CHEN Ying, XU Fengqin, XU Qin, WANG Dongyan. Occurrence of perioperative depression in elderly patients with osteoporotic fractures and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2021, 25(20): 97-101. DOI: 10.7619/jcmp.20211545
Citation: CHEN Ying, XU Fengqin, XU Qin, WANG Dongyan. Occurrence of perioperative depression in elderly patients with osteoporotic fractures and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2021, 25(20): 97-101. DOI: 10.7619/jcmp.20211545

Occurrence of perioperative depression in elderly patients with osteoporotic fractures and its influencing factors

More Information
  • Received Date: April 11, 2021
  • Available Online: November 15, 2021
  • Published Date: October 27, 2021
  •   Objective  To investigate the occurrence of perioperative depression in senile osteoporotic fractures and its influencing factors.
      Methods  Two hundred elderly patients with osteoporotic fractures were selected as research objects by convenience sampling. Occurrence and influencing factors of depression in patients were investigated, the correlations between the factors and the occurrence of depression were analyzed.
      Results  Preoperative depression occurred in 64 patients, accounting for 32.00%(64/200); depression occurred in 56 patients 7 d after operation, accounting for 28.00%(56/200); depression occurred in 37 patients 14 d after operation, accounting for 18.50%(37/200). Gender, nutritional status, weakness, social and family support status and sleep status were the influencing factors of depression in elderly patients with osteoporotic fractures (P < 0.05). Gender, social and family support, sleep disturbance, nutritional risk and weakness were positively correlated with depression in patients with osteoporotic fractures (P < 0.05).
      Conclusion  The incidence of depression in aged patients with osteoporotic fractures is significantly higher before surgery and 7 d after surgery than that of 14 d after surgery.Social and family support, nutritional risk, weakness, gender, and sleep disorders are the main factors affecting depression.
  • [1]
    LEE Y L, LEE H S, TSAI C F, et al. Secular trends of patients hospitalized for major osteoporotic fractures based on a national claims database[J]. Arch Osteoporos, 2021, 16(1): 1-8. doi: 10.1007/s11657-020-00865-7
    [2]
    MORI T, CRANDALL C J, FUJII T, et al. Cost-effectiveness of sequential daily teriparatide/weekly alendronate compared with alendronate monotherapy for older osteoporotic women with prior vertebral fracture in Japan[J]. Arch Osteoporos, 2021, 16(1): 1-13. doi: 10.1007/s11657-020-00865-7
    [3]
    ZONG Y, TANG Y, XUE Y, et al. Depression is associated with increased incidence of osteoporotic thoracolumbar fracture in postmenopausal women: a prospective study[J]. Eur Spine J, 2016, 25(11): 3418-3423. doi: 10.1007/s00586-015-4033-8
    [4]
    夏维波, 章振林, 林华, 等. 原发性骨质疏松症诊疗指南(2017)[J]. 中国骨质疏松杂志, 2019, 25(3): 281-309. doi: 10.3969/j.issn.1006-7108.2019.03.001
    [5]
    江雨露, 马赫, 毕刘娜, 等. 家庭医生签约服务背景下社区老年慢性病患者心理状况调查分析[J]. 慢性病学杂志, 2020, 21(7): 966-969. https://www.cnki.com.cn/Article/CJFDTOTAL-YYSO202007005.htm
    [6]
    许超, 李碧, 刘波, 等. 老年慢性疾病与负性情绪相关性及治疗的研究进展[J]. 老年医学与保健, 2021, 27(2): 443-445. doi: 10.3969/j.issn.1008-8296.2021.02.060
    [7]
    常韵琪, 郑晓, 李咪咪, 等. 老年慢性病患者抑郁状态及影响因素城乡差异研究[J]. 中国全科医学, 2021, 24(10): 1254-1259. doi: 10.12114/j.issn.1007-9572.2021.00.129
    [8]
    张闻宇, 许秀峰, 曾勇, 等. 不同抑郁程度的老年抑郁症患者认知功能损害比较[J]. 临床精神医学杂志, 2020, 30(1): 12-14. doi: 10.3969/j.issn.1005-3220.2020.01.005
    [9]
    BROWN P J, WALL M M, CHEN C, et al. Biological age, not chronological age, is associated with late-life depression[J]. J Gerontol A Biol Sci Med Sci, 2018, 73(10): 1370-1376. doi: 10.1093/gerona/glx162
    [10]
    黄杭金. 急诊患者护理难度评价指标体系的构建与实证研究[D]. 福州: 福建医科大学, 2017.
    [11]
    徐雅敏, 赵丽蓉, 施展. 品管圈活动对老年肿瘤化疗患者焦虑、抑郁、睡眠质量和心理健康的干预效果观察[J]. 老年医学与保健, 2021, 27(2): 262-265, 277. doi: 10.3969/j.issn.1008-8296.2021.02.014
    [12]
    赵慧宁, 李咪咪, 候丽红, 等. 太原市社区空巢老人社会支持状况及影响因素研究[J]. 现代预防医学, 2019, 46(15): 2771-2775, 2794. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201915020.htm
    [13]
    刘硕, 朱鸣雷, 刘晓红. 老年住院患者衰弱和抑郁的相关性[J]. 中华老年多器官疾病杂志, 2020, 19(6): 419-423. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLQG202006005.htm
    [14]
    VAUGHAN L, CORBIN A L, GOVEAS J S. Depression and frailty in later life: a systematic review[J]. Clin Interv Aging, 2015, 10: 1947-1958.
    [15]
    SOYSAL P, VERONESE N, THOMPSON T, et al. Relationship between depression and frailty in older adults: a systematic review and meta-analysis[J]. Ageing Res Rev, 2017, 36: 78-87. doi: 10.1016/j.arr.2017.03.005
    [16]
    SOORAGONDA B, CHERIAN K E, JEBASINGH F K, et al. Longitudinal changes in bone mineral density and trabecular bone score following yearly zoledronic acid infusion in postmenopausal osteoporosis-a retrospective-prospective study from southern India[J]. Arch Osteoporos, 2019, 14(1): 79. doi: 10.1007/s11657-019-0630-1
    [17]
    刘欣艺, 乔晓霞, 金雅茹, 等. 营养不良在社区老年人抑郁和衰弱之间的中介作用[J]. 中国老年学杂志, 2019, 39(18): 4592-4595. doi: 10.3969/j.issn.1005-9202.2019.18.068
    [18]
    Nutrition and Bone Health Committee, Chinese Nutrition Society; Chinese Society of Osteoporosis and Bone Mineral Research, Chinese Medical Association. 原发性骨质疏松症患者的营养和运动管理专家共识[J]. 中华骨质疏松和骨矿盐疾病杂志, 2020, 13(5): 396-410. doi: 10.3969/j.issn.1674-2591.2020.05.002
    [19]
    费婧娴, 邹鑫, 程应华, 等. 家庭医生信任与2型糖尿病患者服药依从性的关系研究[J]. 中华医院管理杂志, 2019, 35(2): 151-155. doi: 10.3760/cma.j.issn.1000-6672.2019.02.015
    [20]
    PINTO E, CAVALLIN F, SCARPA M. Psychological support of esophageal cancer patient[J]. J Thorac Dis, 2019, 11(suppl 5): S654-S662.
    [21]
    姚巧灵, 胡慧. 轻度认知损害老年人阈下抑郁流行病学及干预研究进展[J]. 护理研究, 2020, 34(13): 2342-2346. doi: 10.12102/j.issn.1009-6493.2020.13.017
  • Related Articles

    [1]LIU Wei, ZHANG Naiying. Effect of thrombelastogram in monitoring hemostatic and coagulation function in patients undergoing elective orthopedic surgery during blood transfusion[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 11-14. DOI: 10.7619/jcmp.202020003
    [2]WU Tingjiang. Comparison of effect of different surgery timing after hip fracture in elderly patients[J]. Journal of Clinical Medicine in Practice, 2020, 24(16): 85-87,91. DOI: 10.7619/jcmp.202016024
    [3]GUAN Wenyan, CHEN Zhibo, XIAO Xifeng, LIU Hui, TAO Ye, QI Yuan. Effect of perioperative fasting time on comfort and safety of infants with elective surgery[J]. Journal of Clinical Medicine in Practice, 2018, (18): 115-117,121. DOI: 10.7619/jcmp.201818034
    [4]WANG Yongming. Clinical efficacy of elective surgery after stent placement in treating patients with malignant colorectal obstruction[J]. Journal of Clinical Medicine in Practice, 2018, (3): 75-78. DOI: 10.7619/jcmp.201803021
    [5]YU Huamei, TIAN Haizhen, QIN Limin, SU Yujin. Effect of nursing intervention in operation room on incision healing and complications in patients with gastrointestinal surgery[J]. Journal of Clinical Medicine in Practice, 2016, (18): 111-113. DOI: 10.7619/jcmp.201618036
    [6]GUO Yanyang, MA Jing. Effect of different body positions on operation efficacy and complications of thyroid tumor patients[J]. Journal of Clinical Medicine in Practice, 2016, (18): 98-100. DOI: 10.7619/jcmp.201618032
    [7]ZHONG Jingyang, DU Xiaoguang, SONG Litao. Effects of different surgical approaches and timing on hematoma removal of patients with hypertensive cerebral hemorrhage[J]. Journal of Clinical Medicine in Practice, 2015, (23): 59-61,65. DOI: 10.7619/jcmp.201523018
    [8]WANG Caili, WANG Chunfei, LU Zongjun. Effect of comprehensive nursing on postoperative complications and recovery in patients with craniocerebral operation[J]. Journal of Clinical Medicine in Practice, 2015, (16): 57-59. DOI: 10.7619/jcmp.201516018
    [9]LUO Desheng, WANG Hui, HE Yongdong. Effect analysis of comprehensive nursing intervention in extenuation of preoperative anxiety in patients with elective neurological surgery[J]. Journal of Clinical Medicine in Practice, 2013, (18): 103-104. DOI: 10.7619/jcmp.201318041
    [10]CAI Jinhua, WANG Rong, WANG Xuejing. Research on food intake in early stage of postoperative period in patients with laparoscopic surgery performed under general anesthesia in department of urinary surgery[J]. Journal of Clinical Medicine in Practice, 2013, (10): 76-78. DOI: 10.7619/jcmp.201310028
  • Cited by

    Periodical cited type(9)

    1. 黄琳,粟胜勇. 基于JAK/STAT信号通路探讨针刺治疗脑出血机制研究进展. 中国中医药信息杂志. 2024(02): 186-190 .
    2. 马学淼,杜晔,程光宇,程为平. 针刺对急性颅内出血大鼠的神经功能及损伤的影响. 中国医药导报. 2023(17): 14-18 .
    3. 韩光远,宋丽娟,丁智斌,安俊,柴智,王青,黄建军,马存根. 星形胶质细胞在脑缺血诱导的炎症反应中的作用及其机制. 中国免疫学杂志. 2022(01): 118-123 .
    4. 孔妍,邹伟,关睿骞,刘双岭,陈奥,崔乃松. 基于GFAP/STAT3通路探讨针康法对脑缺血再灌注大鼠神经功能和星形胶质细胞的影响. 环球中医药. 2022(05): 731-737 .
    5. 许文婷,薛玉满,王策,孔莹,邹伟. 百会透曲鬓调控EGFR/STAT3通路抑制脑出血大鼠神经功能损伤的机制研究. 针灸临床杂志. 2022(07): 70-75 .
    6. 彭华,唐晓平,张涛,孙浩耕,杨彬彬,熊平. 蛛网膜下腔出血大鼠血清中EGFR、FABP、Glu和Asp的表达水平及意义. 河北医药. 2019(09): 1317-1320 .
    7. 孙晓玲,张晓娟,张清泉,邱雷,王林娜,侯素平. TP53、EGFR、PDGF在星形胶质细胞瘤进展中的表达及意义. 广东医学. 2019(12): 1750-1753 .
    8. 魏珍珍,方晓艳,白明,苗明三. 基于星形胶质细胞的脑缺血损伤治疗研究进展. 神经药理学报. 2019(01): 36-43 .
    9. 何佳鑫,赵晖,张秋霞,齐放,李君玲,张楠,樊永平,李明,王蕾. 补肾益髓方及其拆方对星形胶质细胞胶质瘢痕中GFAP与CSPGs表达的影响. 中国中医急症. 2018(01): 1-4 .

    Other cited types(2)

Catalog

    Article views (218) PDF downloads (15) Cited by(11)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return