住院老年患者日常生活能力、抑郁、焦虑、社会支持的相关性及影响因素研究

发布时间：2018-03-21 02:51

本文选题：住院老年患者　切入点：日常生活能力　出处：《重庆医科大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的以重庆市某三甲医院老年科住院老年患者为例,了解住院老年患者在日常生活能力、抑郁、焦虑、社会支持方面存在的问题,分析这4个方面的影响因素和关联性。更好的帮组住院老年患者治疗,找出提升住院老年患者生活质量的方法,得出相应的结果,为医院应对住院老年患者治疗和护理提供参考借鉴,也可以给帮组住院老年患者的有关机构提供参考和依据。方法本课题采取了随机抽样的方法,通过国际上通用的问卷和自制的问卷获得有关数据信息。在某医院老年科根据住院号随机抽样,采用问卷调查的方式了解不同性别、年龄、职业等人口学特征下住院老年患者日常生活能力、抑郁、焦虑、社会支持方面存在的信息,从分析调查数据中总结归纳出一般性的结论。结果共发放问卷400份:回收有效问卷375份,应答率为93.75%;其中,男性219(41.60%)人,女性156(59.40%)人。焦虑方面:375份有效问卷中住院老年患者焦虑状况总分24~66(38.46±1.94)分。住院老年患者的焦虑与日常生活能力、抑郁和社会支持的相关系数分别为0.2507;0.8910;0.3032。住院老年患者的焦虑与日常生活能力、抑郁和社会支持密切相关。婚姻状况、家庭关系、是否独居、文化程度是住院老年患者焦虑影响因素。抑郁方面:375例住院老年患者中,抑郁的住院老年患者123例,占总人数的32.80%。sds分值为21-30分者为30例,占总数的8.00%;11-20分者93例,占总数的24.80%;10分以下者252例,占总数的67.20%。住院老年患者的抑郁与住院老年患者日常生活能力、焦虑和社会支持密切相关。疾病、婚姻状况、住院时间、自理能力、医疗费用、业余爱好是住院老年患者抑郁影响因素。社会支持方面:375份有效问卷中,ssrs问卷得分在小于33分的占20.80%,33~45分之间的占74.40%,大于45分占4.80%。住院老年患者的社会支持与住院老年患者的抑郁焦虑和日常生活能力密切相关。年龄、文化程度、是否独居、家人关系是住院老年患者社会支持的影响因素。日常生活能力方面:375例调查对象中,能完全独立(adl评分为100分)活动功能的维持率,男性为24.10%,女性为31.40%;男女老年住院病人中adl受损率,女性为59.60%,男性为75.90%。女性住院老年患者的完全独立能力要比男性好。住院老年患者各年龄段的adl受损率分别:60-69岁为95.40%,70-79岁为91.40%,80-89岁为87.20%,90岁及以上为98.55%;adl受损率在各年龄阶段间有明显差异。住院老年患者的日常生活能力与住院老年患者的抑郁焦虑和社会支持密切相关。疾病、丧偶、经济条件、年龄等均是adl的影响因素。结论通过对住院老年患者日常生活能力、抑郁、焦虑、社会支持的研究。发现住院老年患者日常生活能力的影响因素主要是疾病、丧偶、经济条件、年龄;住院老年患者抑郁的影响因素主要是疾病、婚姻状况、住院时间、治疗效果、自理能力、医疗费用、业余爱好;住院老年患者焦虑的影响因素主要是婚姻状况、家庭关系、是否独居、文化程度;住院老年患者社会支持的影响因素主要是年龄、文化程度、是否独居、家人关系。不难发现,对住院老年患者日常生活能力、抑郁、焦虑、社会支持影响的共同因素主要有年龄、家庭关系、文化程度。并且通过相关性分析我们发现,住院老年患者日常生活能力、抑郁、焦虑、社会支持这四个方面都存在相关关系,所以只要影响其中任何一项都会对其他三项造成相应的影响。因而在考虑住院老年患者日常生活能力、抑郁、焦虑、社会支持的影响因素的时候,都要考虑疾病、丧偶、经济条件、年龄、婚姻状况、住院时间、治疗效果、自理能力、医疗费用、业余爱好、文化程度、是否独居、家人关系这些因素的任何一项,不能单纯的只考虑其中的一项或者几项,要综合的考虑这些影响因素。本研究对医院老年科住院老年患者的治疗和护理有参考意义,同时也可以给帮组住院老年患者的有关机构提供参考和依据。
[Abstract]:Objective to geriatrics, General Hospital of Chongqing city as an example to understand the hospitalized elderly patients, hospitalized elderly patients in daily life, depression, anxiety, social support problems, analysis of the impact of the 4 factors and relevance. Better help the hospitalized elderly patients with treatment, to identify ways to enhance the quality of life in elderly inpatients patients, the corresponding results, provide a reference for the treatment and nursing of elderly patients in the hospital to deal with, can also help in the group of elderly patients with the relevant agencies to provide reference and basis. This paper adopts the method of random sampling, and the data obtained by the international general information questionnaire and self-made questionnaire. Department of geriatric hospital according to the hospital, random sampling, questionnaire is used to investigate the different gender, age, ability of daily life in the elderly hospitalized under occupation and other demographic characteristics, Depression, anxiety, social support information, from the analysis of survey data summarized the general conclusion. Results a total of 400 questionnaires, 375 valid questionnaires, the response rate was 93.75%; among them, 219 men (41.60%), 156 female (59.40%). Anxiety: 375 the effective questionnaire in hospital anxiety status in elderly patients with 24~66 score (38.46 + 1.94). The hospitalized elderly patients with anxiety and daily life ability, correlation coefficient of depression and social support were 0.2507; 0.8910; 0.3032. hospitalized elderly patients with anxiety and depression in daily living, and social support are closely related. Marital status, family relationship, whether alone, cultural factor is the degree of anxiety and depression in elderly patients hospitalized.: 375 hospitalized elderly patients, depression in hospitalized elderly patients with 123 cases, the total number of 32.80%.sds score of 21-30 points in 30 cases, the total number of 8%; 93 cases of 11-20, accounting for 24.80% of the total; 252 cases below 10 points, the total 67.20%. in hospitalized elderly patients with depression and ADL in elderly patients hospitalized, anxiety and social support are closely related to disease, marital status, self-care ability, hospitalization time, medical expenses, hobbies are the influencing factors of elderly patients with depression in hospital. Social support: 375 valid questionnaires, the questionnaire scores less than 33 points in SSRs accounted for 20.80%, 33~45 accounted for between 74.40%, more than 45 points accounted for 4.80%. of hospitalized elderly patients is closely related to social support and hospitalization of elderly patients with depression and anxiety and the ability of daily life. Age, education level, living alone that family relationship are the influence factors of social support in elderly patients in hospital. The ability of daily life: 375 sample, can be completely independent (ADL score 100) to maintain the rate function, male 24.10%, female 31.40% of men and women; the damage rate of ADL in hospitalized elderly patients, 59.60% for female, male 75.90%. female hospitalized elderly patients with completely independent ability than men. Hospitalized elderly patients of all ages were 60-69 years: the damage rate of ADL was 95.40%, 70-79, 91.40%, 80-89, 87.20%, 90 years old and above 98.55%; the damage rate of ADL had significant difference in different age stages. Among hospitalized elderly patients is closely related with the daily life ability of hospitalized elderly patients with depression anxiety and social support. The disease, widowed, economic conditions, age and other factors are ADL. Conclusion the hospitalized elderly patients with depression, daily life. Study on anxiety and social support. The influencing factors of ability of daily life in elderly patients is the main disease, widowed, economic conditions, age; influencing factors of hospitalized elderly patients with depression is the main disease, marital status, living Hospital time, treatment effect, self-care ability, medical expenses, hobbies; influencing factors of hospitalization in elderly patients with anxiety is mainly marital status, family relationship, whether living alone, cultural level; influencing factors of social support in elderly patients hospitalized are age, education level, living alone, family relationship. It is not difficult to find, the ability of hospital and the daily life of elderly patients with depression, anxiety and social support are the main factors affecting the common age, family relationships, cultural degree. And through the correlation analysis we found that the hospitalized elderly patients in daily living, depression, anxiety, social support, these four aspects are correlated, so long as the impact of any one of them will the other three caused a corresponding impact. So considering the hospital capacity, daily life of elderly patients with depression, anxiety, when the influence of social support factors, should consider the disease, death Occasionally, economic conditions, marital status, age, duration of hospitalization, treatment effect, self-care ability, medical expenses, hobbies, cultural degree, whether living alone, any family relationship between these factors, not only consider one or several, to consider these factors. This study reference to the hospital geriatric hospital treatment and nursing care of elderly patients, but also to help hospitalized elderly patients group of relevant institutions to provide reference and basis.

【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R473

【参考文献】