社区老年慢性病病人积极度与心理困扰的相关性  

Correlation between positive degree and psychological distress of elderly chronic disease patients in communities

作　　者：杨侠 于卫华 任影 张海燕 YANG Xia;YU Weihua;REN Ying;ZHANG Haiyan(School of Nursing,Anhui Medical University,Anhui 230601 China;The Third Affiliated Hospital of Anhui Medical University(The First People's Hospital of Hefei))

机构地区：[1]安徽医科大学护理学院,安徽230601 [2]安徽医科大学第三附属医院(合肥市第一人民医院)

出　　处：《护理研究》2024年第24期4365-4370,共6页Chinese Nursing Research

基　　金：科技部重点研发计划项目,编号:2020YFC2008802;安徽医科大学护理学院研究生青苗培育项目,编号:hlqml2024067。

摘　　要：目的:探讨社区老年慢性病病人积极度对心理困扰的影响及阈值效应,为进一步改善老年慢性病病人心理困扰状态提供理论依据。方法:选取2023年8月—11月合肥市3所社区卫生服务中心的老年慢性病病人420例为研究对象,采用一般资料问卷、公众健康积极指数量表、凯斯勒心理困扰量表进行调查。结果:社区老年慢性病病人心理困扰得分为(17.74±6.41)分,积极度得分为(65.58±19.48)分,老年慢性病病人积极度和心理困扰呈负相关(P<0.05)。多重线性回归结果显示,老年慢性病病人性别、文化程度、服药种类、自评健康状况、积极度是其心理困扰的主要影响因素(P<0.001)。曲线拟合及阈值效应分析显示,当老年慢性病病人积极度得分>42分时,心理困扰程度随积极度的升高而下降(P<0.001)。结论:社区老年慢性病病人积极度与心理困扰呈负相关,社区医务工作者可通过促进老年慢性病病人积极度,改善其心理困扰现状。Objective:To explore the influence and threshold effect of positive degree on psychological distress of elderly chronic disease patients in communities,and to provide theoretical basis for further improving the psychological distress of elderly chronic disease patients.Methods:A total of 420 elderly chronic disease patients from 3 communities health service centers in Hefei city from August to November 2023 were selected as the research objects.A study was conducted by using the general data questionnaire,the 10⁃item Kessler Psychological Distress Scale and Consumer Health Activation Index(CHAI).Results:The score of psychological distress and the score of CHAI of elderly chronic disease patients in communities were 17.74±6.41 and 65.58±19.48,respectively.There was negative correlation between the score of CHAI and the total score of psychological distress in the elderly patients with chronic disease(P<0.05).The results of multiple linear regression showed that gender,education level,type of medication,self⁃rated health and the score of CHAI were the main influencing factors of psychological distress in the elderly patients with chronic disease(P<0.001).Curve fitting and threshold effect analysis showed that when the score of CHAI of elderly chronic disease patients was>42,the degree of psychological distress decreased with the increase of the score of CHAI(P<0.001).Conclusions:The positive degree of elderly chronic disease patients in communities is negatively correlated with psychological distress.Community medical workers can improve their psychological distress by promoting the positive degree of elderly chronic disease patients.

关 键 词：老年人 慢性病 心理困扰 积极度 阈值效应 相关性 

分 类 号：R473.2[医药卫生—护理学]