养老机构老年人抑郁发生率与负性生活事件的相关性  

Correlation between Depression Rate and Negative Life Affairs of Senile People in Nursing Homes

作　　者：化前珍[1] 郑晓莉[2] 徐莎莎[1] 徐巧玲[1] 尼春萍[1] 陈长生[3] 张磊[3] 张美霞[4] 

机构地区：[1]第四军医大学护理系,西安710032 [2]空军临潼航空医学鉴定训练中心,西安710600 [3]第四军医大学军事预防医学系 [4]第四军医大学西京医院康复理疗科

出　　处：《解放军护理杂志》2011年第13期14-16,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：陕西省社会科技攻关课题[2007K15-03(1)]

摘　　要：目的探讨西安市养老机构老年人抑郁发生率与负性生活事件的相关性。方法采用整群抽样的方法抽取西安市20所养老机构的473名老年人进行老年抑郁症状评定、一般情况和负性生活事件的调查,采用描述性分析、χ2检验、Spearman相关和Logistic多元回归分析数据。结果养老机构老年人抑郁症状发生率为31.3%。经历负性生活事件的老年人抑郁发生率高于未经历者,且随着经历负性生活事件数目的增多,抑郁发生率也随之增高(P<0.01);Logistic多元回归分析显示,负性生活事件中的健康恶化、经济困难和不愉快经历是导致老年人抑郁发生的重要因素。结论西安市养老机构老年人抑郁发生率高,且与经历负性生活事件密切相关;应开展有针对性的心理疏导,提高老年人的心理健康水平。Objective To investigate the correlation between negative life affairs and depression rate of the senile people in nursing homes in Xi＇an.Methods A total of 473 senile people of 20 nursing homes in Xi＇an were selected by cluster sampling method to evaluate depressive symptoms,general information and negative life events.The data was analyzed using the analysis of Chi-square test,Spearman correlate analysis and logistic regression.Results The total incidence rate of the elderly depression in nursing homes was 31.3%.The analysis confirmed that the senile people with negative life affairs had significantly higher incidence of depression than other groups（P〈0.01）,and with the number of negative life affairs increasing,the occurring rate of depression increased too.Multivariate logistic analysis confirmed that the senile person with health deterioration,economic problem and unhappy event had higher risk to suffer depression.Conclusion The total incidence rate of the elderly depression in nursing home Xi＇an is high and the senile people with negative life affairs had significant correlation with their depression symptoms.So people should develop direction psychological counseling to raise the mental health of senile person.

关 键 词：养老机构 老年人 抑郁症状 负性生活事件 

分 类 号：R395.1[哲学宗教—心理学]