探讨老年患者的抑郁、共病和生活质量：一项利用老年抑郁量表和 WHOQOL-OLD 问卷的研究。
Exploring depression, comorbidities and quality of life in geriatric patients: a study utilizing the geriatric depression scale and WHOQOL-OLD questionnaire.
机构信息
University of Health Sciences, Department of Internal Medicine, Istanbul Training and Research Hospital, Abdurrahman Nafiz Gürman Cad. Etyemez, Samatya, Istanbul, 34098, Turkey.
Faculty of Medicine, Bahcesehir University, Istanbul, Turkey.
出版信息
BMC Geriatr. 2024 Aug 14;24(1):687. doi: 10.1186/s12877-024-05264-y.
BACKGROUND
The increasing prevalence of depression among older adults is a growing concern. Chronic health conditions, cognitive impairments, and hospitalizations amplify emotional distress and depression levels in this population. Assessing the quality of life is crucial for the well-being of older adults.
AIMS
Our study aimed to examine how comorbidities affect depression and quality of life in geriatric patients in both outpatient and hospital settings.
METHODS
100 patients (50 from internal medicine outpatient clinic and 50 from internal medicine ward) were included in the study according to inclusion and exclusion criteria. Patients were classified into different age groups (65-74 years, 75-84 years and ≥ 85 years). Data on patients' location of application, age, sex, living alone or with family status, number of comorbid diseases, types of accompanying diseases were recorded and WHOQOL-OLD and Geriatric Depression Scale (GDS) questionnaires were administered. Results were evaluated using SPSS.
RESULTS
The WHOQOL-OLD questionnaire score was higher in the 65-74 age group compared to other groups, but there was no significant difference between outpatient group and hospitalized group. Patients with comorbid diseases had lower WHOQOL-OLD questionnaire scores compared to those without comorbid diseases. In the 75-84 and ≥ 85 age groups, the GDS scores were higher compared to the 65-74 age group. In hospitalized group, GDS scores were higher than outpatient clinic group. In patients with comorbid diseases, GDS scores were higher than the ones without comorbid diseases.
DISCUSSION
Our findings indicate that quality of life is higher among those aged 65-74, with lower incidence of depression compared to other age groups. Hospitalization correlates with higher depression rates but not quality of life. As number of comorbid diseases increases in older adults, the frequency of depression rises and the quality of life declines.
CONCLUSIONS
Early detection and intervention for depression are crucial for enhancing older adults' well-being.
背景
老年人中抑郁的患病率不断增加，这是一个令人担忧的问题。慢性健康状况、认知障碍和住院会加剧这一人群的情绪困扰和抑郁水平。评估生活质量对老年人的健康至关重要。
目的
本研究旨在探讨共病如何影响门诊和住院老年患者的抑郁和生活质量。
方法
根据纳入和排除标准，本研究纳入了 100 名患者（50 名来自内科门诊，50 名来自内科病房）。患者被分为不同的年龄组（65-74 岁、75-84 岁和≥85 岁）。记录患者的就诊地点、年龄、性别、独居或与家人同住的情况、共病数量、伴随疾病类型等数据，并进行 WHOQOL-OLD 和老年抑郁量表（GDS）问卷调查。结果采用 SPSS 进行评估。
结果
65-74 岁年龄组的 WHOQOL-OLD 问卷评分高于其他组，但门诊组和住院组之间无显著差异。与无共病的患者相比，有共病的患者的 WHOQOL-OLD 问卷评分较低。在 75-84 岁和≥85 岁年龄组中，GDS 评分高于 65-74 岁年龄组。在住院组中，GDS 评分高于门诊组。在有共病的患者中，GDS 评分高于无共病的患者。
讨论
我们的研究结果表明，在 65-74 岁年龄组中，生活质量较高，抑郁发生率低于其他年龄组。住院与较高的抑郁发生率相关，但与生活质量无关。随着老年患者共病数量的增加，抑郁的频率增加，生活质量下降。
结论
早期发现和干预抑郁对提高老年人的健康至关重要。
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