影響髖骨骨折老人出院前產生憂鬱傾向之相關因素探討

Factors Related to Depression in Elderly Patients Receiving Hospitalization Care for Hip Fractures

10.6225/JEBN.1.4.253

鄧惠琴(Huei-Chin Deng)；徐亞瑛(Yea-Ing Lotus Shyu)；陳明岐(Min-Chi Chen)；蔡芸芳(Yun-Fang Tasi)；林信男(Hsin-Nan Lin)

髖骨骨折老人 ； 出院前 ； 憂鬱傾向 ； hip fractures in the elderly ； prior to discharge ； depression tendency

實證護理

1卷4期（2005 / 12 / 01）

253 - 262

繁體中文

本研究旨在探討影響髖骨骨折老人出院前產生憂鬱傾向的因素為何。研究方法為二次資料分析，原始研究採縱貫式的前瞻性研究，在北部某醫學中心取得146位髖骨骨折老人為研究對象，所得資料以描述性統計、羅吉斯迴歸進行結果分析。結果發現出院前有56.8%研究對象出現憂鬱傾向。憂鬱傾向預測因子為：女性、支持系統缺乏、骨折前認知功能受損、骨折前居住狀況採輪住方式、骨折前身體功能較差的老人。本研究結果可提供相關醫護人員了解老人在發生髖骨骨折後容易產生憂鬱的高危險群。建議在臨床實務上落實評估、處理髖骨骨折老人的憂鬱問題，藉以改善老人的憂鬱狀態，提昇疾病的預後狀況。

This study explored factors related to depression in elderly patients who were treated for hip fractures prior to their discharge from the hospital. This study relied on secondary data gathered from a previous longitudinal prospective study that had recruited 146 elderly hip fracture patients treated at a medical center in northern Taiwan. Descriptive statistical analysis and logistic regression were employed on study data. Our study found that 56.8% of surveyed patients exhibited signs of depression prior to their discharge from the hospital. Predictors for depression included gender (female), lack of a viable support network, existence of pre-fracture cognitive impairment, a rotating / unstable place of residence, and existence of pre-fracture physical function impairment. Study findings can serve as a reference for health care providers to better understand the tendencies toward depression in elderly patients undergoing treatment for fractures. Health professionals should, in the course of their clinical practice, take a more proactive role to assess and manage depression-related problems in elderly patients admitted for hip fractures in order to achieve better long-term health care results.