Factors Related to Depression Among Elderly Patients with Pressure Ulcers in Wenzhou, China
คำสำคัญ:
Pressure ulcer, depression, self-care ability, mental health literacy, social supportบทคัดย่อ
This study aimed to describe post-PU depression and to investigate the factors related to post-PU depression among elderly patients with pressure ulcers in Wenzhou, China. A simple random sampling method was used to recruit the sample of 128 elderly patients with PU in the Second Affiliated Hospital of Wenzhou Medical University. Research instruments included Demographic questionnaire, the Appraisal of Self-care Agency Scale-Revised (ASAS-R), the Beck Depression Inventory-II (BDI-II), the mental health literacy scale (MHLS) and the Multidimensional Scale of Perceived Social Support (MSPSS). Data collected from July to December, 2023. Descriptive statistics and Pearson’s product moment correlation were used to analyze the data.
The results revealed that the sample had mild depression (18.75%) and severe depression (5.47%). For correlation analysis, depression after pressure ulcer was significantly correlated with social support (r = -.439, p < .001) and self-care ability (r = -.465, p < .001). While mental health literacy was not significantly correlated with depression after pressure ulcer.
These findings suggest that Nurses and other health care providers should apply these study results to develop interventions or programs aimed at reducing the incidence of depression in patients with pressure ulcers by focusing on social support and self-care ability.
เอกสารอ้างอิง
Artico, M., Piredda, M., D'Angelo, D., Lusignani, M., Giannarelli, D., Marchetti, A., De Chirico, C., Mastroianni, C., & De Marinis, M. G. (2020). Prevalence, incidence and associated factors of pressure injuries in hospices: A multicentre prospective longitudinal study. International Journal of Nursing Studies, 111, 103760. https://doi.org/10.1016/j.ijnurstu.2020.103760
Chao, H.-J., Lien, Y.-J., Kao, Y.-C., Tasi, I.-C., Lin, H.-S., & Lien, Y.-Y. (2020). Mental Health Literacy in Healthcare Students: An Expansion of the Mental Health Literacy Scale. International Journal of Environmental Research and Public
Dallam, L., Smyth, C., Jackson, B. S., Krinsky, R., O'Dell, C., Rooney, J., Badillo, C., Amella, E., Ferrara, L., & Freeman, K. (1995). Pressure ulcer pain: assessment and quantification. Journal of Wound, Ostomy, and Continence Nursing: Official Publication of The Wound, Ostomy and Continence Nurses Society, 22(5), 211–218. https://doi.org/10.1097/00152192-199509000-00007
Ding, K. R., Wang, S. B., Xu, W. Q., Lin, L. H., Liao, D. D., Chen, H. B., Tan, W. Y., Huang, J. H., Hou, C. L., & Jia, F. J. (2022). Low mental health literacy and its association with depression, anxiety and poor sleep quality in Chinese elderly. Asia-Pacific Psychiatry: Official Journal of the Pacific Rim College of Psychiatrists, 14(4), e12520. https://doi.org/10.1111/appy.12520
Fok, M. S., & Wong, T. K. (2003). Testing Orem's Self-Care Agency and Basic Conditioning Factors in a Chinese community undergoing haemodialysis. Contemporary nurse, 15(3), 262–272. https://doi.org/10.5172/conu.15.3.262
Fu X. (2005). Skin ulcers in lower extremities: the epidemiology and management in China. The international journal of lower extremity wounds, 4(1), 4–6. https://doi.org/10.1177/1534734605274659
Gariépy, G., Honkaniemi, H., & Quesnel-Vallée, A. (2016). Social support and protection from depression: systematic review of current findings in Western countries. The British journal of psychiatry: the journal of mental science, 209(4), 284–293. https://doi.org/10.1192/bjp.bp.115.169094
Guo, Y., Chen, Z. M., Zhang, Y. X., Ge, Y. B., Shen, C. H., Ding, Y., Wang, S., Tang, Y. L., & Ding, M. P. (2015). Reliability and validity of the Chinese version of the Neurological Disorders Depression Inventory for Epilepsy (C-NDDI-E). Epilepsy & behavior: E&B, 45, 225–228. https://doi.org/10.1016/j.yebeh.2015.01.019
Hajhosseini, B., Longaker, M. T., & Gurtner, G. C. (2020). Pressure Injury. Annals of surgery, 271(4), 671–679. https://doi.org/10.1097/SLA.0000000000003567
Hannan, J., Alce, M., & Astros, A. (2016). Psychometric properties of the newly translated creole multidimensional scale of perceived social support (MSPSS) and perceived adequacy of resource scale (PARS) and the relationship between perceived social support and resources in Haitian mothers in the US. BMC Psychology, 4, 7. https://doi.org/10.1186/s40359-016-0113-8
Huang, C. Y., Chen, W. K., Lu, C. Y., Tsai, C. C., Lai, H. L., Lin, H. Y., Guo, S. E., Wu, L. M., & Chen, C. I. (2015). Mediating effects of social support and self-concept on depressive symptoms in adults with spinal cord injury. Spinal Cord, 53(5), 413–416 (2015). https://doi.org/10.1038/sc.2014.158
Jafari, A., Moshki, M., Naddafi, F., Ghelichi-Ghojogh, M., Armanmehr, V., Kazemi, K., & Nejatian, M. (2024). Depression literacy, mental health literacy, and their relationship with psychological status and quality of life in patients with type 2 diabetes mellitus. Frontiers in Public Health, 12, 1421053.
Kris-Etherton, P. M., Petersen, K. S., Després, J. P., Anderson, C. A. M., Deedwania, P., Furie, K. L., Lear, S., Lichtenstein, A. H., Lobelo, F., Morris, P. B., Sacks, F. M., & Ma, J. (2021). Strategies for promotion of a healthy lifestyle in clinical settings: Pillars of ideal cardiovascular health: A science advisory from the American Heart Association. Circulation, 144(24), e495–e514. https://doi.org/10.1161/CIR.0000000000001018
Ming, Z.-j., Chen, Z.-y., & Wang, Y.-x. (2021). Reliability and validity of multicomponent mental health literacy measure-Chinese version in male military personnel. Chinese Journal of Public Health, 37(1), 86-91. doi:https://kns.cnki.net/kcms/detail/21.1234.R.20190829.1305.008.html
O'Connor, M., & Casey, L. (2015). The mental health literacy scale (MHLS): A new scale-based measure of mental health literacy. Psychiatry Research, 229(1-2), 511–516. https://doi.org/10.1016/j.psychres.2015.05.064
Peyrot, M., Peeples, M., Tomky, D., Charron-Prochownik, D., Weaver, T., & AADE Outcomes Project and AADE/UPMC Diabetes Education Outcomes Project (2007). Development of the American Association of Diabetes Educators' Diabetes self-management assessment report tool. The Diabetes Educator, 33(5), 818–826. https://doi.org/10.1177/0145721707307614
Sousa, V. D., Zauszniewski, J. A., Bergquist-Beringer, S., Musil, C. M., Neese, J. B., & Jaber, A. F. (2010). Reliability, validity and factor structure of the appraisal of self-care agency scale-revised (ASAS-R). Journal of Evaluation in Clinical Practice, 16(6), 1031–1040. https://doi.org/10.1111/j.1365-2753.2009.01242.x
Steer, R. A., Rissmiller, D. J., & Beck, A. T. (2000). Use of the Beck depression inventory-II with depressed geriatric inpatients. Behaviour Research and Therapy, 38(3), 311–318. https://doi.org/10.1016/s0005-7967(99)00068-6
Wang, Q., Wang, Q., Ji, Y., Chen, K., Li, K., Jia, F., & Peng, T. (2024). Construction and validity of Chinese translation of the universal mental health literacy scale for adolescents. International Journal of Mental Health Promotion, 26(8), 671-677. doi:10.32604/ijmhp.2024.053127
Wang, Z., Yuan, C.-M., Huang, J., Li, Z.-Z., Chen, J., Zhang, H.-Y., Fang, Y.-R., & Xiao, Z.-P. (2011). Reliability and validity of the Chinese version of Beck depression inventory-II among depression patients. Chinese Mental Health Journal, 25(6), 476–480.
ดาวน์โหลด
เผยแพร่แล้ว
รูปแบบการอ้างอิง
ฉบับ
ประเภทบทความ
สัญญาอนุญาต

อนุญาตภายใต้เงื่อนไข Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

