老年人日常生活能力与心理健康的相互影响

Interrelationship of Daily Life Ability abd Mental Health of the Elderly.

目的了解老年人的日常生活能力与心理健康的相互影响。方法使用日常生活能力量表(ADL)、症状自评量表(SCL-90)等测定289例60岁以上的住院老年人,进行单因素分析及多元逐步回归分析。结果老年人的ADL测定及SCL-90均与年龄相关,SCL-90与ADL、躯体生活自理能力(PSMS)、工具性日常生活能力(IADL)相关(P<0.01);用SCL-90或SCL-90的心理因子做应变量,用ADL的16项指标及年龄做自变量的多元逐步回归分析,有2～5个ADL指标进入了各自回归方程,与做家务、行走、洗衣、吃药等指标呈正相关,与做饭菜、处理钱物、使用车辆、打电话等指标呈负相关;躯体化、恐怖、人际关系敏感进入了影响PSMS、IADL的回归方程,与躯体化、恐怖因子呈正相关,与人际关系敏感呈负相关;焦虑、抑郁进入了影响IADL的回归方程,IADL与抑郁呈正相关,与焦虑呈负相关(P<0.05)。结论IADL较PSMS对心理因子影响明显,躯体化、恐怖、人际关系敏感等心理因子对ADL影响明显。

Objective To understand the interrelationship of daily life ability and mental health of the elder.Methods 289 case hospitalized aged above 60 were tested by using activity of daily life scale（ADL）,symptom checklist 90（SCL-90） and so on.A single factor analysis and multiple regression analysis were conducted.Results The measurement of ADL and SCL-90 of the elder related with age.The scores of SCL-90 related with ADL,physical self-maintenance scale（PSMS） and instrumental activity of daily living scale（IADL）（P〈0.01）.In multiple regyession analysis in which SCL-90 or mental factors of SCL-90 were regrded as dependent variable while ADL＇s 16 index signs and age were regarded as independent variable,2-5 indicators ofADL were their regression equation,with doing housework,walking,Laundry,medication and other indicators of positive correlation,and doing meals,handling money,using vehioles,phoning,etc.presenting negative correlation.Somatization,terror and interprersonal sensitivity got into the regression eguation relative to PSMS and IADL,with somatization and terror factor being positively correlated,and interpersonal sensitivity being negatively correlated.Anxiety and depression got into the regression equation influcncing IADL,with depression being positive correlated with IADL and anxiety being negative correlated with IADL（P〈0.05）.Conclusion IADL influenced obviously mental factors compared with PSMS;Somatization,terror,interpersonal sensitivity and other mental factors influenced obviously ADL.