Prevalence and risk factors of depression in non-bedridden elderly in integrated medical and elderly care institutions
10.16753/j.cnki.1008-2344.2025.02.003
- VernacularTitle:医养结合机构非卧床老年人抑郁的发生现状及危险因素分析
- Author:
Hongfang HE
1
;
Deru ZHAO
Author Information
1. 池州职业技术学院生物与健康系,安徽 池州 247000
- Publication Type:Journal Article
- Keywords:
integrated medical and elderly care institutions;
non-bedridden elderly;
depression;
current status survey;
risk factors
- From:
Journal of Shenyang Medical College
2025;27(2):123-128,173
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prevalence of depression in non-bedridden elderly in integrated medical and elderly care institutions and analyze its risk factors.Methods:Using convenience sampling,196 non-bedridden elderly individuals from integrated medical and elderly care institutions in Chizhou from Jan 2023 to Jan 2024 were selected as subjects.The Geriatric Depression Scale-15(GDS-15)was used to assess the depression levels of the elderly.A general information questionnaire,the Pittsburgh Sleep Quality Index(PSQI),and the SF-12 Health Survey were used to collect factors related to depression in non-bedridden elderly.Multivariable logistic regression analysis was performed to identify risk factors for depression in non-bedridden elderly in integrated medical and elderly care institutions.Results:Among the 196 non-bedridden elderly individuals,68 exhibited depression,with a detection rate of 34.69%.Multivariable logistic regression analysis revealed that lower education level(OR=2.644,95%CI:1.259-5.551),lack of physical exercise(OR=2.976,95%CI:1.456-6.081),cognitive training(OR=2.981,95%CI:1.446-6.145),and social activities(OR=3.822,95%CI:1.805-8.093),poorer health status(OR=3.450,95%CI:1.578-7.543),and lower quality of life(OR=3.979,95%CI:1.890-8.375)were independent risk factors for depression(P<0.05).Conclusions:The detection rate of depression among non-bedridden elderly in integrated medical and elderly care institutions is relatively high.Targeted interventions,such as strengthening mental health management,promoting cultural education,physical exercise,and social participation,and improving quality of life,should be implemented to prevent depression.