Late-life depression and quality of life in a geriatric evaluation and management unit: an exploratory study

BMC Geriatrics

Hsien-Yuan Lane¹  Shu-Hui Yang⁵  Yi-Jing Tang⁴  Chu-Sheng Lin⁴  Yi-Ming Chen²  Deng-Wu Wang³  Min-Wei Huang³  Jui-Hung Lin³ 

[1] Department of Psychiatry, China Medical University Hospital, Taichung, Taiwan;Division of Allergy, Immunology and Rheumatology, Taichung Veterans General Hospital, No. 160, Section 3, Taichung-Kang Road, Taichung 40705, Taiwan;Division of Psychiatry, Chia Yi branch, Taichung Veterans General Hospital, No. 600, Sec. 2, Shixian Road, Chiayi City, West District, Taiwan;Department of Family Medicine, Taichung Veterans General Hospital, No. 160, Section 3, Taichung-Kang Road, Taichung 40705, Taiwan;Department of Nursing, Taichung Veterans General Hospital, No. 160, Section 3, Taichung-Kang Road, Taichung 40705, Taiwan

关键词: GDS;    ADL;    GEMU;    Geriatric evaluation and management unit;    EQ-5D;    Quality of life;    Geriatric depression;    Late-life depression;    Elderly;   

Others  :  848366
DOI  :  10.1186/1471-2318-14-77

 received in 2014-02-11, accepted in 2014-06-12,  发布年份 2014

【 摘 要 】

Background

Late-life depression is common among elderly patients. Ignorance of the health problem, either because of under-diagnosis or under-treatment, causes additional medical cost and comorbidity. For a better health and quality of life (QoL), evaluation, prevention and treatment of late-life depression in elderly patients is essential.

Methods

This study examined (1) the differences of clinical characteristics, degree of improvement on QoL and functionality on discharge between non-depressed and depressed elderly inpatients and (2) factors associated with QoL on discharge. Four hundred and seventy-one elderly inpatients admitted to a geriatric evaluation and management unit (GEMU) from 2009 to 2010 were enrolled in this study. Comprehensive geriatric assessment including the activities of daily living (ADL), geriatric depression scale, and mini-mental state examination were conducted. QoL was assessed using the European Quality of Life-5 Dimensions and the European Quality of Life-5 Dimensions Visual Analog Scale on discharge. Information on hospital stay and Charlson comorbidity index were obtained by chart review. Chi-square tests, independent t-tests, Mann–Whitney U tests and multiple linear regressions were used in statistical analysis.

Results

Worse QoL and ADL on discharge were found among the depressed. Depressive symptoms, female gender, duration of hospital stay, and rehabilitation were significant factors affecting QoL on discharge in linear regression models.

Conclusions

The importance of the diagnosis and treatment of depression among elderly inpatients should not be overlooked during hospital stay and after discharge. Greater efforts should be made to improve intervention with depressed elderly inpatients.

【 授权许可】

   
2014 Lin et al.; licensee BioMed Central Ltd.

【 图 表 】

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