| 苏海霞,李苗,郦忆文,等.蚌埠市某社区老人焦虑与抑郁状况调查及影响因素分析[J].中国临床保健杂志,2023,26(6):787-791. |
| 蚌埠市某社区老人焦虑与抑郁状况调查及影响因素分析 |
| A survey of anxiety and depression among the elderly in a community of Bengbu city and analysis of its influencing factors |
| 投稿时间：2023-07-28 |
| DOI：10.3969/J.issn.1672-6790.2023.06.016 |
| 中文关键词: 焦虑 抑郁 健康状况指标 危险因素 老年人 |
| 英文关键词: Anxiety Depression Health status indicators Risk factors Aged 〖FL |
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| 中文摘要: |
| 目的 基于老年综合评估(CGA)策略,调查蚌埠市某社区老年人焦虑与抑郁现状,分析其影响因素。方法 收集2022年9月至2023年5月在蚌埠市某社区居住的388名老年人,通过问卷调查的形式,采用CGA系列综合评估量表,记录老年人的年龄、性别、文化程度、居住情况、财务状况等资料。应用微型营养风险筛查量表、衰弱Frail量表、Lawton日常生活能力量表、简易精神状态检查量表、Zung氏焦虑自评量表(SAS)和简版老年抑郁量表-15(GDS-15)对社区老年人进行评分。观察不同性别、居住情况、总体财政状况、营养状况的社区老年人之间SAS和GDS-15评分的差异。采用多因素logistic 回归分析相关因素对社区老年人焦虑、抑郁状态的影响。结果 该社区老年人焦虑发生率为13.40%,抑郁发生率为18.04%,抑郁伴随焦虑的发生率为11.08%。不同年龄、疾病状况、婚姻状况、财务状况、居住情况、体育锻炼频率、睡眠状况、衰弱、自理能力的社区老年人之间SAS与GDS-15评分差异均有统计学意义(P＜0.05)。logistic回归分析显示:老年人独居、年龄≥80岁、入不敷出、从不锻炼、丧偶是社区老年人焦虑状态的独立危险因素。独居、从不锻炼和丧偶是社区老年人抑郁情绪的独立危险因素。结论 蚌埠市某社区老年人存在一定程度的焦虑、抑郁状态,其中独居、丧偶和从不参加锻炼的老年人更易发生焦虑、抑郁。 |
| 英文摘要: |
| Objective Based on the Comprehensive Geriatric Assessment (CGA) strategy,the current situation of anxiety and depression among the elderly in a community in Bengbu city was investigated and its influencing factors were analyzed.Methods A total of 388 elderly people living in a community in Bengbu city from September 2022 to May 2023 were collected,and general information such as age,gender,education level,living situation and financial status of the elderly were recorded through questionnaire survey and CGA series comprehensive assessment scale.The elderly in the community were scored using the MNA-SF scale,Frail scale,Lawton IADL scale,MMSE scale,SAS scale and GDS-15 scale.The differences of SAS and GDS-15 scores among the elderly in different communities were observed based on gender,residence status,financial status,and nutritional status.Multivariate logistic regression was used to analyze the influence of related factors on anxiety and depression of the elderly in the community.Results The incidence of anxiety was 13.40%,the incidence of depression was 18.04%and the incidence of depression with anxiety was 11.08%.There were statistically significant differences in SAS and GDS-15 scores among the community elderly with different ages,disease status,marital status,financial status,residence status,physical exercise frequency,sleep status,frailty status and self-care ability (P<0.05).Logistic regression analysis showed that the elderly living alone,age ≥80 years old,income loss,never exercising,and widowhood were independent risk factors for anxiety state of the elderly in the community.Living alone,never exercising and losing a spouse were independent risk factors for depression among elderly people in the community.Conclusions The elderly in a certain community in Bengbu city have a certain degree of anxiety and depression,among which the elderly who live alone,are widowed and never exercising are more prone to anxiety and depression.The elderly who never exercising are more likely to suffer from anxiety and depression. |
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