fa شیوع افسردگی در سالمندان در ایران: مرور نظام مند و متاآنالیز مسائل ذهنی و روانشناختی سالمندان Eldely mental and psychological issues مروری Review <strong><span style="font-family:B Nazanin;">مقدمه</span></strong>: <span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">افسردگی یک مشکل شایع در دوران سالمندی است که می</span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">&shy;</span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تواند سلامت یک سالمند را در معرض خطر قرار دهد. بنابراین، این مطالعه با هدف تعیین شیوع افسردگی در سالمندان ایرانی انجام شد. </span></span></span><br> <strong><span style="font-family:B Nazanin;">روش کار</span></strong><span style="font-family:B Nazanin;">:</span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پژوهش</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">روش</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مطالعه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مرور</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نظام&shy;مند</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">فراتحلیل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در بازه زمانی فروردین و اردیبهشت </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">۱۳۹۹</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">انجام شد. </span></span>&nbsp;<span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کلیه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مقالات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مرتبط</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شیوع</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">افسردگی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">سالمندان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ایرانی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">منتشر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شده</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در 6</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پایگاه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">داده&shy;ای</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">موتور</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">جستجوگر</span></span> <span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:12.0pt;">Google Scholar</span></span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تا پایان اردیبهشت سال ۱۳۹۹ </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">جستجو</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ارزشیابی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کیفیتی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شدند</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">. در این مطالعه، </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ناهمگنی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مطالعات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">استفاده</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شاخص</span></span> <span dir="LTR"><span style="font-size:12.0pt;">I² </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">احتمال</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">سوگیری</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">انتشار</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">توسط</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آزمون</span></span> <span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:12.0pt;">Egge</span></span></span><span dir="LTR"><span style="font-size:12.0pt;">r </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مدل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">متارگرسیون</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">برای</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ارزیابی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">متغیرهای</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مظنون</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ناهمگونی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">سطح</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">معناداری ۰۵/۰ بررسی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شد</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">. </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نهایت، </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تعداد 30</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مقاله با نرم افزار </span></span><span dir="LTR"><span style="font-size:12.0pt;">CMA</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> تحلیل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شدند</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">.</span></span><br> <strong><span style="font-family:B Nazanin;">یافته‌ها</span></strong><span style="font-family:B Nazanin;">:</span> <span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بر مبنای مدل تصادفی، شیوع افسردگی در سالمندان </span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در ایران برابر با 15درصد (5/20-8/10 درصد: حدود اطمینان 95</span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">%) بدست آمد. بیشترین شیوع </span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در </span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شهر خرم آباد در سال 1392 برابر با 1/82 درصد (1/89-5/71 درصد: حدود اطمینان </span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">۹۵</span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">%) و کمترین شیوع در خوی در سال 1395 برابر با</span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> 03/0 درصد (9/1-01/0 درصد: حدود اطمینان 95</span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">%) </span></span></span><span style="color:black;"><span style="font-family:B Nazanin;">محاسبه شد. </span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بین حجم نمونه، سال و شیوع افسردگی در سالمندان ایرانی </span>رابطه معناداری وجود داش</span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ت (05/0</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:Times New Roman,serif;"><span style="font-size:12.0pt;">P<</span></span></span></span><span style="color:black;"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">).</span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"></span></span><br> <strong><span style="font-family:B Nazanin;">نتیجه گیری</span></strong><span style="font-family:B Nazanin;">:</span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> شیوع افسردگی در بیش از یک دهم از سالمندان ایرانی رخ می</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">&shy;د</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">هد. <span style="color:black;">افزایش شیوع افسردگی در سالمندان در کشور، علاوه بر تحمیل هزینه، نتایج منفی برای آن&shy;ها نیز به دنبال دارد. بنابراین، سیاستگذاران و مدیران نظام سلامت باید اقدامات جدی برای کاهش آن بکار گیرند.</span></span></span> <strong>Introduction:</strong> Depression is a common problem in old age that can endanger the health of an elderly person. The aim of this study was to determine the prevalence of depression<br> <strong>Methods: </strong>This study was performed using a systematic literature review and meta-analysis in April and May 2020. Six electronic databases and one search engines were searched and evaluated on the prevalence of depression in Iranian elderly until the end of May 2020. Heterogeneity of study was checked using I² index and the possibility of publication bias by Egger test and Meta regression for assessment of variables suspected of heterogeneity at significance level of 0.05. Finally 30 empirical studies were reviewed using CMA.<br> <strong>Re</strong><strong>sult</strong><strong>s</strong>: Based on the random model, the prevalence of depression in Iranian elderly was 15% (95% confidence interval, 10.8% - 20.5%). The highest prevalence was recorded in Koram Abad in 2013, 82.1% (95% CI: 71.5%-89.1%) and the lowest prevalence was 0.03 %( 95% CI: 0.01%-1.9%) in Khoy in 2016. There was a significant relationship between sample size, year and prevalence of depression (P <0.05).<span dir="RTL"></span><br> <strong>Conclusion:</strong> The prevalence of depression occurs in more than one tenth of Iranian elderly. Increasing the prevalence of depression in the elderly in the country, in addition to imposing costs, also has negative consequences for patients<span dir="RTL">.</span> Therefore, health policy makers and managers must take serious actions to reduce it.<br> &nbsp; افسردگی, سالمندان, شیوع Depression, Elderly, Prevalence. 66 77 http://joge.ir/browse.php?a_code=A-10-484-1&slc_lang=fa&sid=1 esfahani پروانه اصفهانی p.isfehani@gmail.com 10031947532846004400 10031947532846004400 Yes zabol university of medical science دانشگاه علوم پزشکی زابل mozhan Afshin مژگان افشین 10031947532846004401 10031947532846004401 No zabol university of medical science دانشگاه علوم پزشکی زابل fatemeh mohammadi فاطمه محمدی 10031947532846004402 10031947532846004402 No zabol university of medical science دانشگاه علوم پزشکی زابل Masoud Arefnezhad مسعود عارف نژاد 10031947532846004403 10031947532846004403 No zabol university of medical science دانشگاه علوم پزشکی زابل