西安市部分社区老年人抑郁症状的流行病学调查  

Epidemiological Study on Senile Depression in Urban Communities of Xi'an City

作　　者：化前珍[1] 范珊红[2] 尼春萍[1] 陈长生[3] 张美霞[4] 徐巧玲[1] 马燕[4] 王波[3] 

机构地区：[1]第四军医大学护理系,西安710032 [2]第四军医大学唐都医院护理部,西安710038 [3]第四军医大学预防医学系,西安710032 [4]第四军医大学西京医院护理部,西安710032

出　　处：《解放军护理杂志》2008年第21期20-23,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：陕西省自然科学基金课题(2003C2-023)

摘　　要：目的探讨西安市部分市社区老年人抑郁症状的发生情况，了解老年人群的心理健康状况。方法采取分层随机整群抽样方法，应用老年抑郁量表（the geriatric depression scale，GDS）及自行编制的危险因素调查表，对西安市3个行政区8个社区1950名≥60岁的老年人进行问卷调查。所得资料用卡方检验和非条件Logistic回归方法进行统计处理。结果老年抑郁症状发生率为24．9％。不同性别、年龄、文化程度、职业、月收入及是否丧偶、独居、有无社会保障的老年人群抑郁症状的发生率有显著差异（P〈0．05）。月收入1000元以下、独居是老年抑郁症状发生的危险因素（OR〉1．5），而70～79岁年龄组抑郁症状发生可能性较60～64岁年龄组低（OR〈0．7）。结论城市社区老年人抑郁症状发生率较高，应引起足够的重视，并给予及时干预和积极疏导，以改善老年人的生活质量，减轻其精神痛苦，维护其良好的社会功能和独立生活能力。Objective To investigate the prevalence of depression and psycholgical health status among the aged population in urban communities of Xi＇an city. Methods A total of 1950 elders aged 60 or above and from 8 communities of Chengsan District in Xi＇an city were recruited in this survey by using stratified and cluster sampling. The Geriatric Depression Scale（GDS） and self-designed questionnaire about risk factors were used, and data were analyzed by chi-square test and unconditional logistic regression. Results The incidence rate of senile depression was 24.9% and there was significant difference among elders with different gender, age, educational level, ocuupation, monthly income,spouses lost or not,living alone or not and having social insurance or not （ P〈 0.05）. The risk factors of senile depression were monthly income less than RMB 1000 and living alone （ OR 〉1.5）,and elders aged from 70 to 79 were more likely to have senile depression than those aged from 60 to 64（ OR 〈 0. 7）. Conclusion There was a high incidence rate of senile depression and it should be attached much importance to. Timely intervention and positive dreding should be given so as to improve their qualities of life, alleviate mental sufferings and maintain quite good social functions and independent living abilities.

关 键 词：城市社区 老年人 抑郁症 危险因素 

分 类 号：R472.2[医药卫生—急诊医学] R395.1[医药卫生—护理学]