福州城市社区老年人抑郁状况及与生活质量的关系  

Depression status of the elderly and its relationship with quality of life in community of Fuzhou city

作　　者：贾丽娜[1] 庄海林[1] 王小燕[1] 刘菲菲[1] 陈碧英 林欲静 

机构地区：[1]福建卫生职业技术学院预防医学教研室,福州350101 [2]福州市鼓楼区南街街道社区卫生服务中心 [3]福州市台江区卫生局社区卫生保健科

出　　处：《中华老年医学杂志》2011年第11期970-973,共4页Chinese Journal of Geriatrics

基　　金：福建省教育厅科技基金（JB09256）

摘　　要：目的了解福州城市社区老年人的抑郁状况及其与生活质量的关系。方法采用分层随机抽样方法，应用老年抑郁量表（GDS）和SF36健康调查简表对福州市12个社区共3285例≥60岁的老年人进行问卷调查。结果福州城市社区老年人抑郁症状者1981例，发生率为60．3％，老年女性抑郁症状发生率高于男性（χ^2=7．561，P〈0．01）；老年人抑郁症状发生率随增龄而上升（P〈0．01）；随受教育程度提高而下降（P〈0.01）；随月收入增加呈下降趋势（P〈0．05）；无配偶老年人高于有配偶老年人（P〈0.01）；医疗费用自费的老年人高于有医保的老年人（P〈0．01）；独居老年人高于非独居老年人（P〈0.01）；无抑郁症状老年人生理功能（PF）、生理职能（RP）、躯体疼痛（BP）、总体健康（GH）、活力（VT）、社会功能（SF）、情感功能（RE）、精神健康（MH）各项评分值（78．0±19．2）分、（62．7±39．7）分、（94．1±12．3）分、（57．9±12．0）分、（74．3±14．9）分、（83．0±20．1）分、（64．3±39．1）分、（73．8±14．8）分和生活质量总分（73．5±13．6）分均高于有抑郁症状老年人各项评分值（65．9±22．6）分、（45．3±37．8）分、（89．5±15．2）分、（50．8±11．4）分、（59．8±15．9）分、（70．5±20．9）分、（44．7±37．8）分、（60．6±15．6）和生活质量总分（60．9±14．0）分（均P〈0．01）；不同程度抑郁症状老年人各维度得分间差异均有统计学意义（均P〈0.01），抑郁程度加重，各维度得分随之降低；抑郁与生活质量各维度得分及总分均呈负相关（P〈0.01）。结论福州城市社区老年人抑郁症状发生率较高，社区卫生服务应重点关注女性、高龄、无配偶、低文化、低收入、无医保和独居老年人群，采取相应措施减低抑郁症状发生，提高老年人生活质量。Objective To investigate the status of depression and its relationship with quality of life in Fuzhou city community Methods With stratified random sampling method, 3285 elderly people （age≥ 60 years） in 12 communities of Fuzhou city were investigated by SF36 health survey questionnaire and Geriatric Depression Scale （GDS） Results The number of the elderly with depression was 1981 （60.3%）. The incidence of depression in the female elderly was statistically higher than male（χ^2 =7. 561,P〈0.01）. The incidence of depression increased with age（P〈0.01）, and declined with higher education （P 〈 0. 01 ） and income （P 〈 0.05）. The higher incidence of depression appeared in the elderly with no spouse, paying for medical expenses themselves, living alone（all P〈0.01）. The scores of physiological functions （PF）, physiological role （RP）, body pain （BP）, general health （GH）, vigor （VT）, social function （SF）, emotional role （RE）, mental health （MH） and quality of life in the elderly without depression （78.0±19.2, 62.7±39.7, 94.1±12.3, 57.9±12. 0, 74. 3±14. 9, 83. 0±20. 1, 64. 3± 39. 1, 73.8± 14.8, and 73.5 ±13.6, respectively） were higher than in the elderly with depression （65.9±22.6,45.3±37.8,89.5±15.2, 50.8±11.4, 59.8±15.9,70.5±20.9, 44.7±37.8, 60.6±15.6 and 60.9±14.0, respectively） （P〈0.01）. All scores had significant differences among different levels of depression（P〈0.01 ）and the dimension scores decreased with serious depression. Depression was negatively correlated with various dimensions of quality of life and total score（P〈0.01）. Conclusions The incidence of depression of the elderly in Fuzhou city is high. There are negative correlations of depression with quality of life scores and total score of various dimensions. The community nursing service should emphasize on the elderly who are female, advanced age, no spouse, poor-education, low income, no medical insurance and live alone, then take appropr

关 键 词：抑郁 生命质量 因素分析 统计学 

分 类 号：R749.4[医药卫生—神经病学与精神病学]