日常生活能力和生活照料对城区老年人抑郁情绪的影响

目的 探讨城市社区老年人群的日常生活活动能力、生活照料对抑郁情绪的影响.方法 选取河北省4市区3 176名60岁以上社区老年被试者,采集一般人口学资料,采用自编量表了解老年人生活照料情况,采用流调用抑郁自评量表（CES-D）、日常生活活动能力量表（ADL）进行生活照料情况、抑郁情绪、日常生活活动能力评估.结果 ADL＞ 26分老年人232例（7.3％）,CES-D＞ 15分者268例（8.4％）.城区有无生活照料老年人的抑郁情绪差异具有统计学意义（x2=93.498,P＜0.01）.日常生活能力受损组与未受损组的抑郁发生率（32.33％,6.56％）差异具有统计学意义（x2=184.9,P＜0.050）.CES-D评分与ADL、PADL、IADL评分的相关系数分别为0.362、0.192、0.089（均P＜ 0.05）.Logistic分析结果显示性别（OR=2.142）、患病情况（OR=2.214）、婚姻状况（OR=0.484）、以及洗澡（OR=1.333）、有生活照料（OR=0.335）、平地步行（OR=1.275）、穿上衣（OR=2.129）和利用轮椅活动（OR=1.118）等生活能力均对老年人群的抑郁情绪有显著影响.结论 老年人抑郁情绪与多因素相关,应重点关注单身、女性、低学历、无生活照料者、不能独立完成洗澡者以及长期在家的老年群体.

Effects of activities of daily living and life care on depressive mood for elderly in community

Objective To investigate the prevalence of the depression and the activities of daily living in the elderly population in Hebei province.Methods In this cross-sectional study,3 176 subjects aged over 60 were selected from 4 urban communities in Hebei Province.The demographic data was collected,and the Center for Epidemiological Survey,Depression Scale,（CES-D） and the activities of daily living Scale （ADL） were used to assess their depression status and activities of daily living.Results Among the 3 176 subjects,268 cases （8.4%） got the CES-D scores of over 15 and 232 cases （7.3%） got the ADL scores of over 26.14.2% of depression group needed life care,27.9% of depression group had absence of daily living activities.Multivariate logistic results showed that gender （OR=2.142）,diseases situation （OR=2.214）,marriage （OR=0.484）,and life abilities like shower （OR =1.333）,walk around home （OR=1.275）,wear clothes（OR=2.129）,moving on a wheelchair（OR=1.118） had significant effect on depression.Conclusion Elder people population who have characteristics like female,single,illness,can＇t take shower by themselves,life care depended,more likely get higher CES-D scores and depression.