A study on depression of the elderly with different sleep quality in pension institutions in Northeastern China
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RESEARCH ARTICLE
Open Access
A study on depression of the elderly with different sleep quality in pension institutions in Northeastern China Jun Zhang1, Yingying Zhang2, Zhenggang Luan3, Xiujie Zhang1, Haoran Jiang2 and Aiping Wang1*
Abstract Background: China owns he largest aged population in the world, and the elderly adults who live in pension institutions are more likely to suffer from mental disorders than other elderly adults. The purpose of this study is to discover the risky factors of depression among nursing home residents with various sleeping quality. Methods: We conducted a cross-sectional study in Northeastern China from May to September in 2017 using multistage sampling method and 507 elderly people without cognitive impairment in six pension institutions were interviewed. The Pittsburgh Sleep Quality Index (PSQI) and Geriatric Depression Scale (GDS) were adopted to collect the information of sleep quality and depression. We used logistic regression to analyze the factors influencing depression among the elderly adults with poor or good sleep quality. Results: The overall depression rate among elderly adults was 21.7%. The logistic regression analysis revealed that marital status, chronic disease, regular exercise, physical ache, filial piety and chewing ability had significant effects on the depression of the elderly with good sleep quality. Loneliness, self-caring ability, chewing ability and chronic diseases had significant effects on depression of the elderly with poor sleep quality. Conclusion: The prevalence of depressive symptoms in the elderly is not high. However, sleeping quality distinguishes root causes on elderly adults depression. Therefore, the risk factors of depression among elderly adults should be analyzed separately. Keywords: Elderly, Pension institutions, Quality of sleep, Depressive symptoms, Influencing factors
Background Population aging is becoming an increasingly serious issue globally, posing serious challenges to the maintenance and/or improvement of human health and socioeconomic development, particularly in China [1]. China has the largest aged population and it is the only country in the world with over 100 million elderly adults (aged 60 years and above) [2]. With aging population and family re-structures, traditional home-based care in China * Correspondence: [email protected] 1 Nursing Department, The First Affiliated Hospital of China Medical University, 155 Nanjing North Street, Shenyang 110001, China Full list of author information is available at the end of the article
has gradually weakened, and an increasing number of elderly people are inclined to receive long-term care in pension institutions [1]. The pension institutions in Northeastern China include public institutions and private institutions which can be found on government websites. The elderly can choose whether to stay in the pension institution voluntarily. Elderly adults who live in pension institutions rather than in their own homes are unable to receive care from their grown up child
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