Objective  To investigate the occurrence of perioperative depression in senile osteoporotic fractures and its influencing factors.

  Methods  Two hundred elderly patients with osteoporotic fractures were selected as research objects by convenience sampling. Occurrence and influencing factors of depression in patients were investigated, the correlations between the factors and the occurrence of depression were analyzed.

  Results  Preoperative depression occurred in 64 patients, accounting for 32.00%(64/200); depression occurred in 56 patients 7 d after operation, accounting for 28.00%(56/200); depression occurred in 37 patients 14 d after operation, accounting for 18.50%(37/200). Gender, nutritional status, weakness, social and family support status and sleep status were the influencing factors of depression in elderly patients with osteoporotic fractures (P < 0.05). Gender, social and family support, sleep disturbance, nutritional risk and weakness were positively correlated with depression in patients with osteoporotic fractures (P < 0.05).

  Conclusion  The incidence of depression in aged patients with osteoporotic fractures is significantly higher before surgery and 7 d after surgery than that of 14 d after surgery.Social and family support, nutritional risk, weakness, gender, and sleep disorders are the main factors affecting depression.