三峡库区移民与非移民老年人身心健康状况的调查  

A survey of physical and psychological health status of senior emigrants and non-emigrants in Three Gorges Reservoir area

作　　者：汪波[1] 杨辉[1] 宁洁[1] 范征莉[1] 刘智[1] 邱建国[1] 周建初[1] 

机构地区：[1]重庆市精神卫生中心,401147

出　　处：《重庆医学》2011年第17期1677-1679,共3页Chongqing medicine

基　　金：重庆市卫生局医学科研项目(08-2-315)

摘　　要：目的研究三峡库区老年移民群体身心健康状况。方法采用多级分层随机抽样法选择三峡库区年龄在60岁及以上的老年人进行调查,按是否移民,将其分为移民组(n=376)与对照组(n=228),应用自编老年人状况调查表、康奈尔医学指数(CMI)及社会支持评定量表(SSRS)对其一般情况、身心健康状况及社会支持度进行研究。结果移民组一般情况与对照组比较差异无统计学意义(P>0.05);移民组CMI总分为(30.03±11.68)分,比对照组CMI总分[(27.73±13.32)分]高(P<0.05),移民组身心障碍阳性检出率与对照组比较,差异无统计学意义(P>0.05),两组的精神症状第1主因子均为抑郁,贡献率分别为39.248%及41.958%(P>0.05);与对照组比较,移民组的主观社会支持度较低(P<0.01)。结论三峡库区老年移民身心健康总体水平低于非移民者,但二者身心障碍无明显差异。Objective To study the physical and psychological health status of senior emigrants and non-emigrants in Three Gorges Reservoir area.Methods Multistage stratified random sampling method was employed to choose senior people over 60 years old in Three Gorges Reservoir area,and divided them into emigrant group（n=376） and control group（n=228） according to whether they were emigrants.Self-made questionaire of senior people situation,Cornell medical index（CMI） and social support rating scale（SSRS） were adopted to analyze their general situation,physical and psychological health status and social support rating.Results Comparison with general situation of emigrant group and control group,there was no statistically difference（P0.05）.Total score of CMI in emigrant group was（30.03±11.68） points,which was higher than that in control group[（27.73±13.32）points]（P0.05）.Comparison with emigrant group and control group,no statistically difference was showed in positve detectable rates of somatopyschic disturbance（P0.05）.The first major factor of psychiatric symptom of emigrant group and control group were both depression,with the contribution rates were 39.248% and 41.958%,respectively（P0.05）.Subjective social support rate of emigrant group was lower,compared to that in control group（P0.01）.Conclusion The overall level of physical and psychological health of senior emigrants is lower than that of senior non-emigrants in Three Gorges Reservoir area,but no significant difference observed in somatopyschic disturbance between them.

关 键 词：老年人身心健康评价 移民 康奈尔医学指数 社会支持 三峡库区 

分 类 号：R592[医药卫生—老年医学]