Nagatomo I, Nomaguchi M, Matsumoto K
Department of Neuropsychiatry, Faculty of Medicine, Kagoshima University, Japan.
Jpn J Psychiatry Neurol. 1993 Sep;47(3):525-9. doi: 10.1111/j.1440-1819.1993.tb01794.x.
Using a Japanese version of the Self-Rating Depression Scale by Zung (SDS) and the Quality of Life (QOL) rating scale designed by Iida et al. (QOL scale), we compared the QOL and depressive state of special nursing home residents and the elderly in the general community. The QOL scale has four categories: physical functioning, emotional adjustment, interpersonal relationships and attitudes toward life. High scores in either examination indicate a greater impairment. The SDS scores of the residents in the special nursing home were significantly lower than those of the elderly in the community, but the scores in 3 categories and the total score, except for those of physical functioning of the QOL, were significantly higher in the nursing home residents. In the nondepressed elderly rated by the SDS, the physical functioning score of the elderly in the community significantly exceeded that of the special nursing home residents. In the depressed elderly, all the scores including the total score were significantly higher than those in the special nursing home residents. Our results suggest that while the QOL of the depressed elderly in a special nursing home was poorer than that of the elderly in the community, their depression could be treated. However, the QOL cannot be improved by treatment alone.
我们使用宗氏自评抑郁量表（SDS）的日文版以及饭田等人设计的生活质量（QOL）评定量表（QOL量表），比较了特殊养老院居民和普通社区老年人的生活质量及抑郁状态。QOL量表有四个类别：身体机能、情绪调适、人际关系和生活态度。任何一项检查得分高都表明损伤更严重。特殊养老院居民的SDS得分显著低于社区老年人，但除了QOL量表中身体机能得分外，养老院居民在其他3个类别及总分上的得分显著更高。在SDS评定为非抑郁的老年人中，社区老年人的身体机能得分显著高于特殊养老院居民。在抑郁的老年人中，包括总分在内的所有得分均显著高于特殊养老院居民。我们的结果表明，虽然特殊养老院中抑郁老年人的生活质量比社区老年人差，但他们的抑郁症是可以治疗的。然而，仅靠治疗无法改善生活质量。
