目的 探讨我国养老机构老年人抑郁的影响因素,为养老机构老年人抑郁问题的防治和早期管理提供依据.方法 检索中国知网(CNKI)、中国生物医学数据库(CBM)、万方数据库(WangFang Date)、维普网(VIP)、Web of Science、PubMed 和 The Cochrane Library 数据库;以老年人、养老机构、危险/影响因素、Elder、Nursing Homes、Depressive Disorder、factors等为中、英文主题词,语种限定为中文和英文,收集建库至2022年12月31日之间公开发表的关于我国养老机构老年人抑郁影响因素的横断面研究、队列研究及病例对照研究的文献.采用Stata 14.0软件对纳入的文献进行异质性检验、发表偏倚检验与敏感性分析.结果 纳入11篇文献,共涉及4090名研究对象.Meta结果显示,年龄＞79岁(OR=2.155,95％CI:1.367～3.399)、丧偶或未婚(OR=3.62,95％CI:1.256～10.433)、经济状况差(OR=3.096,95％CI:1.727～8.831)、睡眠质量低(OR=1.605,95％CI:1.216～2.118)、日常生活不能自理(OR=2.73,95％CI:1.760～4.234)、患有多种慢性疾病(≥3种)(OR=3.25,95％CI:1.591～6.637)、对养老机构居住环境或服务满意度较低(OR=2.12,95％CI:1.500～2.996)是我国养老机构老年人抑郁的危险因素.结论 我国养老机构老年人发生抑郁的影响因素较为复杂多样,养老机构管理员及护理人员应根据抑郁的危险因素进行早期筛查,预防老年人抑郁的发生,以减少不良结局对老年人的影响.
A Meta-analysis of influencing factors of depression among the elderly aged 60 years and above in nursing facilities in China
Objective To explore the influencing factors of depression among the elderly in nursing institutions in China,and to provide basis for the prevention and early management of depression among the elderly in nursing institutions.Methods CNKI,CBM,Wanfang Database,VIP,Web of Science,PubMed and the Cochrane Library were searched with"the elderly","nursing institutions","risk/influencing factors","elder","nursing homes","depressive disorder","factors"and so on as Chinese or English subject terms,and the languages were limited to Chinese and English.Cross-sectional studies,cohort studies and case-control studies on the influencing factors of depression among elderly people in nursing homes in China published publicly between the establishment of the database and December 31,2022 were collected.Heterogeneity test,publication bias test and sensitivity analysis of the included literatures were performed by Stata 14.0 software.Results A total of 11 papers were included,involving 4 090 study participants.Meta results showed that age＞79 years(OR=2.155,95％CI:1.367-3.399),widowed or unmarried(OR=3.62,95％CI:1.256-10.433),poor economic status(OR=3.096,95％CI:1.727-8.831),low sleep quality(OR=1.605,95％CI:1.216-2.118),inability to take care of themselves in daily life(OR=2.73,95％CI:1.760-4.234),suffering from ≥3 types of multiple chronic diseases(OR=3.25,95％CI:1.591-6.637)and having low satisfaction with the living environment or services of the nursing facility(OR=2.12,95％CI:1.500-2.996)were the risk factors of depression among the elderly in nursing facilities in China.Conclusions The factors influencing the occurrence of depression in the elderly in nursing facilities in China were complex and diverse.Administrators and caregivers of nursing facilities should conduct early screening based on these risk factors in the elderly to prevent the occurrence of depression and to minimize the impact of adverse outcomes in this population.
万方数据
维普
