摘要
目的了解社区离退休老年人抑郁症状发生情况及影响因素,为改善老年人心理健康提供参考依据。方法采用老年抑郁量表简表及自编问卷,对武汉市4个社区的483名离退休老人进行问卷调查。结果共有130人存在抑郁症状,发生率为20.5%。卡方分析显示,家庭人均收入低、自理能力差、患多种疾病、有孤独感、社会支持和人际关系不好、娱乐活动欠缺的老年人有更高的抑郁症状发生率;Logistic回归分析发现,社会支持、人际关系、家庭人均收入、职业、自理能力、孤独是老年人抑郁症状发生的潜在影响因素;结构方程模型显示,社会功能、身体健康状况、孤独感对老年抑郁症状的影响具有统计学意义(P<0.05)。结论离退休老年人存在一定程度的抑郁症状,与社会功能和身体健康状况、孤独感关系较大,可通过改善社会功能、加强身体锻炼和多参与社会活动、多与人交流等加以预防。
Objectives To investigate the prevalence of geriatric depressive symptoms among the retired old people in community and understand related influence factors in order to provide evidences for the policy which aims to improve mental health of aged people.Methods 483 retired old people in four different communities in Wuhan were investigated with GDS-15 and self-made questionnaires.Results There are 130 people(20.5%) among the participants suffering from geriatric depressive symptoms.Square analysis shows that the incidence rate of geriatric depressive symptoms is much higher among the people who have lower household,poor self-care ability,poor social support and interpersonal relationships,suffer from various diseases,feel lonely and lack of recreational activities.Logistic regression analysis shows that people with different social support,interpersonal relationships,household per capita,previous career,self-care ability and loneliness have significant influence on the incidence rate of geriatric depressive symptoms.Structural equation model analysis shows that geriatric depressive symptoms were associated with social function,physical health status and loneliness status(P<0.05).Conclusions Geriatric depressive symptoms did exist among retired old people and were influenced by social function,physical health status and loneliness status.However,it could be adjusted by social function improvement,body exercises,participation of social activities and communication.
出处
《中国社会医学杂志》
2012年第2期121-124,共4页
Chinese Journal of Social Medicine
基金
联校教育社科医学研究论文奖(YX10003)
关键词
老年人
抑郁症状
影响因素
结构方程模型
Aged population
Depressive symptoms
Influence factor
Structural equation model
