Kaphle Maheshor, Karki Rajesh, Thapa Anjana, Bhatt Ramesh
Department of Public Health, Peoples Dental College and Hospital, Naya Bazar, Kathmandu, Nepal.
Central Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2024 Oct;62(278):633-638. doi: 10.31729/jnma.8781. Epub 2024 Oct 31.
Depression is a major public health concern among the elderly, affecting their quality of life and overall well-being. Despite the increasing elderly population in Nepal, data on the prevalence of depression in rural areas is limited. Therefore, this study aims to assess the prevalence of depression among the geriatric population.
A cross-sectional study was conducted among individuals aged 60 years and above in three randomly selected wards of Shivapuri Rural Municipality. Respondents were selected using consecutive sampling. The Nepali version of the Geriatric Depression Scale (GDS-15) was administered through face-to-face interviews. Ethical approval was obtained from the Institutional Review Committee (Reference number 080/81-437). Descriptive analysis was conducted for categorical variables using the Statistical Package for the Social Sciences (SPSS).
The overall prevalence of geriatric depression was 115 (28.75%; 95% CI: 24.36%-33.46%), with a mean depression score of 3.54±3.17. Among those with depression, majority reported mild depression 79 (68.70%) reported mild depression, 79 (31.22%) were male, 88 (30.66%) were under 75 years of age, 46 (35.66%) self-rated their health as not good, 16 (32.66%) had COPD and 33 (30%) were hypertensive elderly.
About one third of the elderly reported of having depression and more than 50% had mild depression. The depresson was more in age group less than 75 years, male, married and in nuclear family.
抑郁症是老年人中的一个主要公共卫生问题,影响着他们的生活质量和整体幸福感。尽管尼泊尔老年人口不断增加,但农村地区抑郁症患病率的数据有限。因此,本研究旨在评估老年人群中抑郁症的患病率。
在希瓦普里农村市随机选取的三个病房中,对60岁及以上的个体进行了横断面研究。采用连续抽样的方法选取受访者。通过面对面访谈的方式使用尼泊尔语版的老年抑郁量表(GDS-15)。获得了机构审查委员会的伦理批准(参考编号080/81-437)。使用社会科学统计软件包(SPSS)对分类变量进行描述性分析。
老年抑郁症的总体患病率为115例(28.75%;95%置信区间:24.36%-33.46%),平均抑郁评分为3.54±3.17。在患有抑郁症的人群中,大多数报告为轻度抑郁症,79例(68.70%)报告为轻度抑郁症,79例(31.22%)为男性,88例(30.66%)年龄在75岁以下,46例(35.66%)自评健康状况不佳,16例(32.66%)患有慢性阻塞性肺疾病,33例(30%)为老年高血压患者。
约三分之一的老年人报告患有抑郁症,超过50%为轻度抑郁症。抑郁症在年龄小于75岁、男性、已婚及核心家庭的人群中更为常见。