老年人健康相关生活质量与抑郁症状发生率的关系

目的探讨老年人健康相关生活质量与抑郁症状发生率之间的关系。方法分层随机、整群抽取西安市社区老年人1933名，应用老年抑郁量表（the geriatric depression scale，GDS）及简明健康测量表（the medical outcomes study 36-itemshort form healthsurvey，MOSSF-36）进行横断面调查。采用Mann-Whitney U检验、Pearson等级相关和非条件Logistic回归等方法分析数据。结果抑郁组患者的SF-36各维度平均值均低于无抑郁组，有显著性差异（P〈0．01）；各维度低分组抑郁症状发生率明显高于高分组，两组有显著性差异（P〈0．01）；各维度得分与抑郁量表得分显著负相关（P〈0．01）；Logistic回归分析表明：活力、心理健康、总体健康、生理功能、精神健康总评分对老年抑郁症状的发生有显著性影响（P〈0．05）。结论健康相关生活质量与老年抑郁症的发生率密切相关。

Relationship between Health-related Quality of Life and Incidence of Depression in the Elderly

Objective To study the relationship between health-related quality of life and the incidence of elderly depression.Methods A total of 1933 urban elderly citizens aged above 60 were selected in Xi'an by cluster sampling method and were surveyed by cross-sectional study with the geriatric depression(GDS) and the medical outcomes study 36-Item short form health survey(SF-36).The data was analyzed by SPSS using Mann-Whitney U test,Pearson correlate analysis and logistic regression.Results The average value of SF-36 of depression group was remarkably lowered than that of the non-depression group(P<0.001).The incidences of depression in the low scale groups was higher than that in the high scale group(P<0.001).The values of SF-36 and GDS showed a negative correlation(P<0.001).Logistic analysis showed that the vitality,mental health,general health,physical functioning and mental component summary had significant influence on the incidence of depression(P<0.005).Conclusion Health-related quality of life presents a very close relationship with the incidence of elderly depression.