Quality of life in older individuals with chronic diseases: The role of depression and daily functioning

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2025-08-08 DOI:10.1111/ggi.70141

Gokcen Akyurek, Remziye Dilşah Şimşek, Özge Buket Arslan

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引用次数: 0

Abstract

Aim

This study aimed to identify the factors associated with quality of life (QoL) in older individuals with chronic diseases, focusing on the impact of depression and functional independence in daily activities within a primary care setting.

Methods

A cross-sectional study was carried out with 200 participants aged ≥65 years who had at least one diagnosed chronic diseases. Data were collected using a sociodemographic form, the Katz Index of Independence in Activities of Daily Living, the Lawton and Brody Instrumental Activities of Daily Living Scale, the Geriatric Depression Scale, and the Brief Older People's Quality of Life questionnaire. Multiple linear regression analysis was used to identify significant predictors of QoL.

Results

The mean age of the participants was 72.92 ± 9.27 years. Depression (β = −0.669, P < 0.001), independence in activities of daily living (β = 0.171, P = 0.013) and the presence of additional chronic diseases (β = 0.137, P = 0.005) significantly predicted QoL, accounting for 64.6% of the variance (adjusted R² = 0.611).

Conclusion

Depression and reduced independence in activities of daily living are key determinants of diminished QoL in older adults with chronic diseases. Routine screening for depressive symptoms, and interventions that promote functional autonomy are strongly recommended in primary care to support QoL in this population. Geriatr Gerontol Int 2025; 25: 1301–1306.

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老年慢性病患者的生活质量：抑郁和日常功能的作用。

目的：本研究旨在确定与老年慢性病患者生活质量（QoL）相关的因素，重点关注初级保健环境中抑郁症和日常活动功能独立性的影响。方法：对200名年龄≥65岁且至少有一种诊断为慢性疾病的参与者进行横断面研究。使用社会人口统计表格、Katz日常生活活动独立性指数、Lawton和Brody日常生活工具活动量表、老年抑郁症量表和老年人生活质量简短问卷收集数据。采用多元线性回归分析确定生活质量的显著预测因素。结果：参与者平均年龄为72.92±9.27岁。抑郁（β = -0.669, P 2 = 0.611）。结论：抑郁症和日常生活活动独立性降低是老年慢性病患者生活质量下降的关键因素。强烈建议在初级保健中对抑郁症状进行常规筛查，并采取促进功能自主的干预措施，以支持该人群的生活质量。Geriatr Gerontol 2025；••: ••-••.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.