城市移居老年人生存质量与心理健康状况的调查分析  

Investigation and Analysis on Quality of Life and Mental Health Status of Urban Elderly Migrants

作　　者：王素芬[1] 刘国清[1] 李薇[1] 丁阳阳 Wang Su-fen;Liu Guo-qing;Li Wei;Ding Yang-yang(Nanchong Mental Health Center of Sichuan Province(Nanchong Second People's Hospital),Nanchong 613700,Sichuan Province,China)

机构地区：[1]四川省南充精神卫生中心(南充市第二人民医院),四川南充613700

出　　处：《中国社区医师》2022年第36期47-49,61,共4页Chinese Community Doctors

摘　　要：目的:分析四川省南充市移居老年人的生存质量、心理健康状况及其影响因素。方法:2019年6-12月,采用随机抽样法在南充市顺庆区移居老年人居住较多的社区选取410人作为调查对象,根据是否移居分为研究组和对照组。由专业人员依据自编一般情况调查表、症状自评量表(SCL-90)、生存质量量表(WHOQOL-BREF)对两组老年人进行生存质量测评和心理健康状况调查。结果:两组生存质量评分比较,差异无统计学意义(P>0.05)。多元回归分析显示,影响移居老年人心理健康的因素包括生活自理能力、文化程度、原居住地、原职业、日常主要活动、患病情况及家庭月收入等。躯体化、强迫状态、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执等不良心理状况与生存质量呈负相关。结论:城市移居老年人与非移居老年人的生存质量无显著差异,但移居老年人存在更多心理健康问题,应及时进行专业系统的心理健康知识普及和心理疏导等,以提升城市移居老年人的心理健康水平。Objective: To analyze the quality of life and mental health status of the elderly migrants in Nanchong City of Sichuan Province and the influencing factors. Methods: From June 2019 to December 2019, 410 people were selected by using random sampling method as survey subjects from communities with more elderly migrants in Shunqing District of Nanchong City, and they were divided into study group and control group according to whether or not they were migrated. Using the self-prepared general condition questionnaire, Symptom Checklist Scale(SCL-90) and quality of life scale(WHOQOL-BREF), the quality of life assessment and mental health status of the elderly in the two groups were investigated by professional staff. Results: There was no significant difference in quality of life scores between the two groups(P>0.05). Multiple regression analysis showed that the factors affecting the mental health of the elderly migrants were self-care ability, education level, original place of residence,original occupation, main daily activities, illness and family monthly income. Adverse psychologic status such as somatization,obsessive-compulsive state, interpersonal sensitivity, depression, anxiety, hostility, terror, and paranoia were negatively correlated with the quality of life. Conclusion: There is no significant difference in the quality of life between the urban migrant elderly and the non-migrant elderly, but there are more mental health problems in migrant elderly. Professional and systematic popularization of mental health knowledge and psychological counseling should be carried out in time to improve the mental health level of urban migrant elderly.

关 键 词：移居老年人 生存质量 心理健康状况 

分 类 号：R161.7[医药卫生—公共卫生与预防医学] D669.6[政治法律—政治学]