Lenardt Maria Helena, de Souza Falcão Aline, Cechinel Clovis, Martins Rodrigues João Alberto, Elero Betiolli Susanne
Nurse, Ph.D., Universidade Federal do Paraná (UFPR), Curitiba, Paraná, Brazil.
Nurse, Master, Universidade Federal do Paraná (UFPR), Curitiba, Paraná, Brazil.
Invest Educ Enferm. 2025 Apr;43(1). doi: 10.17533/udea.iee.v43n1e10.
To analyze the effects of social distancing and isolation during the Covid-19 pandemic on depressive symptoms and frailty in older adults in Primary Health Care.
Prospective cohort study, using the following data collection instruments: Center for Epidemiological Studies depression scale, adherence to social distancing and isolation, and markers of the physical frailty phenotype. Descriptive statistical analysis, association and proportional hazards regression were performed.
51.8% of the older adults progressed to pre-frailty, 14.1% had depressive symptoms, and a low de-gree of adherence to social distancing and isolation (69.4%). There was no association between dis-tancing and isolation and depressive symptoms (p=0.748) and physical frailty (p=0.5). Single, sepa-rated, divorced or widowed people have 62% (HR=0.38; 95%CI 0.15-0.96) less risk of being classified as frail and 57% (HR=0.43; 95%CI 0.21- 0.9) less chance of presenting depressive symptoms com-pared to married people.
the low degree of adherence to social distancing and isolation showed no association with depressive symptoms and physical frailty. Sociodemographic factors highlighted risks of frailty and depressive symptoms that require attention and an individualized gerontological care plan.
分析2019冠状病毒病大流行期间初级卫生保健中老年人的社交距离和隔离措施对抑郁症状和衰弱的影响。
前瞻性队列研究，使用以下数据收集工具：流行病学研究中心抑郁量表、对社交距离和隔离的依从性以及身体衰弱表型的标志物。进行描述性统计分析、关联性分析和比例风险回归分析。
51.8%的老年人进展为衰弱前期，14.1%有抑郁症状，对社交距离和隔离的依从程度较低（69.4%）。社交距离和隔离与抑郁症状（p=0.748）及身体衰弱（p=0.5）之间无关联。与已婚者相比，单身、分居、离婚或丧偶者被归类为衰弱的风险降低62%（风险比=0.38；95%置信区间0.15-0.96），出现抑郁症状的可能性降低57%（风险比=0.43；95%置信区间0.21-0.9）。
社交距离和隔离的低依从程度与抑郁症状和身体衰弱无关联。社会人口学因素突出了衰弱和抑郁症状的风险，需要关注并制定个性化的老年护理计划。
