老年人躯体疾病与抑郁症生活事件的中介效应

发布时间：2018-03-22 05:32

本文选题：躯体疾病　切入点：生活事件　出处：《中国老年学杂志》2017年14期 　论文类型：期刊论文

【摘要】：目的探讨老年人躯体疾病对抑郁症患病的影响以及生活事件的中介效应。方法分层和简单随机抽样的方法抽取十堰市白浪开发区4个社区的501名老年人,采用老年精神状况量表(GMS)和老年健康状况和相关因素调查量表对其进行问卷调查,并对调查结果进行统计学分析。结果甲状腺功能亢进或甲低[OR=0.157,95%CI(0.028~0.873]、脑卒中或身体部分偏瘫[OR=0.164,95%CI(0.049~0.549)]是老年抑郁症患病的危险因素。老年人躯体疾病个数、生活事件个数和是否患抑郁症任意两者之间都呈正相关,生活事件在躯体疾病和抑郁症患病之间发挥中介效应,中介效应占总效应的24.87%。结论需要及时评估老年躯体疾病患者的生活事件,采取多方面措施减少抑郁症的患病率。
[Abstract]:Objective to investigate the effects of somatic diseases on depression and the mediating effects of life events in the elderly. Methods 501 elderly people in 4 communities of Bailang Development Zone Shiyan City were selected by stratified and simple random sampling. The mental state of the elderly (GMS) and the elderly health status and related factors were investigated. Results the hyperthyroidism or hypothyroidism [OR 0.15795], stroke or partial hemiplegia [OR0.164 ~ 95CI0.049 ~ 0.549] were the risk factors of senile depression. There was a positive correlation between the number of life events and depression. Life events played a mediating effect between somatic diseases and depression. Conclusion it is necessary to evaluate the life events of elderly patients with somatic diseases and take various measures to reduce the prevalence of depression.
【作者单位】：湖北医药学院护理学院;湖北医药学院卫生管理与卫生事业发展研究中心;
【基金】：国家自然科学基金资助项目(71273083) 湖北省卫生厅专项研究项目(ZX2012-11) 湖北省自然科学基金项目(2014CFB646)
【分类号】：R749.4

【参考文献】