45岁及以上肢体残疾患者抑郁症状及相关因素——2013年“中国健康与养老追踪调查”数据分析

发布时间：2018-04-03 03:32

本文选题：肢体残疾　切入点：抑郁症状　出处：《中国心理卫生杂志》2017年08期

【摘要】：目的:了解肢体残疾患者抑郁症状水平及其相关因素,为促进肢体残疾者心理健康提供依据。方法:数据来源于2013年"中国健康与养老追踪调查",选择自报有肢体残疾者作为研究对象,经过筛选共得到有效样本974例,平均年龄(62±10)岁,采用流调中心抑郁量表(The Center for Epidemiological Studies Depression Scale,CES-D)得分评定抑郁症状,10分及以上认为有抑郁症状。研究自变量包括年龄、性别、受教育程度、婚姻状况、城乡、自评总体健康、自评听力、自评记忆力、生活满意度、吸烟、饮酒、睡眠时长、慢性病、日常生活自理能力、社会活动度、家庭支持和致残时间。采用χ~2检验进行单因素分析,采用二分类logistic回归将单因素分析有意义的自变量纳入多因素分析。结果:肢体残疾患者抑郁症状检出率为46.1%。女性、非在婚、患慢性病、无家庭支持、睡眠时长较短组抑郁症状检出率高于对照组(OR=1.35、1.62、1.60、1.67、2.58,均P0.05),自评总体健康好、自评听力好、自评记忆力好、生活极度满意组抑郁症状检出率低于对照组(OR=0.38、0.53、0.47、0.09,均P0.05)。结论:本研究提示45岁及以上肢体残疾患者抑郁症状检出率较高,应采取措施减少肢体残疾患者情绪问题。
[Abstract]:Objective: to investigate the level of depressive symptoms and its related factors in patients with physical disability and to provide evidence for their mental health.Methods: the data were collected from the Chinese Health and Old-age tracking Survey in 2013. 974 effective samples were selected from the self-reported persons with physical disability, with an average age of 62 卤10 years.The Center for Epidemiological Studies Depression scale CES-D was used to evaluate the depressive symptoms, and 10 or more of them were considered to have depressive symptoms.Independent variables included age, sex, education, marital status, urban and rural areas, self-assessment of overall health, self-assessment of hearing, self-assessment of memory, life satisfaction, smoking, alcohol consumption, sleep duration, chronic diseases, self-care ability in daily life.Social activities, family support and disability time.The univariate analysis was carried out by 蠂 ~ 2 test, and the significant independent variables of univariate analysis were included in the multivariate analysis by two-classification logistic regression.Results: the detection rate of depressive symptoms in patients with limb disability was 46. 1%.The rate of depression in the women who were not married, had chronic diseases and had no family support, was higher than that in the control group (OR 1.35), 1.601.601.601.67 (2.58). The self-assessment was generally healthy, the self-assessment hearing was good, and the self-rating memory was good, and the incidence of depression was higher in the group with shorter sleep duration than that in the control group (P < 0.05).The rate of depression in the group of extreme satisfaction with life was lower than that in the control group (P < 0.05).Conclusion: this study suggests that the prevalence of depressive symptoms in patients aged 45 and above is high, and some measures should be taken to reduce the emotional problems of patients with physical disability.
【作者单位】：四川大学华西公共卫生学院;
【分类号】：R749.4

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