Akademik Veri Yönetim Sistemi
12th International Congress of the European Union Geriatric Medicine Society, Lisbon, Portekiz, 5 - 07 Ekim 2016, ss.146
Background: Geriatrics syndromes are clinical status that related morbidity and mortality. The prevalence of geriatric syndrome, have been reported in the elderly admitted to the polyclinic or hospitalized in our contry. However, there is no similar study reported on the elderly living in the community in the field. Within this scope, a screening study was organized on the elderly living in the community in Istanbul Province, Fatih District. Depression is increasing incidence of aging and is a problem which plays an important role for morbidity and mortality in elderly. In this report the effective factors on depressive mood in the elderly who evaluated in geriatric study was investigated in Fatih district.
Methods: The elders who lives in Fatih/Istanbul were chosen by cluster sample. The third and forth grade students of Istanbul Faculty of Medicine were served as interviewers. Interviewers took the standard training about measurement. The elders who is age of between 65 and 101 were taken for research. Cognitive states were screened with GDS-SF to measure of life quality were surveyed EQ5D, we evaluated with KATZ Activities of Daily Living Scale (ADL), LAWTON-BRODY Instrumental Activities of DailyLiving Scale. Disease, number of drugs, hypertension (HT), diabetes mellitus (DM) and hyperlipidemia have been noted.
Results: 204(94 males, 110 females) elderly person were taken to the study. The average of age was 75,4 ± 7,3 years. It is summarized that demografic, cognitive, mood, functionality, verifies quality of life assessment mutual distribution among the sexes in research population. Illiteracy rates (p = 0,04), female gender (p < 0,001) demans diagnosis and positive scanning of cognitif disorders (p = 0,04 / p < 0,001), dependence on ambulation (p < 0,001), fear of falling (p = 0,001), the prevelance of chronic pain (p < 0,001), uriner incontinans (p < 0,001), malnutrition (p = 0,002) are more common in depressed patient. But there is no significant difference for the preserce of fall DM HT obesity. Depressive events were more elder, more morbidity, more using drugs and scores of fragility are higher score of ADL, IADL, CDT, MNA, EQ5D and subjective health situation were less than other people. Depressive mood related factors in regression analyze (the dependent variable is depressive scanning positive, the independent variables are age, gender, education, the number of drug and disease, malnutrition, fragility the presence of cognitive disorders, DLA scores, life quality score) female sex (p = 0,027) the cognitive of screening test positive (p = 0,005) and low quality o life was (p = 0,014).
Conclusion: Female gender, cognitif disorder, poor quality of life are outstanding risk factor for depressed mood in elders who live in society mood situation assessment is specially important in elders who have this risk factor.