山东老年人生活事件应激水平及与心理健康风险关系

发布时间：2018-04-13 03:16

本文选题：老年人 + 生活事件　；参考：《中国公共卫生》2017年08期

【摘要】：目的了解老年人生活事件应激水平及其与心理健康状况的相关性。方法 2015年1月1日—2月28日,采用多阶段分层随机抽样方法,利用课题组自行编制的老年人社会状况调查问卷、症状自评量表、社会支持评定量表、老年人生活事件量表对2 200名≥60岁老年人进行问卷调查,回收有效问卷2 013份。结果山东省2 013名≥60岁老年人生活事件应激得分范围在0~239分,中位数为14.00,四分位数间距为28.00,患有慢性疾病(55.44%)、本人离职退休(31.59%)、本人住院治疗(30.35%)等生活事件发生频率较高;多因素分析结果显示,山东省老年人生活事件应激水平的影响因素包括性别(OR=1.245)、受教育程度(OR=0.659)、婚姻状况(OR=1.786、2.807)、生活自理能力(OR=1.813、1.939)和慢性病种类(OR=2.125~4.810)(均P0.05);生活事件应激水平得分与老年人SCL-90得分呈正相关(r=0.532,P0.01),其中家庭相关生活事件(r=0.481,P0.01)、负性生活事件(r=0.516,P0.01)与老年人心理健康状况相关性最强。结论性别、受教育程度、婚姻状况、生活自理能力和慢性病种类是老年人生活事件应激水平的主要影响因素,且生活事件应激水平越高老年人心理健康状况越差。
[Abstract]:Objective to investigate the stress level of life events and its correlation with mental health in the elderly.Methods from January 1 to February 28, 2015, a multi-stage stratified random sampling method was used to investigate the social status of the elderly, including the symptom Checklist, the symptom Checklist and the Social support rating scale.A questionnaire survey was conducted among 2 200 elderly people aged more than 60 years, and 2 013 valid questionnaires were collected.Results the life event stress score of 2013 elderly people aged more than 60 years in Shandong Province ranged from 0 to 239, the median was 14.00, the quartile interval was 28.00, and the patient suffered from chronic disease 55.4445. The frequency of life events was higher than that of the elderly aged more than 60 years (I retired 31.5959 and I was admitted to hospital treatment 30.35B), and the distance between the quartile and the quartile was 28.00.The results of multivariate analysis show thatThere was a strong correlation between family life events (0.481g / P 0.01g) and negative life events (0.516g / P0.01) and the mental health status of the elderly.Conclusion gender, education, marital status, self-care ability and chronic diseases are the main factors influencing the stress level of the elderly, and the higher the stress level of life events is, the worse the mental health status of the elderly is.
【作者单位】：潍坊医学院公共卫生与管理学院"健康山东"重大社会风险预测与治理协同创新中心;
【基金】：健康山东重大社会风险预测与治理协同中心资助项目(XT1403001) 山东省自然科学基金项目(ZR2015GL012);山东省自然科学基金项目(ZR2015GL011) 山东省人文社会科学课题(15-ZZ-SH-07)
【分类号】：R161.7

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