Analysis of the relative factors of depression in hospitalized elderly patients with chronic diseases
10.3760/cma.j.issn.0254-9026.2018.01.009
- VernacularTitle:老年慢性病住院患者抑郁相关影响因素分析
- Author:
Rong LIU
1
;
Wenchao SHAO
;
Xue ZHAO
;
Jing WANG
;
Wen'an WANG
;
Zongli FU
;
Yuping WANG
Author Information
1. 730000,兰州大学第一医院老年病二科
- Keywords:
Comprehensive geriatric assessment;
Depression;
Risk factors
- From:
Chinese Journal of Geriatrics
2018;37(1):37-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relative factors of depression in elderly inpatients with multiple chronic diseases. Methods A total of 438 elderly inpatients with multiple chronic diseases were investigated and analyzed by the comprehensive geriatric assessment. Results Among 438 elderly inpatients with chronic diseases, 154 cases(35.15%)were accompanied by depression.The rates of female,non-marital status(single/widowed/divorced),lower income,frequent fall and insomnia were significantly higher in depression group than in non-depression group(P=0.02,0.00,0.00,0.00,0.00,respectively).The scores of cognitive function,nutritional status and activities of daily living were significantly lower in depression group than in non-depression group(P=0.03, 0.00,0.00,respectively),and the pain score was significantly higher in depression group than in non-depression group(P=0.00).The prevalence of diabetes and chronic obstructive pulmonary disease was significantly higher in depression group(P= 0.03,0.04;respectively).Multiple Logistic regression analysis revealed that non-marital status,low income,insomnia,cognitive impairment,malnutrition and diabetes could significantly increase the risk of depression in elderly patients with chronic diseases(OR=2.291,2.065,2.384,2.965,2.561,1.949,respectively,all P<0.05). Conclusions Female,non-marital status,falls,insomnia,cognitive dysfunction,malnutrition,decreased viability of daily life,diabetes,chronic pain and chronic obstructive pulmonary disease are positively associated with the late-life depression.Among them,non-marital status,low income,insomnia,cognitive dysfunction,malnutrition and diabetes could markedly increase the risk of depression in elderly patients with chronic diseases.
