基于interRAI-HC分析居家老年人抑郁风险及影响因素  

Evaluation of prevalence and risk factors of depression in home-dwelling older people using the interRAI Home Care(interRAI-HC)instrument

作　　者：支梦佳 刘智 何紫棠 胡琳琳[1] Zhi Mengjia,Liu Zhi,He Zitang,Hu Linlin(Public Health School of Peking Union Medical College,Beijing 100730,Chin)

机构地区：[1]北京协和医学院公共卫生学院,北京100730

出　　处：《护理学杂志》2018年第9期85-88,共4页Journal of Nursing Science

基　　金：中央级公益性科研院所基本科研业务费项目(2013);北京协和医学院"协和青年基金"项目(3332016121)

摘　　要：目的基于interRAI家庭照护评估工具(interRAI-HC)了解居家老年人抑郁风险并探讨其影响因素。方法采用方便抽样法对153例≥60岁的居家老年人进行入户调查,由培训合格的评估员依据interRAI-HC进行评估,通过ChinaRAI软件计算抑郁风险得分并生成触发问题,Logistic回归分析探讨抑郁影响因素。结果 46.4%居家老年人存在抑郁风险;嗜睡、疼痛、尿失禁为抑郁发生的风险因素(均P<0.05)。结论居家老年人抑郁风险有一定的普遍性,以嗜睡、疼痛、尿失禁者尤甚,应采取针对性干预措施。Objective To evaluate the prevalence and risk factors of depression among home-dwelling older adults by using the interRAI-HC instrument.Methods A total of 153 home-dwelling adults aged 60 years and older were assessed using the interRAI-HC instrument and then data were analyzed to calculate depression risk and trigger problems via China RAI software.Risk factors of depression were identified by Logistic regression analysis.Results The prevalence of depression was 46.6%in home-dwelling older adults.Binary Logistic regression identified somnolence,pain,and urinary incontinence were predictors of depression（P〈0.05 for all）.Conclusion Depression is prevalent in home-dwelling older adults,especially in those with somnolence,pain and urinary incontinence.Targeted interventions should be conducted.

关 键 词：社区 居家老年人 抑郁风险 影响因素 疼痛 嗜睡 尿失禁 

分 类 号：R473.2[医药卫生—护理学]