Mediating effect of life events between elderly depression and chronic somatic disease and thieir nursing counter-measures

doi:10.3969/j.issn.1009-6493.2016.05.010

Abstract：Objective:To probe into the explaining function of life events between elderly depression and chronic somatic disease.Methods:A total of 500 old peoples were selected by using the convenient sampling method,and they received the questionnaire investigation by using geriatric mental status scale(GMS),elderly health status and related factors questionnaire,then to do statistical analysis for the survey results.Results:Elderly depression had a significant correlation with the number of chronic somatic diseases(B=1.298,P<0.01),when the num-ber of life events was also added to the mediating effect model,the correlation strength between elderly depres-sion and chronic somatic diseases changed to 0.937,which reduced 27.81%,but the correlation between elderly depression and number of chronic somatic diseases remained significant(B=0.332,P<0.01),which showed that the life events played a partial mediating effect between the elderly depression and chronic somatic disea-ses.In depth analysis found that the“economic difficulties”and“health deterioration”event had partial media-ting effect between the elderly depression and chronic somatic diseases.In addition,the number of chronic so-matic diseases had positively correlation with the “self assessment of economic difficulties”event(r=0.158,P<0.01)and “self rating health deterioration”event(r=0.266,P<0.01).Conclusion:Some life events played a partial mediating effect between the elderly depression and chronic somatic diseases,we should take various measures to prevent elderly depression,reduce the elderly depression patients complicating with more chronic somatic diseases.