老年人社会支持、害怕跌倒和抑郁状态关系研究

发布时间：2018-07-25 19:04

【摘要】：抑郁会降低老年人的生活质量,使老年人社会适应功能水平下降,是危害老年人心理健康的重要心理因素。社会支持与老年人抑郁的关系研究结果不一致。害怕跌倒是“在进行某些活动时为了避免跌倒而出现的自我效能或信心降低”,是老年人常见的心理问题之一,已有研究表明害怕跌倒与社区、养老院老年人抑郁相关。本研究将在以往研究的基础上,探究老年人的社会支持、害怕跌倒与抑郁的关系。本研究采用《老年抑郁量表11题简本》、《修正版害怕跌倒量表》和《社会支持评定量表》,选取300名江苏南京和河南农村60岁及以上老年人进行问卷调查。使用文献综述、问卷调查、T检验、方差分析、相关分析、回归分析等方法后,得出如下研究结论:(1)老年人社会支持、抑郁状态在城乡、居住条件、经济条件、是否有退休金、是否患有重大疾病等上存在显著差异。老年人的害怕跌倒在经济条件、是否跌倒上存在显著差异。(2)老年人害怕跌倒与抑郁呈显著正相关;老年人社会支持与抑郁呈显著负相关;害怕跌倒和社会支持可以预测老年抑郁;老年人社会支持与害怕跌倒不相关。(3)有退休金对害怕跌倒与抑郁具有显著的调节作用,有退休金的老年人害怕跌倒越低,抑郁越低(4)居住在城镇/农村对害怕跌倒与抑郁具有显著的调节作用,与城镇老年人相比,农村老年人害怕跌倒与抑郁关系更为显著,害怕跌倒越低,抑郁水平越低。因此本研究得出结论:老年人心理健康水平会受到老年人拥有的支持水平、害怕跌倒心理水平高低的影响。老年人拥有的社会支持越多,害怕跌倒水平越低,老年人抑郁的水平越低。对于有退休金的老年人来说,害怕跌倒水平高低与抑郁水平的关系更为显著,居住在城市或者乡村影响老年人害怕跌倒与抑郁的关系程度。
[Abstract]:Depression can reduce the quality of life of the elderly and decrease the level of social adaptation of the elderly. It is an important psychological factor that endangers the mental health of the elderly. The findings of the study on the relationship between social support and depression in the elderly were inconsistent. Fear of falling is one of the common psychological problems in the elderly, which is "self-efficacy or decreased confidence in order to avoid falling in some activities". Some studies have shown that fear of falling is associated with depression in the community and nursing home. Based on previous studies, this study will explore the relationship between social support, fear of falling and depression in the elderly. In this study, we selected 300 elderly people aged 60 and above in Nanjing and Henan provinces, Jiangsu Province, Jiangsu Province, Nanjing and Henan provinces by using the "Depression scale for the aged 11", the "revised version of fear of falling" and the "Social support rating scale". Using the methods of literature review, questionnaire survey, ANOVA, correlation analysis, regression analysis and so on, the following conclusions are drawn: (1) Social support, depression in urban and rural areas, living conditions, economic conditions, pension, etc. There are significant differences in whether or not they suffer from major diseases. The fear of falling down in the elderly had significant difference in economic condition. (2) there was a significant positive correlation between the fear of falling down and depression in the elderly, and there was a significant negative correlation between social support and depression in the elderly. Fear of fall and social support can predict old age depression, social support is not related to fear of fall. (3) there is a significant regulatory effect of pension on fear of fall and depression. The lower depression was (4) living in urban / rural areas had a significant effect on the regulation of fear of falling and depression. Compared with the elderly in urban areas, the relationship between fear of falling and depression was more significant, and the lower the fear of falling, the lower the level of depression. Therefore, this study concludes that the mental health level of the elderly is affected by the level of support and fear of falling down. The more social support older people have, the lower the level of fear of falling and the lower the level of depression. For the elderly with pension, the relationship between the level of fear of falling and the level of depression is more significant. Living in urban or rural areas affects the degree of the relationship between fear of falling and depression.
【学位授予单位】：南京师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：B844.4

【参考文献】