老年人抑郁与认知状况的影响因素分析

Pınar Harmancı
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摘要

介绍。在老年病学中,认知缺陷的很大一部分是由晚年抑郁症(LLD)引起的。然而,似乎很难区分由神经退行性疾病引起的伴有抑郁症状的认知问题和老年抑郁症。在纵向研究中,我们发现抑郁是痴呆的重要风险因素。本研究旨在分析影响老年人抑郁和认知状况的因素。材料和方法。该研究是在位于土耳其中部的一家养老院进行的,被设计为描述性研究。在研究样本的选择上,采用了有目的的抽样方法。研究发现,79.59%的参与者抑郁负荷在14分以上,65.31%的参与者认知缺陷得分在25分以上,并确定在85岁及以上的老年人中,患有神经和精神障碍、患有慢性疾病、经历睡眠障碍与认知缺陷和抑郁负荷之间存在统计学意义上的关系。年龄的增长、神经或精神疾病的额外存在、慢性疾病的额外存在以及睡眠障碍的存在都会增加老年个体的认知缺陷和抑郁症的发生率。(JNNN 2022; 11(1):程度)
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Analysis of Factors that Affect Depression and Cognitive Status in Elderly Individuals
Introduction. A significant portion of cognitive deficits are explained by Late-Life Depression (LLD) in geriatrics. Nevertheless, it seems to be quite difficult to distinguish between cognitive problems accompanied by depressive symptoms resulting from neurodegenerative diseases and late-life depression. In longitudinal studies, we encounter depression as a significant risk factor for dementia.Aim. It was aimed in the study to analyze the factors affecting depression and cognitive status in elderly individuals.Material and Methods. The study, which was conducted in a nursing home located in central Turkey, was designed as a descriptive research. In the selection of study sample, purposive sampling method was used.Results. The study was seen that 79.59% of the participants had depression loads above 14, and 65.31% had cognitive deficit scores above 25 and was determined that there was a statistically significant relationship in elderly individuals older than 85 years and above between having a neurological and psychiatric disorder, having a chronic disease, experiencing a sleep disorder and cognitive deficit and depression load.Conclusions. Advancement of age, additional presence of a neurological or psychiatric disorder, additional presence of a chronic disease, and presence of sleep disorders increase both the rate of cognitive deficit and depression in a geriatric individual. (JNNN 2022;11(1):14–21)
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