Các yếu tố ảnh hưởng đến trầm cảm ở bệnh nhân cao tuổi sống tại cộng đồng bị thoái hóa khớp gối tại Trung Quốc: một nghiên cứu cắt ngang

BMC Geriatrics - 2022
Xiaoyan Zheng1, Yaya Wang1, Xiaoyan Jin2, Hongjie Huang3, Hongbo Chen2, Yan Wang1, Shaomei Shang2
1The Open University of China, 75 Fuxing Road, Haidian District, Beijing, 100039, China
2School of Nursing, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China
3Institute of Sports Medicine, Peking University Third Hospital, 49 Huayuan North Road, Haidian District, Beijing, 100191, China

Tóm tắt

Tóm tắt Đặt vấn đề Thoái hóa khớp gối (OA) và trầm cảm đều là những vấn đề sức khỏe chính ảnh hưởng đến chất lượng cuộc sống của người cao tuổi. Mục tiêu của nghiên cứu này là khám phá tỷ lệ trầm cảm và các yếu tố ảnh hưởng đến trầm cảm ở bệnh nhân cao tuổi sống tại cộng đồng mắc OA gối tại Trung Quốc. Phương pháp Chúng tôi đã tiến hành một nghiên cứu mô tả cắt ngang. Nghiên cứu bao gồm 214 người tham gia từ 60 tuổi trở lên được chẩn đoán mắc OA gối. Tình trạng trầm cảm của người cao tuổi được đo bằng thang đánh giá trầm cảm cho người cao tuổi (GDS). Người tham gia được yêu cầu hoàn thành một bảng hỏi thông tin nhân khẩu học, thang GDS, chỉ số thoái hóa khớp Western Ontario và McMaster (WOMAC), và thước đo tác động viêm khớp (AIMS2). Ngoài ra, người tham gia còn thực hiện bài kiểm tra đứng dậy và đi (TUG) và bài kiểm tra leo cầu thang (SCT). Kết quả Tuổi trung bình của người tham gia là 69.2 ± 7.63 tuổi, chỉ số khối cơ thể (BMI) của họ là 25.2 ± 3.85, và thời gian mắc bệnh là 5.9 ± 7.72 năm. Điểm số trung bình tổng của GDS là 4.43 ± 2.89, và điểm GDS có mối tương quan tích cực với đau (r = 0.45, P < 0.001), cứng khớp (r = 0.40, P < 0.001), chức năng thể chất (r = 0.52, P < 0.001), TUG (r = 0.35, P < 0.001), và SCT (r = 0.47, P < 0.001) và tương quan tiêu cực với hỗ trợ xã hội (r = −0.35, P < 0.001). Phân tích hồi quy đa biến cho thấy chức năng thể chất, hỗ trợ xã hội và SCT giải thích 36.8% sự biến thiên trong trầm cảm. Kết luận Những phát hiện của chúng tôi cho thấy chức năng thể chất, hỗ trợ xã hội, và sức mạnh chi dưới là những yếu tố dự đoán triệu chứng trầm cảm ở người cao tuổi sống tại cộng đồng mắc OA gối. Tập trung vào nhóm người cao tuổi này với việc tăng cường luyện tập chức năng, tương tác xã hội tích cực và đào tạo sức mạnh cơ chân nên giúp ngăn ngừa trầm cảm.

Từ khóa


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