摘要
目的探讨我国空巢老年人群抑郁症研究情况,分析当前研究的特点。方法根据检索策略,在4大中文数据库中检索有关文献并进行分析。检索式为"空巢老人"和"抑郁"或"抑郁症"或"抑郁症疾病",检索时间截至2015年12月。结果初检得到171篇文献,最终纳入符合条件的34篇文献,6篇是设置对照的横断面研究(17.65%),28篇为描述性研究(82.35%)。其中6篇随机对照研究的质量评价均分16.83分,研究质量相对较高。纳入文献的调查工具主要为老年抑郁量表、社会支持评定量表。部分文献指出,空巢老人抑郁发生率高于非空巢老人,农村空巢老人抑郁发生率高于城市。影响抑郁状况的因素包括经济条件、文化程度、个人阅历等内部因素,及家庭支持、社会关怀等外部因素。结论空巢老人抑郁发生率高于非空巢老人,可通过多种干预方式改善其抑郁状况。需要大量设计严谨的高质量证据方可得出更加客观的结论。
Objective To investigate the research situation of depression of Chinese empty-nest elderly population and an- alyze the characteristics of the current studies. Methods According to the retrieval strategy, the related literatures were re-trieved from four big Chinese databases and were analyzed. The queries were ＂empty nest elderly＂ and ＂depression＂, or ＂depressive disorder＂ ,or ＂depression disease＂. The retrieval time was up to December 2015. Results A total of 171 paper were got in the initial screening, finally, 34 eligible articles were included. Six articles were cross-sectional studies with control （17.65%）,and 28 articles were descriptive research（ 82.35% ）. In which the research quality of 6 randomized controlled studies was relative higher with 16.83 average score of quality assessment. Survey tools included literatures were mainly geriatric depression scale and social support rating scale. Some literatures pointed out that the incidence of depres- sion in empty nest-elderly was higher than that in no-empty nest elderly, and the incidence of depression in country was higher than that in city. The influencing factors of depression status included internal factors such as economic condition, degree of education, personal experiences, etc, and external factors such as family support, social care, etc. Conclusions Incidence of depression in empty-nest elderly is higher than that in no-empty nest elderly. The mental attitute of empty nest elderly could be improved through multiple intervention methods. The more objective conclusion should be drawn through a large number of high quality evidence of rigorous design.
出处
《中国临床研究》
CAS
2016年第11期1458-1461,共4页
Chinese Journal of Clinical Research
基金
2013年兰州大学创新创业行动计划项目(20131073001491)
关键词
空巢老人
抑郁
抑郁症
干预方式
老年抑郁量表
社会支持评定量表
文献检索
Empty nest elderly
Depression
Depressive disorder
Intervention method
Geriatric depression scale
Social support rating scale
Literature search
