Araki Shunji, Ogawa Takahiro, Takaesu Yoshikazu
Chuzan Hospital Clinical Education and Research Center Okinawa Japan.
Department of Rehabilitation Medicine Aichi Medical University Nagakute Japan.
PCN Rep. 2025 Jun 24;4(2):e70139. doi: 10.1002/pcn5.70139. eCollection 2025 Jun.
This study aimed to investigate the relationship between improvement in depressive symptoms and activities of daily living (ADL) recovery in older patients with fractures in convalescent rehabilitation wards.
A retrospective observational study was conducted with 144 older patients with fractures and depressive symptoms (Geriatric Depression Scale score ≥ 5) on admission, who underwent rehabilitation at a Japanese hospital from 2018 to 2023. ADL recovery was assessed by the Functional Independence Measure (FIM). Patients were classified into three groups based on change in depressive symptoms: remission, partial improvement, and no improvement. Multivariate linear regression analysis was used to evaluate factors associated with change in the FIM score.
Remission ( = 0.184, = 0.019) and partial improvement in depressive symptoms ( = 0.204, = 0.009) were positively associated with change in the FIM score. Conversely, antidepressant use ( = -0.250, = 0.002) was negatively associated with change in the FIM score.
Remission and partial improvement in depressive symptoms positively contributes to ADL recovery in older patients with fractures. Comprehensive interventions addressing both depression and physical function may enhance rehabilitation outcomes. This may improve ADL recovery and long-term prognosis in older patients with fractures.
本研究旨在探讨老年骨折患者在康复病房疗养期间抑郁症状改善与日常生活活动（ADL）恢复之间的关系。
对2018年至2023年在日本一家医院接受康复治疗的144例入院时伴有抑郁症状（老年抑郁量表评分≥5）的老年骨折患者进行回顾性观察研究。采用功能独立性测量（FIM）评估ADL恢复情况。根据抑郁症状的变化将患者分为三组：缓解组、部分改善组和无改善组。采用多变量线性回归分析评估与FIM评分变化相关的因素。
抑郁症状缓解（β = 0.184，P = 0.019）和部分改善（β = 0.204，P = 0.009）与FIM评分变化呈正相关。相反，使用抗抑郁药（β = -0.250，P = 0.002）与FIM评分变化呈负相关。
抑郁症状的缓解和部分改善对老年骨折患者的ADL恢复有积极作用。针对抑郁和身体功能的综合干预可能会提高康复效果。这可能会改善老年骨折患者的ADL恢复和长期预后。
