Depression and Related Factors Among Elderly Inpatients With Chronic Obstructive Pulmonary Disease

• Main Authors: Wen-Chu Chen, 陳文珠
• Format: Others
• Language: zh-TW
• Online Access: http://ndltd.ncl.edu.tw/handle/71498659676634324186

碩士 === 美和技術學院 === 健康照護研究所 === 96 === Depression is prevalent among elderly patients with chronic obstructive pulmonary disease (COPD), and it just not affects individuals but also has a deleterious on society and family. The purpose of this study was to explore the status of depression and its related factors, among elderly inpatients with COPD. This study was a cross-sectional design, using conveni- ent sampling. 98 subjects recruited from a local teaching hospital in southern Taiwan, were interviewed by a structured questionnaire, including demographic chartacteristics, illness chartacteristics, Barthel Index, Fatigue Severity Score (FSS), Pittsburgh Sleep Quality Index (PSQI), Interpersonal Support Evaluation List (ISEL), and Geriatric Depression Scale (GDS). The results showed that the prevalence rate of depression was 66.33%, and the mean score of GDS was 10.01± 3.91, among our study population. In demographic chartacteristics, “combining other chronic diseases” and “two or more times of admission for COPD in the past one year” were significantly related to depression. In illness chartacteristics, those with higher perceived illness severity trend to have higher risk of depression. The activity of daily life (ADL) score, the quality of sleep, and social support were negatively correlated with depression. Fatigue was positively correlated with depression. In multiple regression analysis, adjusting for age, gender and other covariates, ADL status, fatigue, sleep quality, and social support were associated with depression score. In logistic regression using GDS≧10 as definition of depression, adjusting for age and gender, and other covariates, we found significant predictors for depression were severe fatigue (FSS≧52) (OR= 6.88), significantly poor sleep quality (PSQI>13) (OR= 5.19), and lower social support (ISEL<25) (OR= 6.26). Our results provide the evidence to faciliate health care professionals to understand status of depression and related factors among elderly inpatients with COPD, and hence, to develop appropriate care program improving the depression status among those patients.