功能独立性和社会支持在老年慢性病患者心理健康维持中的中介作用

Q3 Arts and Humanities

Collegium Antropologicum Pub Date : 2022-01-01 DOI:10.5671/ca.46.1.6

D. Babić, Gordana Kamenečki, M. Milošević, J. Završnik, D. Železnik

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引用次数: 0

摘要

慢性疾病的存在和缺乏社会支持对老年生活的功能能力产生负面影响。本研究的目的是确定功能能力的改变和获得社会支持来源与慢性病老年人抑郁症发生之间的可能联系。采用标准化问卷对151名60岁及以上心血管疾病患者进行横断面调查。采用格罗宁根活动限制量表(GARS)、Duke-UNC功能性社会支持问卷(FSSQ)和老年抑郁量表简表(GDS)来确定功能状态、社会支持可得性和抑郁症状方面存在的限制。采用多元二元logistic回归模型评估显著变量对纳入指示性抑郁组的多因素影响。采用Spearman’s rho系数分析GARS、GDS与FSSQ的相关性。15名(9.9%)受试者的GDS评分≥10分(指示性抑郁)，21名(13.9%)受试者的GDS评分在6-9分(疑似抑郁)之间。抑郁量表得分与受试者的社会人口学特征无显著相关。二元logistic回归显示，GARS每增加一个单位，患抑郁症的几率显著增加7% (OR: 1.07, 95%可信区间(CI): 1.01-1.13;P=0.013)，而当FSSQ增加一个单位时，该几率下降近2.5倍(OR: 0.40, 95% CI: 0.23-0.70;P = 0.001)。功能限制的发展和社会支持水平的降低与抑郁症的发生有关。制定鼓励保持功能独立和提供有效社会援助的方案，可对保持患有慢性病的老年人的精神健康作出重大贡献。

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Functional Independence and Social Support as Mediators in the Maintenance of Mental Health among Elderly Persons with Chronic Diseases

The presence of chronic disease and lack of social support have negative impact on functional capacity in later life. The aim of this study was to determine the possible connections between the alteration in functional abilities and access to sources of social support with the occurrence of depression in elderly persons with chronic disease. A cross-sectional survey was conducted among 151 subjects with cardiovascular diseases at the age of 60 and above using standardized questionnaires. Groningen Activity Restriction Scale (GARS), Duke-UNC Functional Social Support Questionnaire (FSSQ), and Geriatric Depression Scale Short Form (GDS) were used to identify the presence of limitations in functional status, availability of social support and symptoms of depression. Multivariate binary logistic regression model was used to assess multivariate influence of significant variables on inclusion in the indicative depression group. Spearman’s rho coefficient was used to analyze correlation between GARS, GDS and FSSQ. GDS score ≥10 (indicative depression) was obtained by 15 (9.9%) participants and scores in the range 6–9 (suspected depression) by 21 (13.9%) participants. There were no significant correlations between the scores on the depression assessment scale and the sociodemographic characteristics of the participants. Binary logistic regression showed that with GARS increasing by a single unit, the chance of having depression significantly rises by 7% (OR: 1.07, 95% confidence interval (CI): 1.01–1.13; P=0.013) while when FSSQ increases by a single unit, that chance drops nearly 2.5 times (OR: 0.40, 95% CI: 0.23–0.70; P=0.001). The development of functional limitations and reduced level of social support are connected with the occurrence of depression. Creation of programs that will encourage the preservation of functional independence and enable effective social assistance can make a significant contribution to maintaining the mental health of elderly persons with chronic diseases.

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来源期刊

Collegium Antropologicum Social Sciences-Anthropology

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： International journal Collegium Antropologicum is the official journal of the Croatian Antropological Society and is jointly published by: Croatian Anthropological Society Croatian Association of Medical Anthropology - Croatian Medical Association Department of Natural Sciences, Anthropological Centre and the Scientific Council for Anthropological Research of the Croatian Academy of Sciences and Arts. With the numerous international recognition of co-operative experts, the Journal represents a relevant reference source in the fields of cultural and biological anthropology, sociology, ethnology, psychology, demography, history, archaeology, genetics, biomedicine, human ecology, nutrition and other fields related to multidisciplinary character of anthropology.