上海市某社区老年居民心理健康现状调查  

Investigation on Mental Health Status of Elderly Residents in a Community of Shanghai

作　　者：黄正一 陈晟 严慧艳 陶剑文 侯莉芳 王敬丽 戴俊明[2] 傅华[2] Huang Zhengyi;Chen Sheng;Yan Huiyan;Tao Jianwen;Hou Lifang;Wang Jingli;Dai Junming;Fu Hua(Dachang Community Healh Care Center,Shanghai 200442,China;School of Public Healh,FudeUniversity,Shanghai 200032,China)

机构地区：[1]上海市宝山区大场镇大场社区卫生服务中心,上海200442 [2]复旦大学公共卫生学院,上海200032

出　　处：《健康教育与健康促进》2023年第3期283-285,319,共4页Health Education and Health Promotion

基　　金：上海市宝山区科技创新专项资金(医学卫生项目)(20-E-47)。

摘　　要：目的了解新冠疫情期间某社区老年居民的心理健康状况。方法于2022年10—11月末选取349例社区≥60岁以上居民,采用抑郁症筛查量表(PHQ-9)和广泛性焦虑量表(GAD-7)开展心理测评。结果在349例社区老年居民中,抑郁和焦虑症状的发生率分别为22.06%和17.77%。独居、丧偶/离异、从事体力劳动、合并其他疾病、有失眠/神经衰弱/心理问题家族史、有慢性疼痛老年居民出现抑郁症状的比例明显高于其他相应组别的老年居民,且差异具有统计学意义(P<0.05)。体力劳动、合并其他疾病、有失眠/神经衰弱/心理问题家族史、有慢性疼痛老年居民出现焦虑症状的比例显著高于其他相应组别的老年居民,且差异具有统计学意义(P<0.05)。结论新冠疫情期间社区老年居民心理健康状况不佳。全科医生应在以后工作中对于存在高危因素的老年居民,要及时发现抑郁焦虑症状并加强心理疏导。Objective To understand the mental health status of the elderly residents in the community at the end of the COVID-19 epidemic.Methods At the end of November 2022,349 residents aged 60 and above in the community were selected for psychological assment using the Patient Health Questionnaire Depressive Symptom Cluster Scale(PHQ-9)and Genenalized Anxiety Disorder(GAD-7).Results Among 349 elderly residents in the Dachang community,the incidence rates of depression and anxiety symptoms were 22.06%and 17.77%,respectively.The proportion of elderly residents living alone,widoweddivorced,engaged in manual labor,combined with other diseases,with insomnia/neurasthenia/family history of psychological problems,and with chronic pain who had depression symptoms was signifcantly higher than that of elderly residents in other corresponding groups,and the diference was statistically significant(P<0.05).The proportion of elderly residents with anxiety symptoms in physical labor,other diseases,insomnia/neurastheniafamily history of psychological problems,and chronie pain was significantly higher than that in other corresponding groups of elderly residents,and the difference was staistically significant(P<0.05).Conclusion The mental health of the elderly residents in the community at the end of the COVID-19 epidemie is poor.General practitioners should promptly detect symptoms of depression and anxiety among elderly residents with high-risk factors in their future work and strenghen psychological counseling.

关 键 词：心理健康 抑郁症筛查量表 广泛性焦虑量表 全科医生 

分 类 号：R395[哲学宗教—心理学]