西安市养老机构老年人生活事件与心理健康的关系  

Study of the relationship between life eventsand mental health of the elderly who live in nursing homes

作　　者：化前珍[1] 徐巧玲[1] 陈长生[2] 关锐[1] 马艳[3] 王波[2] 范燕燕[1] 郑晓莉[1] 

机构地区：[1]第四军医大学护理系基础护理学教研室 [2]第四军医大学军事预防医学系统计学教研室 [3]第四军医大学西京医院老年病科,陕西西安710033

出　　处：《第四军医大学学报》2009年第22期2682-2684,共3页Journal of the Fourth Military Medical University

基　　金：陕西省科技攻关基金[2007K15-03(1)]

摘　　要：目的:了解西安市养老机构老年人生活事件的发生情况及其对老年人心理健康的影响.方法:采取生活事件调查表和简明健康测量量表(SF-36)对随机整群抽样的16所养老机构内462名60岁及以上老年人进行评估.结果:收回有效问卷440份,其中2年内有59.1%的老年人曾遭遇过生活事件;有27.7%曾遭遇2种以上生活事件.SF-36心理健康情感职能(RE)、社会功能(SF)、活力(VT)、精神健康(MH)等4个维度的总分均值为287.9±71.8;2年内遭遇健康恶化、经济困难、财物损失、不愉快经历、亲友冲突的老年人,其心理健康水平较差(P<0.05).线性回归分析结果显示,健康恶化、经济困难、不愉快经历是影响其心理健康的重要危险因素.结论:遭遇生活事件尤其是负性生活事件可严重影响老年人的心理健康;健康恶化、经济困难、不愉快经历是促进老年人心理健康的重点干预内容.AIM：To explore the situation of life events that happens in the elderly in nursing homes,and its influence on their mental health.METHODS：Sixteen nursing homes in Xi＇an were chosen by random cluster sampling method,The life events and the medical outcomes study 36-Item short-form health survey（SF-36）questionnaires were administered to 462 of the institutional elderly who were glad to attend this study.RESULTS：A total of 440 qualified questionnaires were collected.More than half of the subjects（59.6%）had suffered some kinds of life events during the last two years,27.7% of them suffered more than two kinds of life events.The total mental health score（role emotion,social function,vitality,mental health）was 287.9±71.8.Those who had suffered life events,especially the passive ones（health aggravation,financial difficulty,losing things or money,unhappy experiences,conflictsamong relatives）,also had a lower mental health score.Health aggravation,financial difficulty,unhappy experiences were three main negative life events which influenced the mental health.CONCLUSION：Passive life events have a bad influence on the mental health of the old,interventions on how to deal with health aggravation,financial difficulty,unhappyexperiences were the main point to promote the elderly＇s mental health.

关 键 词：养老机构 老年人 生活事件 心理健康 横断面研究 

分 类 号：R19[医药卫生—卫生事业管理]