6. Một số yếu tố liên quan đến dấu hiệu trầm cảm theo thang điểm phq-9 ở người bệnh loãng xương cao tuổi

Abstract

This study described some factors related to the depression symptom in elderly osteoporosis patients. A cross-sectional descriptive study was carried out from 09/2021 - 09/2022 with 285 osteoporosis patients aged ≥ 60 years old, examined and treated at the National Geriatric Hospital. The PHQ-9 scale was used to assess depression. Face-to-face interviews were conducted using available questionnaires. Of 285 participantis, the rate of depression was 53.7%, with a cut-off score ≥ 5 of the PHQ-9 scale. Elderly osteoporosis patients who drink alcohol had a 2.47 times higher risk of depression than other group. Elderly osteoporosis patients with T-score of CKD ≤ -2.5 had a 2.14 times higher risk of depression than other group with a statistically significant difference. The elderly group of osteoporosis patients with decline in ADL, IADL, malnutrition had a higher risk of depression 6.48 times, 6.61 times and 3.84 times compared to the other group with a statistically significant difference. There is a statistically significant relationship between quality of life score and depression symptom, in which depressed patients have quality of life scores on mobility, self-care, daily activities, pain and psychological levels lower than patients without signs of depression.No association was found between fracture history and risk of depression as assessed by the PHQ-9 scale. The elderly group of osteoporosis patients with decline in ADL and IADL, malnutrition, quality of life has a higher risk of depression, so it is necessary to raise awareness about depression for osteoporosis patients so that patients can proactively prevent the disease and cooperate with doctors in the treatment process.