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中国老年人认知功能与抑郁症状之间的关联:日常生活活动的中介作用。

Association between cognitive function and depressive symptoms in Chinese older adults: The mediating role of activities of daily living.

作者信息

Sun Wenting, Yang Yujia, Ding Luying, Wang Li

机构信息

School of nursing, Shandong Second Medical University, Weifang, Shandong, 261053, PR China.

School of nursing, Shandong Second Medical University, Weifang, Shandong, 261053, PR China.

出版信息

Geriatr Nurs. 2024 Nov-Dec;60:258-264. doi: 10.1016/j.gerinurse.2024.09.009. Epub 2024 Sep 24.

Abstract

OBJECTIVES

Exploring the relationship between cognitive functioning and depressive symptoms in Chinese older adults and the mediating role of the ability to perform activities of daily living.

METHODS

This study included 5775 older adults, and correlation analysis and linear regression were used to analyze the relationship between the variables and mediated effects.

RESULTS

Cognitive functioning and the ability to perform daily living significantly influenced the depressive state (β = -0.163, p < 0.01; β = 0.288, p < 0.01), and the ability to perform daily living partially mediated the effect between the two, with an effect size of 27.95%.

CONCLUSION

Cognitive function can influence depressive status through the ability to perform activities of daily living, and individualized intervention strategies should be developed for older adults to maintain or delay cognitive decline, preserve the ability to perform activities of daily living, and reduce the risk of depression.

摘要

目的

探讨中国老年人认知功能与抑郁症状之间的关系以及日常生活活动能力的中介作用。

方法

本研究纳入5775名老年人,采用相关分析和线性回归分析变量之间的关系及中介效应。

结果

认知功能和日常生活活动能力显著影响抑郁状态(β = -0.163,p < 0.01;β = 0.288,p < 0.01),日常生活活动能力部分中介了两者之间的效应,效应量为27.95%。

结论

认知功能可通过日常生活活动能力影响抑郁状态,应针对老年人制定个性化干预策略,以维持或延缓认知衰退,保持日常生活活动能力,降低抑郁风险。

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