北京市东城区老年人抑郁状况与日常生活能力及主观幸福感的关系

Relationships between depression with daily life ability and subjective well-being of elderly people in Dongcheng District of Beijing

目的了解北京市东城区老年人抑郁状况与日常生活能力及主观幸福感的关系。方法2016年6月-2018年6月抽取北京市东城区235例老年人作为调查对象,采用患者健康问卷抑郁量表(PHQ-9)、日常生活能力量表(ADL)和纽芬兰纪念大学幸福度量表(MUNSF)进行调查并汇总信息,并对数据进行分析。结果235例老年人PHQ-9整体平均得分为16.24±0.75,其中有抑郁症状145例,占61.70%;ADL整体平均得分为32.17±3.58,MUNSF整体平均得分为33.02±2.54。Person相关分析显示,老年人PHQ-9各维度得分分别与ADL各维度呈正相关(r=0.363~0.737,P<0.05),与MUNSF各维度呈负相关(r=-0.442^-0.249,P<0.05);性别、年龄、婚姻状况、患慢性病种类、民族、宗教信仰、家庭收入、ADL和MUNSF是影响抑郁发生的危险因素(均P<0.05)。结论老年人抑郁状况与日常生活能力及主观幸福感具有密切联系,抑郁程度越严重,日常生活能力越差,主观幸福感越低。因此,应采取积极措施提高老年人的日常生活能力,改善主观幸福感,利于缓解抑郁症状。

[Objective]To explore the relationships between depression with daily life ability and subjective well-being of elderly people in Dongcheng District of Beijing.[Methods]From June 2016 to June 2018,235 elderly people in Dongcheng District of Beijing were selected as the subjects,the Patients'Health Questionnaire Depression Scale(PHQ-9),Daily Living Capacity Scale(ADL),and the Memorial University of Newfoundland's happiness scale(MUNSF)were used to investigate and collect information,and the data were analyzed.[Results]The overall average score of the PHQ-9 in 235 elderly people was 16.24±0.75,including 145 cases of depressive symptoms,which accounted for 61.70%.The overall average score of ADL was 32.17±3.58,and the overall average score of MUNSF was 33.02±2.54.Person correlation analysis showed that the each dimension score of PHQ-9 was positively correlated with each dimension of ADL respectively(r=0.363-0.737,P<0.05),and was negatively correlated with each dimension of MUNSF(r=-0.442--0.249,P<0.05).Gender,age,marital status,chronic disease type,ethnic,religious belief,family income,ADL and MUNSF were the risk factors for depressive symptoms(P<0.05).[Conclusion]The depressive state of the elderly people is closely related to the daily life ability and subjective well-being.The more serious the depression,the poorer the daily life and the lower the subjective well-being.Therefore,positive measures should be taken to improve the daily living ability of the elderly people,improve subjective well-being,and alleviate depression symptoms.