乌鲁木齐市社区老年人心理健康状况与肌少症的相关性分析  

Correlation analysis between mental health and sarcopenia of the elderly in Urumqi community

作　　者：车雅洁 热孜万古丽·艾尼瓦 蒋昕 杨璇璇 郑双峰 颜萍 CHE Yajie;Rezivanguli Eniva;JIANG Xin;YANG Xuanxuan;ZHENG Shuangfeng;YAN Ping(College of Nursing,Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830000,China)

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830000

出　　处：《中国医药导报》2022年第3期46-50,共5页China Medical Herald

基　　金：新疆维吾尔自治区自然科学基金资助项目(2019D01C211);新疆维吾尔自治区研究生科研创新项目(XJ2020G207)。

摘　　要：目的研究乌鲁木齐市社区老年人抑郁、焦虑状态现状与肌少症的相关性及其影响因素,为后期制订相应的干预措施提供依据。方法采用方便抽样法,于2019年7月至12月选取乌鲁木齐市水磨沟区60岁及以上的社区老年人,利用Ishii评分筛查诊断肌少症,9项患者健康问卷、7项广泛性焦虑障碍量表评估老年人心理状态。结果447例社区老年人中,年龄60~94岁,平均(73.14±7.53)岁,肌少症患病人数为178例(39.8%)。肌少症老年人中抑郁症状发生人数为63例(35.39%),焦虑症状发生人数为55例(30.90%)。社区肌少症老年人抑郁、焦虑是否发生,与性别、居住状况有关,差异有统计学意义(P<0.05)。两组抑郁、焦虑发生率比较,差异有统计学意义(P<0.05)。两组抑郁症状程度、焦虑症状程度比较,差异有统计学意义(P<0.05)。社区老年人肌少症抑郁、焦虑现状相关性分析显示,抑郁评分(r=0.105)、抑郁严重程度(r=0.126)、焦虑评分(r=0.096)与肌少症呈正相关(P<0.05)。结论不良的心理状态会对肌少症老年人睡眠、饮食、日常生活活动能力等方面产生负面影响,提示社区卫生保健人员应及时发现肌少症老年人心理问题,并给予早期干预,通过心理状态的改变,也可改善一些不良的生活方式,减少不良结局的发生。Objective To study the correlation between the status of depression and anxiety of the elderly in Urumqi community and sarcopenia and its influencing factors,and to provide a basis for formulating corresponding intervention measures in the later period.Methods The convenience sampling method was adopted to select community elderly people aged 60 and above in Shuimogou District,Urumqi City from July to December 2019.The Ishii score was used to screen and diagnose sarcopenia,nine patient health questionnaires,seven generalized anxiety disorder scales to assess the mental state of the elderly.Results Among the 447 elderly in the community,they were 60 to 94 years old,with an average of(73.14±7.53)years old,and the number of patients with sarcopenia was 178 cases(39.8%).Among the elderly with sarcopenia,63 cases(35.39%)had depression symptoms,and 55 cases(30.90%)had anxiety symptoms.Whether depression or anxiety occurs in elderly people with sarcopenia in the community was related to gender and housing status,and the differences were statistically significant(P<0.05).There was a statistically significant difference in the incidence of depression and anxiety between the two groups(P<0.05).There was a statistically significant difference in the degree of depression and anxiety symptoms between the two groups(P<0.05).Correlation analysis of the status of depression and anxiety in elderly people with sarcopenia in the community showed that depression scores(r=0.105),depression severity(r=0.126),and anxiety scores(r=0.096)were positively correlated with sarcopenia(P<0.05).Conclusion Poor mental state will have a negative impact on sleep,diet,and activities of daily living in the elderly with sarcopenia.It is suggested that community health care personnel should find out the psychological problems of the elderly with sarcopenia in time,and give early intervention.Through the change of mental state,some bad lifestyles can also be improved and the occurrence of bad outcomes can be reduced.

关 键 词：社区肌少症老年人 Ishii评分筛查 抑郁 焦虑 

分 类 号：R476.3[医药卫生—护理学]