社区老人社会网络、抑郁状况与自评健康的相关性研究

Correlationship Study between Social Network,Depression Status and Self-rated Health of the Community Elderly

目的了解社区老人社会网络、抑郁与自评健康的关系,为促进老人的身心健康提供依据。方法 2014年9-12月便利抽样选取南京市鼓楼区210位老人为研究对象,采用基本资料问卷、Lubben社会网络量表、简版老年抑郁量表及自评健康状况问卷对其进行调查。结果研究对象社会网络平均得分为(30.6±7.3)分,7.6%的老人社会网络不足;老人抑郁得分中位数为3.0,10.6%的人出现抑郁症状;自评健康差的老人占14.6%。社区老人的社会网络得分与抑郁呈负相关,与自评健康状况呈正相关,抑郁与自评健康状况呈负相关(均P<0.05)。结论应采取措施应对老人离退休后可能造成的社会网络规模缩小,构建基于社区的社会支持网络,提高老人的身心健康,用积极健康的老龄化政策去解决人口老龄化问题。

Objective To understand the correlationship between social network ,depression and self-rated health of elderly in the community.Methods By convenience sampling, 210 cases were selected and investigated by using general scale questionnaire, Lubben social network scale, geriatric depression scale and self-rated health inventory.Results The social network scored （30.6 ± 7.3）, 7.6 % of community elderly was isolated. The median score in depression was 3.0, and 10.6% of them are suffering from depression. There were 14.6% of elderly with low self-rated score. The social network score was negative correlated with depression, and positively correlated with self-rated health status, and depression was negatively correlated with self-rated health status （all P 〈0.05）.Conclusions Measures should be taken to overcome possible size reduction of social network after retirement, construct community based on social support networks, so as to promote the physical and mental health of elderly, and solve the problem of aging of population by using active policies.