不同躯体症状的老年心力衰竭患者的生活质量:抑郁症状的中介作用

IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY
Wenjie Fang, Xiuting Zhang, Yilin Zhang, Ximiao Li, Jinliang Li, Xiuzhen Fan
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引用次数: 0

摘要

目的:随着人口老龄化的日益加剧,老年心力衰竭(HF)患者的管理需要更多的关注。本研究旨在通过以人为本的方法确定躯体症状特征,探讨躯体症状特征与生活质量(QoL)的关系,并检验抑郁症状在老年心衰患者躯体症状特征与生活质量(QoL)之间的中介作用。方法:本横断面研究纳入了来自中国两家三级医院的445例老年心衰患者。采用自述问卷测量患者躯体症状、抑郁症状和生活质量。采用隐型分析、线性回归分析和中介分析对数据进行分析。结果:445例患者(71.84±7.61岁,女性49.7%),共发现轻度症状、重度呼吸困难症状、高难度睡眠症状和重度症状4种躯体症状。以轻度症状为参照,高难度睡眠症状和重度睡眠症状与身心生活质量降低相关(β = -0.277 ~ -0.179,均P)。结论:不同HF躯体症状的老年患者的生活质量水平不同。量身定制的干预措施促进躯体症状管理和缓解抑郁症状可能改善老年成人患者的身心生活质量。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。
Quality of life of older adult patients with heart failure with different somatic symptom profiles: The mediating role of depressive symptoms.

Aim: With an increasingly aging population, the management of heart failure (HF) in older adult patients warrants greater attention. This study aimed to identify somatic symptom profiles by using the person-oriented approach, explore the association between somatic symptom profiles and quality of life (QoL) and examine the mediating effect of depressive symptoms on this association among older adult patients with HF.

Methods: This cross-sectional study involved a convenience sample of 445 older adult patients with HF from two tertiary hospitals in China. Patients' somatic symptoms, depressive symptoms and QoL were measured using self-reported questionnaires. Latent profile analysis, linear regression analysis and mediation analysis were used to analyze the data.

Results: Among the 445 patients (71.84 ± 7.61 years, 49.7% women), four somatic symptom profiles were identified: mild symptoms, high dyspnea symptoms, high difficulty sleeping symptoms and severe symptoms. Considering the mild symptoms profile as a reference, the high difficulty sleeping symptoms and severe symptoms profiles were associated with reduced physical and mental QoL (β = -0.277 to -0.179, all P < 0.001), whereas the high dyspnea symptoms profile was associated with reduced mental QoL (β = -0.105, P = 0.041). Furthermore, both the high difficulty sleeping symptoms and severe symptoms profiles had significantly indirect effects on physical and mental QoL through depressive symptoms.

Conclusions: Our findings showed that older adult patients with different HF somatic symptom profiles experience varying levels of QoL. Tailored interventions that facilitate somatic symptom management and alleviate depressive symptoms might improve older adult patients' physical and mental QoL. Geriatr Gerontol Int 2025; ••: ••-••.

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来源期刊
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.
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