画面定格一位老人扶栏上台阶的瞬间：一手扶栏杆、一手扶膝，神情专注，脚边的白猫回头张望。作品以简洁线条呈现老年生活中的平衡与安全议题，也留下陪伴的暖意。
图背后的故事
目的：估计空巢老年人的抑郁症状发生情况与生活质量，并考察相关影响因素。方法：该横断面研究于 2022 年 2 至 5 月进行，便利抽取成都市居住的 60 岁及以上空巢与非空巢老年人，使用 WHOQOL-BREF 评估生活质量，使用 15 项老年抑郁量表评估抑郁症状，并用多变量 logistic 回归分析。结果：共纳入 2,026 名参与者；摘要报告空巢老年人中有 660/1,082 人出现抑郁症状，同时将该比例写为 39.0%，两者数值不一致，需按原文谨慎阅读。年龄及患有两种或以上慢性病与更高的抑郁症状风险相关，体育活动、身体健康、心理健康及生活质量总分与较低风险相关。结论：抑郁症状是空巢老年人常见的心理健康问题；年龄、两种或以上慢性病及体育活动是相关重要因素，空巢老年人的生活质量评分较低。
论文摘要（中文译文 · 原文）
中文译文 摘要 目的 估计空巢老人抑郁症状与生活质量（QoL）的流行水平，并考察相关影响因素。方法 这是一项横断面研究，于2022年2月至5月开展，在成都市便利抽样招募非空巢与空巢老年人（≥60岁）。采用 WHOQOL-BREF 量表评估生活质量，老年抑郁量表（GDS-15）评估抑郁症状，采用多因素 logistic 回归分析各自变量与抑郁症状的关系。结果 共纳入2026名受试者；空巢老人中39.0%（660/1082）存在抑郁症状。年龄（aOR 1.02，95% CI 1.00–1.04，P = 0.046）与慢性病≥2种（aOR 3.29，95% CI 2.50–4.33，P < 0.001）与抑郁症状风险升高相关；体力活动（aOR 0.59，95% CI 0.40–0.87，P = 0.008）、生理健康（aOR 0.93，95% CI 0.88–0.99，P = 0.026）、心理健康（aOR 0.93，95% CI 0.87–0.98，P = 0.013）及总分（aOR 0.97，95% CI 0.96–0.99，P < 0.001）与风险降低相关。结论 抑郁症状是空巢老人常见的心理健康问题；年龄、慢性病≥2种与体力活动是影响抑郁症状的重要因素，空巢老人的生活质量得分更低。关键词：空巢老人；生活质量；抑郁；心理健康；WHOQOL-BREF
Abstract Objectives To estimate the prevalence of depression symptoms and quality of life (QoL) and examined the influence of factors in the empty nest elderly. Methods This was a cross-sectional study, which was conducted from February 2022 to May 2022. We recruited a convenience sample of no empty-nest elderly and empty-nest elderly (≥60 years) living in Chengdu. QoL was assessed using WHOQOL-BREF, Geriatric Depression Scale (GDS-15) was used to assess depression symptoms. Multivariable logistic regression was used to analyze data between independent variables with depression symptoms. Results Two thousand twenty-six participants were included in this study, 39.0% (660/1,082) experienced depression symptoms among empty-nest elderly. Age (aOR, 1.02; 95% CI, 1.00–1.04; P = 0.046), chronic disease≥2 (aOR, 3.29; 95% CI, 2.50–4.33; P < 0.001) were associated with increased risk of depression symptoms, and physical activity (aOR, 0.59; 95% CI, 0.40–0.87; P = 0.008), physical health (aOR, 0.93; 95% CI, 0.88–0.99; P = 0.026), psychological health (aOR, 0.93; 95% CI, 0.87–0.98; P = 0.013), and total score (aOR, 0.97; 95% CI, 0.96–0.99; P < 0.001) were associated with decreased risk of depression symptoms among empty-nest elderly. Conclusions Depression symptoms are common mental health problems among empty-nest elderly. We found that age, chronic disease ≥2 and physical activity were important factors that have an impact on depressive symptoms. Empty-nest elderly would have lowered QoL score. Keywords: empty-nest elderly, quality of life, depression, mental health, WHOQOL-BREF