农村丧偶老人抑郁状况及其影响因素的调查  

Investigation of Rural Widowed Old Man Depression Status and It's Influence Factors

作　　者：吴晓莲[1] 雷利霞[1] 周繁华[1] 李晨曦[1] 

机构地区：[1]湘南学院护理学系,湖南郴州423000

出　　处：《解放军护理杂志》2014年第16期32-35,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：湖南省教育厅科学研究项目(10C1241)

摘　　要：目的了解郴州市农村丧偶老人抑郁症状发生的现状及其影响因素。方法 2013年1-2月利用老年人抑郁量表(geriatric depression scale,GDS)及自编的调查表,采取多阶段整群抽样的方法,对郴州市30个村组中60岁以上的1379名老人进行问卷调查。结果丧偶老人的抑郁症状检出率和GDS得分均高于有偶老人:丧偶老人抑郁症状检出率为29.8%,明显高于有偶老人的13.5%;丧偶老人的GDS得分为(16.87±4.37)分,高于有偶老人的(13.19±3.11)分,差异均有统计学意义(均P<0.001);经二分类Logistic回归分析,自理能力(OR=4.743)、是否独居(OR=4.255)、性别(OR=1.690)、罹患慢性病(OR=0.606)是影响丧偶老人抑郁症状发生的重要因素。结论农村丧偶老人已成为抑郁症的高危人群,应重视农村丧偶老人的心理健康问题,采取针对性干预措施,促进丧偶老人的身心健康。Objective To understand the rural widowed elderly depression symptoms and it’s influencing factors in Chenzhou city.Methods Totally 1379 elderly which over the age of 60 were selected and investigated by using Geriatric Depression Scale （GDS）and self-designed questionnaires.Results Widowed old man depressive symptoms of detection rate and GDS score were higher than old man with spouse：widowed old man depression detection rate was 2 9 .8%,which was significantly higher than depressive symptoms detection rate of elderly with spouse of 13.5%;Widowed old man GDS score was16.87＆#177;4.37, which was higher than the elderly with spouse of 13.19＆#177;3.11 （all P〈0.001）;The binary classification Logistic regression analysis,self-care ability（OR=4.743）,whether to live alone （OR=4.255）,gender（OR=1.690）,chronic diseases （OR=0.606）are the main factors influencing the depressive symptoms occur in widowed old men.Conclusion Rural widowed old man has become the people at high risk of depression,so we should pay attention to psychological health problems of the rural widowed old man,and take targeted interventions to promote widowed old man’s physical and mental health.

关 键 词：丧偶老人 抑郁症状 影响因素 农村 

分 类 号：R395.1[哲学宗教—心理学]