共纳入 325 名年龄在 60 岁及以上的老年人。采用一般情况调查问卷、衰弱量表(FRAIL)、华威-爱丁堡心理健康量表(WEMWBS)和老年抑郁量表-短式(GDS-15)收集数据。使用 SPSS 25.0 程序包进行数据分析。采用频数、百分比、均数、标准差、卡方检验、相关性分析和多元回归分析。
老年人的平均年龄为 69.56±7.75 岁,年龄、教育程度、收入状况、共同居住者、经常服药、忘记服药、尿失禁、住院和意外事件等变量均影响衰弱和抑郁(P<0.05)。衰弱和抑郁之间呈正相关(r:0.460,P<0.001),衰弱和心理健康之间呈负相关(r:-0.391,P<0.001)。社会人口学变量、抑郁和心理健康对衰弱的解释率为 40%(P<0.001)。
抑郁状况和心理健康水平与衰弱有关,因此其中任何一个的负面情况都会对另一个产生负面影响。基于这些结果,建议对衰弱风险较高的老年人进行抑郁和心理健康水平的评估,并根据研究结果,针对影响衰弱的预测因素提供护理和支持。