为了解石河子地区住院老年慢病患者抑郁状况及其主要的影响因素。本研究采用整群抽样的方法，于 2015 年
9- 12 月间对石河子地区 2 家三级医院老干科共 302 名住院老年慢病患者进行调查。采用人口学特征量表、老年人抑郁
量表（GDS- 15）、老年人基本生活能力量表（ADL- BI）、老年人使用器械日常生活的能力量表（IADL）、老年人身体健康状
况量表。运用 χ2 检验和 Logistic 回归分析住院老年慢病患者抑郁状况及其影响因素。结果显示，石河子地区住院老年
慢病患者抑郁的患病率为 27.15%（82/302）。单因素分析的结果显示抑郁组与非抑郁组在罹患慢病种数、ADL 等级、
IADL 等级、听力状况、营养状况的住院老年慢病患者抑郁症状方面差异有统计学意义。Logistic 回归结果显示同时患 6
种以上慢病、IADL 严重依赖、听力状况差、营养不良的住院老年慢病患者患抑郁风险的 OR （95%CI） 值分别为 2.23
（1.24- 3.88）、5.36（1.59- 18.09）、2.39（1.15- 4.95）、2.08（1.05- 4.13）。由此可知，罹患慢病种数、IADL 等级、听力状况及营
养状况为石河子地区住院老年慢病患者抑郁的主要影响因素。应早期关注并给予积极有效的干预措施，从而降低抑郁
症状的患病率，提高住院老年慢病患者的生活质量。
Abstract
The aim of this study was to explore the prevalence and related factors for depression symptoms among elderly
chronic inpatients in Shihezi, China. A total of 302 elderly inpatients in 2 tertiary hospitals were recruited by convenience
sampling methods. They were investigated by the general information questionnaire. Geriatric depression scale- 15 (GDS- 15),
Barthel index, Instrumental Activities of Daily Living, Physical health status of the elderly. Chi- square, and multivariate
unconditional logistic regression were used to identify the predictors of depression symptoms. The results showed that the
prevalence of depression symptoms was 27.15% (82/302). Compared in hospitalized elderly patients from chronic diseases,
normal IADL, good hearing, and normal nutritional status, generally status of suffering from 6 kinds of chronic diseases,
IADL- dependent, poor hearing, malnutrition were risks for in and hospitalized elderly chronic inpatients. The OR (95% CI)
values were 2.23(1.24- 3.88), 5.36 (1.59- 18.09), 2.39 (1.15- 4.95) and 2.08 (1.05- 4.13).The conclusion is that number of chronic
diseases, IADL rating, hearing status and nutritional status as depressive factors of senile patients in Shihezi District.
Interventions should be taken to decrease the incidence of depression and to improve the quality of life in Chronic inpatients.
关键词
住院老年人 /
慢病患者 /
抑郁状况 /
因素分析
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Key words
elderly inpatients /
chronic disease /
depressive symptoms /
analysis of influencing factors
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参考文献
[1] 杨晓煦,刘平,郭耘,等.石河子地区人口老龄化的现状、问
题及其对策[J].石河子大学学报（自然科学版）,2004,22(6):
497- 499.
Yang X X,Liu P,Guo Y,et al.The current situation, problems and Countermeasures of population aging in Shihezi
[J].Journal of Shihezi University（Natural Science）,2004,22
(6):497- 499.
[2] 张俊红,刘宇,肖顺贞,等.住院老年慢性病患者抑郁情绪与
应对方式的研究[J].中华现代护理杂志,2006,12(17):1571-
1573.
Zhang J H,Liu Y,Xiao S Z, et al.Study on depression and
coping style of hospitalized elderly patients with chronic
diseases[J].Chinese Journal of Modern Nursing,2006,12(17):
1571- 1573.
[3] 陈敏丽.慢性病护理学[M].北京：科学技术文献出版社,
1999.
[4] Wells K B,Golding J M,Burnam M A.Psychiatric disorder
and limitations in physical functioning in a sample of the
Los Angeles general population[J].American Journal of Psychiatry,1990,25(6):673- 84.
[5] Barefoot J C,Helms M J,Mark D B,et al.Depression andlong- term mortality risk in patients with coronary artery
disease[J].American Journal of Cardiology,1996,78(6):613-
617.
[6] Glassman A H,Shapiro P A.Depression and the course of
coronary artery disease [J].American Journal of Psychiatry,
1998,155(1):4- 11.
[7] 唐丹.简版老年抑郁量表(GDS- 15)在中国老年人中的使用
[J].中国临床心理学杂志，2013,21(3):402- 405.
Tang D.Application of short form geriatric depression scale
(GDS- 15) in Chinese elderly[J].Chinese Journal of Clinical
Psychology,2013,21(3):402- 405.
[8] 郭爱妹，Daniel W L.老年人抑郁症状的城乡比较研究[J].山
东师范大学学报（人文社会科学版），2011,56(1):106- 110.
Guo A M,Daniel W L.Comparative study on the urban
and rural areas of depressive symptoms in the elderly[J].
Journal of Shandong Normal University（Social Science），
2011,56(1):106- 110.
[9] Collin C,Wade D T,Davies S,et al.The barthel ADL index:
a reliability study[J].International Disability Studies,1998,10
(2):61- 63.
[10] 淳雪丽,蒲丽辉,王英,等.住院老年患者抑郁症状现况及相
关因素研究[J].现代预防医学,2016,43(8):25- 30.
Chun X L,Pu L H,Wang Y et al,Prevalence and related
factors of depressive symptoms among aged inpatients [J].
Modern Preventive Medicine,2016,43(8):25- 30.
[11] 刘婷婷,刘倩.老年抑郁症病人的护理对策[J].全科护理，
2009，7（10）：2751- 2752.
Liu T T,Liu Q.Nursing countermeasure of senile depression
patients [J].Chinese General Practice Nursing,2009，7（10）：
2751- 2752.
[12] 张明园,任福民,樊彬,等.正常人群中的抑郁症状的调查和
CES- D 的应用[J].中华神经科杂志,1987,20(2):67- 71.
Zhang M Y,Ren F M,Fan B.Investigation of depressive
symptoms in normal population and application of CES- D
[J].Chinese Journal of Neurology|Chin J Neurol,1987,20(2):
67- 71.
[13] 孙菲,汤哲,刘富荣,等.北京市城乡老年人常见慢性疾病对
抑郁症状发病率的影响[J].首都医科大学学报,2008,29(3):
283- 287.
Sun F,Tang Z,Liu F R, et al.The influence of common
chronic diseases on the incidence of depression in urban
and rural elderly in Beijing [J].Journal of Capital Medical
University,2008,29(3):283- 287.
[14] 张巧贞. 老年精神病人住院期间常见问题的预防及护理
[J].护理研究,2005,19(15):1334- 1335.
Zhang Q Z. Prevention and nursing care of common problems in elderly patients with mental disorders[J].Chinese
Nursing Research,2005,19(15):1334- 1335.
[15] 李静然. 营口市老年住院患者的抑郁问题调研及措施探
讨[J].中国初级卫生保健，2016,30(5):44- 46
Li J R.Investigation and countermeasures on depression of
elderly inpatients in Yingkou [J].Chinese Primary Health
Care，2016,30(5):44- 46
[16] E Ha R N,K Kim R N.Factors that influence activities of
daily living in the elderly with probable dementia[J].Journal of Psychiatric & Mental Health Nursing,2014,21 (5):
447- 454.
[17] 何扬利,吴智勇,郑茵,等.住院老年人抑郁与营养不良的相
关性研究[J].中华老年医学杂志,2011,30(2):148- 149.
He Y L,Wu Z Y,Zhen Y,et al.Study on the relationship
between depression and malnutrition in hospitalized elderly
patients[J].Chinese Journal of Geriatrics,2011,30(2):148- 149.
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脚注
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基金
科技支疆计划项目（2014AB042），石河子大学高层次人才科研启动资金项目（RCSX201304）
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