农村老年人抑郁症状的潜在剖面及与认知功能的关系
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Latent profiles of depressive symptoms and their relationships with cognitive function among rural older adults
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    目的 探讨农村老年人抑郁症状的潜在类别及与认知功能的关系,为制定针对性的干预方案提供参考。方法 使用中国健康与养老追踪调查(CHARLS)2018年数据,纳入1 953名≥60岁农村老年人。采用潜在剖面分析方法探讨农村老年人抑郁症状的潜在类别,分析不同抑郁症状潜在类别与认知功能的关系。结果 农村老年人抑郁症状检出率为33.1%,认知功能障碍检出率为28.4%。农村老年人抑郁症状可分为无抑郁(67.7%)、轻度抑郁(9.7%)、重度抑郁-低害怕(12.7%)、重度抑郁-高害怕(9.8%)4个类别。与无抑郁类别相比,重度抑郁-高害怕类别的农村老年人发生认知障碍的风险更高(OR=2.290,P<0.05)。结论 农村老年人抑郁症状检出率较高,且存在异质性。应关注农村老年人的抑郁情绪,及时做好心理疏导,尤其需针对重度抑郁-高害怕类别的农村老年人,降低认知障碍发生风险。

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    Objective To identify the latent profiles of depressive symptoms in rural older adults and their relationships with cognitive function, and to provide reference for developing targeted interventions.Methods We used data of the China Health and Retirement Longitudinal Study 2018 to explore the potential categories of depressive symptoms in rural older adults using latent profile analysis and assessed the relationship between different categories of depressive symptoms and cognitive function.Results A total of 1 953 adults aged 60 years and older were included. The incidence of depressive symptoms was 33.1% and of cognitive impairment was 28.4%.Depressive symptoms were classified into four categories: no depression (67.7%), mild depression (9.7%),severe depression with low fearful feeling (12.7%), and severe depression with high fearful feeling (9.8%).Compared with the no depression group, those in severe depression with high fearful feeling group had high risk of cognitive impairment (OR=2.290,P<0.05).Conclusion The incidence of depressive symptoms is relatively high among rural older population, and there is heterogeneity across subgroups.Attention should be paid to the depressive emotions of rural older adults, and timely psychological counseling should be provided, especially for those with severe depression and high fearful feeling, resulting in reducing the risk of cognitive impairment.

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董文烁,王美娟,李梦丽,张心悦,包梦雨,曹英娟.农村老年人抑郁症状的潜在剖面及与认知功能的关系[J].护理学杂志,2024,39(1):98-102

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  • 收稿日期:2023-08-14
  • 最后修改日期:2023-10-20
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  • 在线发布日期: 2024-06-03