COVID-19疫情期间低风险地区长时间全封闭管理老人心理状态及影响因素的研究  

Study on the psychological status and influencing factors in the elderly living in nursing home under long-term fully closed management during the epidemic period of COVID-19 in low risk area

作　　者：陈秀益 陈喆 马金霖 宋佳牡 CHEN Xiu-Yi;CHEN Zhe;MA Jin-lin;SONG Jia-mu(Medical and Nursing Department,Geriatric Hospital of Nanjing Medical University,Nanjing 210009,China;Nanjing Jiangning Muchunyuan Nursing Home,Nanjing 211100,China)

机构地区：[1]南京医科大学附属老年医院(江苏省老年病医院)医养结合部,江苏省南京市210024 [2]南京江宁沐春园护理院,江苏省南京市211100

出　　处：《实用老年医学》2020年第12期1329-1332,共4页Practical Geriatrics

摘　　要：目的探讨2019新型冠状病毒肺炎(COVID-19)疫情期间低风险地区因防控实施全封闭管理住养老人的心理状态变化以及影响因素。方法对COVID-19疫情背景下经历73 d全封闭管理护理院老人进行横断面调查,采用焦虑筛查量表(GAD-7)、老年抑郁量表(GDS-15)评估老人焦虑、抑郁的发生率,通过Logistic回归分析影响焦虑、抑郁的相关因素。结果参与调研的368名老人中,焦虑发生率为33.2%,抑郁发生率为29.7%。二元多因素Logistic回归分析显示,焦虑和抑郁的影响因素都包括女性(OR=1.80、1.85)、合并多种慢性病(OR=3.01、3.76)、家人参与疫情防控工作(OR=2.49、2.78)以及与家人沟通频率低(OR=3.56、3.69)。结论COVID-19疫情流行期间低风险地区全封闭管理的护理院老人抑郁和焦虑发生率显著升高,女性、具有多种慢性疾病史、家人参与疫情防控工作以及与家人沟通频率低会显著增加抑郁与焦虑的风险。Objective To study the changes of mental health and the influencing factors in the elderly living in nursing home under long-term fully closed management during the epidemic period of COVID-19 in low risk area.Methods Cross-sectional survey was carried out in 368 elderly persons living in nursing home who completed fully closed management.Generalized anxiety disorder(GAD-7)and Geriatric Depression Scale(GDS-15)were used to assess the incidence rates of anxiety and depression in the elderly.The related factors affecting anxiety and depression were analyzed by Logistic regression analysis.Results The incidence rate of anxiety was 33.2%,and the incidence rate of depression was 29.7%.Binary multi-factor Logistic regression showed that female,chronic diseases,family involvement in epidemic prevention and low communicating frequency with family were risk factors of anxiety and depression.Conclusions There was a significant increase in the incidence of depression and anxiety among the elderly living in nursing home under long-term fully closed management during the epidemic period of COVID-19.The factors such as female,chronic diseases,family involvement in epidemic prevention and low communicating frequency with family could increase the risk of anxiety and depression.

关 键 词：COVID-19 老年人 抑郁 焦虑 影响因素 

分 类 号：R395.1[哲学宗教—心理学]