Burkay YAKAR, Erhan ÖNALAN, Edibe PİRİNÇCİ, Emel OLGUN, Selim KARAKAŞ

AİLE HEKİMLİĞİ KLİNİĞİNDE YAŞLILARDA GERİATRİK DEPRESYON PREVALANSI VE İLİŞKİLİ FAKTÖRLER

Amaç: Önemli bir halk sağlığı sorunu ve hastalık yükü belirleyicisi olan depresyon, özellikle yaşlı popülasyonda en sık görülen ruhsal bozukluklardan biridir. Bu çalışmada aile hekimliği polikliniğine başvuran yaşlılarda geriatrik depresyon prevalansının ve depresyon ile ilişkili faktörlerin araştırılması amaçlanmıştır. Materyal ve Metot: 60 yaşın üzerinde ki toplam 195 gönüllü çalışmaya dahil edilmiştir. Katılımcıların, depresyon ile ilişkili olabilecek demografik özellikleri, tıbbi geçmişleri, psikososyal faktörler ve bireylerin fiziksel sağlık durumları anket formu ile elde edildi. Depresif belirtiler 30 maddelik Geriatrik Depresyon Ölçeği (GDS) kullanılarak değerlendirilmiştir. Bulgular: Çalışmaya dahil edilen 166 katılımcının %49,09'unda (n=81) depresyon yoktu, %4,24'ünde (n =7) olası depresyon ve %46,67'sinde (n =77) depresyon vardı. 75 yaş ve üstü katılımcıların depresyon anketi puanları diğer yaş gruplarından istatistiksel olarak daha yüksekti (p=0,001). Kendi günlük işini yapamama (OR: 19,78, Cl: 1,23-317,83, p=0,035), işitme problemi olma (OR: 2,74, CI: 1,20-6,27 p=0,017) ve orta uyku kalitesi (OR : 10,62, Cl: 2,37-42,70, p=0,002) veya kötü uyku kalitesi (OR: 4,24, Cl: 1,78-10,06, p=0,001) depresyon durumunu etkileyen bağımsız risk faktörleriydi. Sonuç: Bu çalışma, sağlık çalışanlarına ve Aile hekimlerine geriatrik depresyonun yüksek prevalansı konusunda endişe verici bir sinyal vermektedir. Geriatrik depresyonun yaşlı popülasyonda hane halkı geliri, eğitim düzeyi, fiziksel sağlık, işitme sorunu, uyku durumu ve düşme öyküsü ile ilişkili olduğu saptanmıştır.

PREVALENCE OF GERIATRIC DEPRESSION AND ASSOCIATED FACTORS AMONG ELDERLY PEOPLE IN FAMILY MEDICINE CLINIC

Objectives: Depression, which is an important public health problem and a determinant of disease burden, is one of the most common mental disorders, especially in the elderly population. The current study was aimed to investigate the prevalence of geriatric depression and associated factors among elderly people who admitted to the family medicine outpatient clinic. Materials and Methods: A total of 195 elderly participants aged 60 years have enrolled in this study. Demographic characteristics, medical history, psychosocial factors, and physical health status of individuals that may be associated with depression were obtained with a questionnaire. Depressive symptoms were assessed using the 30-item Geriatric Depression Scale (GDS). Results: Total of the 166 participants included in the study, 49.09% (n=81) had no depression, 4.24% (n=7) had probable depression, and 46.67% (n=77) had depression. Depression questionnaire scores of participants 75 years and over-aged were statistically higher than other age groups (p=0.001). Ability to make own daily work (OR: 19.78, Cl: 1.23-317.83, p=0.035), have a hearing problem (OR: 2.74, CI: 1:20 - 6:27 p=0.017) and fair sleep quality (OR : 10.62, Cl: 2.37-42.70, p=0.002) or poor sleep quality (OR: 4.24, Cl: 1.78-10.06, p=0.001) were independent risk factors that affecting the depression status. Conclusion: This study provides an alarming signal for health professionals and family physicians about the high prevalence of geriatric depression. We found that geriatric depression is associated with household income, education level, physical health, hearing problem, sleep status and history of falls in the elderly population.

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