老年骨质疏松性骨折患者围术期抑郁发生情况及影响因素  

Occurrence of perioperative depression in elderly patients with osteoporotic fractures and its influencing factors

作　　者：陈瑛[1] 许凤琴 许勤[3] 王东岩 CHEN Ying;XU Fengqin;XU Qin;WANG Dongyan(Joint Surgery Nursing Unit,Lianyungang Clinical Medical College of Nanjing Medical University,Lianyungang First People′s Hospital in Jiangsu Province,Lianyungang,Jiangsu,222000;Department of Nursing,Lianyungang Clinical Medical College of Nanjing Medical University,Lianyungang First People′s Hospital in Jiangsu Province,Lianyungang,Jiangsu,222000;School of Nursing of Nanjing Medical University,Nanjing,Jiangsu,211166;Department of Osteoporosis,Lianyungang Clinical Medical College of Nanjing Medical University,Lianyungang First People′s Hospital in Jiangsu Province,Lianyungang,Jiangsu,222000)

机构地区：[1]南京医科大学连云港临床医学院/江苏省连云港市第一人民医院关节外科护理单元,江苏连云港222000 [2]南京医科大学连云港临床医学院/江苏省连云港市第一人民医院护理部,江苏连云港222000 [3]南京医科大学护理学院,江苏南京211166 [4]南京医科大学连云港临床医学院/江苏省连云港市第一人民医院骨质疏松科,江苏连云港222000

出　　处：《实用临床医药杂志》2021年第20期97-101,共5页Journal of Clinical Medicine in Practice

基　　金：江苏省“六大人才高峰”高层次人才资助项目(2016-WSW-169);南京医科大学康达学院科研发展基金(KD2020KYJJYB054)。

摘　　要：目的探讨老年骨质疏松性骨折患者围术期抑郁发生情况及影响因素。方法采取便利抽样法选取老年骨质疏松性骨折手术患者200例为研究对象。调查患者抑郁发生情况和影响因素,分析各影响因素与抑郁发生的相关性。结果术前发生抑郁的患者为64例,占比为32.00%(64/200);术后7 d发生抑郁的患者为56例,占比为28.00%(56/200);术后14 d发生抑郁的患者为37例,占比为18.50%(37/200)。性别、营养状况、衰弱、社会与家庭支持情况以及睡眠情况是老年骨质疏松性骨折患者抑郁的影响因素(P<0.05)。性别、社会与家庭支持、睡眠障碍、存在营养风险以及衰弱均与骨质疏松性骨折患者抑郁呈正相关(P<0.05)。结论老年骨质疏松性骨折手术患者术前及术后7 d产生抑郁情绪的患者显著多于术后14 d。社会与家庭支持、营养风险、身体衰弱、性别以及睡眠障碍是影响患者抑郁的主要因素。Objective To investigate the occurrence of perioperative depression in senile osteoporotic fractures and its influencing factors.Methods Two hundred elderly patients with osteoporotic fractures were selected as research objects by convenience sampling.Occurrence and influencing factors of depression in patients were investigated,the correlations between the factors and the occurrence of depression were analyzed.Results Preoperative depression occurred in 64 patients,accounting for 32.00%(64/200);depression occurred in 56 patients 7 d after operation,accounting for 28.00%(56/200);depression occurred in 37 patients 14 d after operation,accounting for 18.50%(37/200).Gender,nutritional status,weakness,social and family support status and sleep status were the influencing factors of depression in elderly patients with osteoporotic fractures(P<0.05).Gender,social and family support,sleep disturbance,nutritional risk and weakness were positively correlated with depression in patients with osteoporotic fractures(P<0.05).Conclusion The incidence of depression in aged patients with osteoporotic fractures is significantly higher before surgery and 7 d after surgery than that of 14 d after surgery.Social and family support,nutritional risk,weakness,gender,and sleep disorders are the main factors affecting depression.

关 键 词：老年骨质疏松性骨折 抑郁 影响因素 睡眠障碍 营养 

分 类 号：R683[医药卫生—骨科学] R395.1[医药卫生—外科学]