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研究生:邵靖翰
研究生(外文):Ching-Han Shao
論文名稱:玉里地區老人憂鬱盛行率及危險因子之探討
論文名稱(外文):Prevalence and risk factors of geriatric depression in Yuli, Taiwan
指導教授:周碧瑟周碧瑟引用關係
指導教授(外文):Pesus Chou
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:公共衛生研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
論文頁數:70
中文關鍵詞:老人憂鬱症簡短型老人憂鬱量表(Geriatric Depression Scale-Short FormG.D.S.-S) 15題自述評量表
外文關鍵詞:geriatric depressionGDSGeriatric Depression Scale-Short FormG.D.S.-S
相關次數:
  • 被引用被引用:38
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  • 收藏至我的研究室書目清單書目收藏:6
目的:了解花蓮縣玉里地區老人憂鬱症盛行率並探討其相關危險因子。
方法:本研究由陽明十字軍依戶政登記名冊對居住於玉里鎮社區十五個里六十五歲居民進行家庭訪視調查,受訪民眾需年滿六十五歲(含)以上且認知能力良好、能以國台語溝通之老人。相關資料的收集包括一般人口學變項(年齡、性別、婚姻狀況、教育程度)、生活史(獨居、害怕跌倒、曾經跌倒等)、過去個人疾病史(高血壓、糖尿病、心血管疾病等),並以簡短型老人憂鬱量表(Geriatric Depression Scale-Short Form, G.D.S.-S)15題自述評量表(評量總分為五分或以上判定為有憂鬱症狀(1991 Burke W.J.等))進行憂鬱症之測量。
結果:共有1,159(男性705人,佔60.8%;女性454人,佔39.2%)位老人完成訪視問卷,年齡層以75歲(含)以上(671位,57.9%)最多。若依簡短型老人憂鬱量表評量總分為五分以上判定為有憂鬱症狀為基準,共有186位(20.3%)具有憂鬱症。
在性別、年齡及教育程度與老人憂鬱在本研究上並無明顯相關。但在過去個人疾病史中,經醫師診斷罹有糖尿病、腦中風的老人,比無上述診斷的老人有較高的憂鬱症比例(二種疾病史都是P<0.05)。在生活史中,目前居住狀態是獨居者與害怕跌倒之老人比無上述特性的老人有較高的憂鬱症比例(二種都是P<0.05)。
結論:對居住在社區生活的老人而言,憂鬱症是一種常見的現象。其中具有糖尿病、腦中風病史、目前獨居、害怕跌倒的社區老人得憂鬱症狀機會增加。因此加強老人身體慢性疾病之照護並改善生活環境及生活型態對老人心理衛生照護之改善應有所幫助。
關鍵詞:老人憂鬱症,簡短型老人憂鬱量表(Geriatric Depression Scale-Short Form, G.D.S.-S) 15題自述評量表
Objectives: Approach to the prevalence and risk factors of geriatric depression in Yuli, Hualien, thus as a database for the overall health care and mental health care of a community.
Methods:This study was carried out by Yang-Ming Crusade, which was formed by trained medical school students of Yang-Ming University, case selection were from the domicile name lists, we survey the citizens in Yuli Town with the exclusion of those who are institutionalized, with age above (of) 65 years old and with fair cognitive function, those who can communicate with Mandarin or Taiwanese language. We made face-to-face house calls to 15 villages around Yuli Township. With a set of structured questionnaires we collected the data including common demographic variations (age, gender, marital status, educational background), life histories (solitude, tumble fear, former tumble, etc), past personal history of illness (hypertension, diabetes mellitus, cardiovascular disease), and we also use the 15-item Geriatric Depression Scale-Short Form (G.D.S.-S, 1991 Burke W.J. et al) to scale the depression (total scores □ 5 indicating a depressive state).
Results: Totally there are 1,159 cases (705 males,60.8%;454 females, 39.2%)in this cohort, with most cases above 75 year-old(671 people,57.9%). Among this population there are 186(20.3%)cases thought to be depressive by the 15-item Geriatric Depression Scale-Short Form, (G.D.S.-S, 1991 Burke W.J. et al) . No prominent differences on the items of gender, age, and educational background. In the category of past personal history, cases formerly diagnosed with diabetes and cardiovascular diseases revealed a higher rate of depression as compared to those without these 2 diseases ( all P<0.05). In the category of life histories, people lived in solitude and in fear of tumble have a higher rate to be depressive as compared to those who didn’t.。
Conclusion: Depression is a common phenomenon among old people in a community. Elderly with a history of diabetes or cardiovascular diseases, a state of current solitude, with a fear of tumble, are more prone to be victims of depression. It should be of great help to the care of mental health in old people when we strengthen the care of chronic illness, and also improve the environment and style of life.
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