休闲活动在社区老年人认知衰弱与抑郁间的中介效应  

Mediating effect of leisure activities on cognitive frailty and depression in community-dwelling elderly

作　　者：崔春晗 董奥 杨琴[1] CUI Chun-Han;DONG Ao;YANG Qin(Department of Nursing,Medical School of Shihezi University,Shihezi 832000,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]石河子大学医学院护理系,新疆维吾尔自治区石河子832000

出　　处：《中华老年多器官疾病杂志》2022年第1期45-48,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：目的探讨休闲活动在社区老年人认知衰弱与抑郁间的作用机制,为社区老年人抑郁的预防和干预提供科学依据。方法2020年12月至2021年3月,采用便利抽样法选取新疆石河子市某社区老年人315名。应用休闲活动问卷、FRAIL量表、蒙特利尔认知评估量表及抑郁量表进行问卷调查。采用SPSS 25.0软件进行统计分析。逐步回归法检验休闲活动对老年人认知衰弱和抑郁间关系的影响。结果315名社区老年人中,有33名(10.48%)发生认知衰弱,休闲活动得分为(31.72±4.37)分,抑郁量表得分为(2.89±2.43)分。认知衰弱与抑郁得分呈正相关(r=0.371,P<0.01),认知衰弱(r=-0.401)、抑郁得分(r=-0.487)与休闲活动得分均呈负相关(均P<0.01)。休闲活动在认知衰弱与抑郁间起部分中介作用,中介效应占总效应的33.88%。结论休闲活动在社区老年人认知衰弱与抑郁之间起部分中介效应,应关注社区老年人认知衰弱与休闲活动,减少抑郁的发生。Objective To explore the mechanism of leisure activities between cognitive frailty and depression of the elderly in the community so as to provide scientific basis for the prevention and intervention of depression in them.Methods From December 2020 to March 2021,convenience sampling was used to select 315 elderly people in a community in Shihezi City,Xinjiang Uygur Automomous Region.The leisure activities questionnaire,FRAIL scale,Montreal cognitive assessment scale and depression scale were used to conduct a questionnaire survey.SPSS statistics 25.0 was used to perform the statistical analysis.Stepwise regression analysis was employed to determine the effect of leisure activities on the relationship between cognitive frailty and depression in the elderly.Results Among the 315 elderly in the community,33 elderly people(10.48%)developed cognitive frailty,with a score of leisure activities of(31.72±4.37)points and a depression score of(2.89±2.43)points.Cognitive frailty was positively correlated with depression scores(r=0.371,P<0.01),and cognitive frailty(r=-0.401,P<0.01)and depression scores(r=-0.487,P<0.01)were negatively correlated with score of leisure activities.Leisure activities played a partially mediating role between cognitive frailty and depression,and the mediating effect accounted for 33.88%of the total effect.Conclusion Leisure activities play a partial mediating effect between cognitive frailty and depression of the elderly in the community.Attention should be paid to cognitive frailty and leisure activities of the elderly in the community to reduce the occurrence of depression.

关 键 词：老年人 社区 抑郁 认知衰弱 休闲活动 

分 类 号：R473.2[医药卫生—护理学]