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首页> 外文期刊>Nursing research >Self-care management and risk factors for depressive symptoms among Taiwanese institutionalized older persons.
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Self-care management and risk factors for depressive symptoms among Taiwanese institutionalized older persons.

机译：台湾住院老人的自我护理管理和抑郁症状的危险因素。

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BACKGROUND: Depression in the elderly has become a serious healthcare issue worldwide, but studies of self-care strategies and risk factors for depressive symptoms are limited. OBJECTIVES: To determine the self-care strategies and risk factors for depressive symptoms among residents of public elder care homes in Taiwan. METHODS: A cross-sectional design was used. Two of 18 public elder care homes were chosen by random sampling throughout Taiwan. Residents (N = 200) of these two care homes who were 65 years old or above and without severe cognitive deficit participated in this study. RESULTS: Nearly half of the participants (49%) were identified by the Geriatric Depression Scale as depressed. Most participants (93%) used self-care strategies to manage their depressive symptoms. The most frequently used strategy was "take a walk." Self-learning was the main information source for self-care strategies. Logistic regression analysis indicated that cognitive function, perceived health status, and osteoarthritis were significant predictors of depression in this sample. CONCLUSIONS: Because older persons tended to engage in activities and to interact with others to manage their depressive symptoms, healthcare providers in public elder care homes may consider arranging enough activities and people contacts for residents. Due to the limited number of healthcare providers in these homes, the author recommends increasing the knowledge of both providers and residents about depression and self-care management strategies.
机译：背景：老年人的抑郁症已成为世界范围内严重的医疗保健问题，但是对自我护理策略和抑郁症状危险因素的研究有限。目的：确定台湾公共养老院中居民抑郁症状的自我护理策略和危险因素。方法：采用横截面设计。全台湾随机抽取18家公共养老院中的2家。这两个年龄在65岁或以上且没有严重认知缺陷的养老院中的居民（N = 200）参加了这项研究。结果：老年抑郁量表将近一半的参与者（49％）确定为抑郁。大多数参与者（93％）使用自我护理策略来控制其抑郁症状。最常用的策略是“散步”。自我学习是自我保健策略的主要信息来源。 Logistic回归分析表明，认知功能，感知的健康状况和骨关节炎是该样本中抑郁的重要预测因子。结论：由于老年人倾向于参加活动并与他人互动以管理其抑郁症状，因此公共养老院的医疗服务提供者可能会考虑为居民安排足够的活动和与人的联系。由于这些家庭中医护人员的数量有限，因此作者建议增加医护人员和居民对抑郁症和自我护理管理策略的了解。

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