老年髋部骨折患者跌倒恐惧与焦虑抑郁的相关性  

Correlation between fear of falling and anxiety and depression in elderly patients with hip fracture

作　　者：袁聪[1] 黄文静 薛小彤 YUAN Cong;HUANG Wenjing;XUE Xiaotong(Department of Orthopedics,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450018,China)

机构地区：[1]郑州大学第一附属医院骨科,450018

出　　处：《中国健康心理学杂志》2025年第4期554-558,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20190074)。

摘　　要：目的:探讨老年髋部骨折患者跌倒恐与焦虑抑郁的相关性。方法:采用国际版跌倒效能量表(Falls Efficacy Scale-International,FES-I)、医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HADS)、一般资料调查量表,对2021年5月-2024年3月收治的245例老年髋部骨折患者进行调查。结果:245例老年髋部骨折患者FES-I和HADS评分分别为43.58±5.62分和7.59±0.44分;245例老年髋部骨折患者中有41例(16.73%)患者伴有焦虑抑郁;单因素分析,年龄(χ^(2)=11.522,P<0.05)、文化程度(χ^(2)=10.419,P<0.05)、家庭月收入(χ^(2)=4.068,P<0.05)、慢性病种数(χ^(2)=11.592,P<0.05)、疼痛程度(χ^(2)=10.222,P<0.05)、FES-I评分(t=3.298,P<0.05)差异有统计学意义;二元Logistic回归分析显示,年龄(β=1.179,P<0.001)、文化程度(β=1.065,P<0.001)、慢性病种数(β=1.186,P<0.001)、疼痛程度(β=1.068,P<0.001)、FES-I评分(β=0.107,P<0.001)均是老年髋部骨折患者焦虑抑郁发生的独立影响因素;Pearson相关系数分析显示,老年髋部骨折患者FES-I评分与其HADS评分呈正相关(r=0.478,P<0.01)。结论:年龄、文化程度、慢性病种数、疼痛程度、FES-I评分是老年髋部骨折患者焦虑抑郁的独立影响因素;老年髋部骨折患者跌倒恐惧感越高,其焦虑抑郁程度越强。Objective:To explore the correlation between fall fear and anxiety and depression in elderly patients with hip fracture.Methods:Falls Efficacy Scale-International(FES-I),Hospital Anxiety and Depression Scale(HADS),general data survey Scale were used.A total of 245 elderly patients with hip fracture admitted from May 2021 to March 2024 were investigated.Results:The FES-I and HADS scores of 245 elderly patients with hip fracture were 43.58±5.62 and 7.59±0.44,respectively.Among 245 elderly patients with hip fracture,41 cases(16.73%)were associated with anxiety and depression.Univariate analysis of age(χ^(2)=11.522,P<0.05),education level(χ^(2)=10.419,P<0.05),monthly family income(χ^(2)=4.068,P<0.05),number of chronic diseases(χ^(2)=11.592,P<0.05),pain degree(χ^(2)=10.222,P<0.05),FES-I score(t=3.298,P<0.05);Binary logistic regression analysis showed age(β=1.179,P<0.001),educational level(β=1.065,P<0.001),number of chronic diseases(β=1.186,P<0.001),pain degree(β=1.068,P<0.001),FES-I score(β=0.107,P<0.001)were independent influencing factors for anxiety and depression in elderly patients with hip fracture(P<0.05).Pearson correlation coefficient analysis showed that FES-I score was positively correlated with HADS score in elderly patients with hip fracture(r=0.478,P<0.01).Conclusion:Age,educational level,number of chronic diseases,pain degree and FES-I score are independent influencing factors of anxiety and depression in elderly patients with hip fracture.The higher the fear of falling in the elderly patients with hip fracture,the stronger the degree of anxiety and depression.

关 键 词：老年髋部骨折 跌倒恐惧 焦虑 抑郁 精神卫生 

分 类 号：R395.6[哲学宗教—心理学]