养老机构老年人日常活动能力与焦虑状况

The study on activity of daily living and prevalence of anxiety among the aged in long-term care facilities

目的探讨城市养老机构老年人日常活动能力(ADL)及其焦虑的现状及其影响因素。方法应用改良版巴氏指数量表、老年人焦虑量表调查A城市养老机构老年人的ADL及焦虑状况,并分析影响因素。结果 69%的养老机构老年人ADL受损,5.5%的老年人有患焦虑症的风险。不同年龄、月收入、运动情况、爱好情况、慢性病患病情况的老年人ADL差异有统计学意义(P<0.05);不同年龄、文化程度、月收入、运动情况、爱好情况、慢性病患病情况、入住养老机构类型的老年人焦虑状况差异有统计学意义(P<0.05);养老机构老年人的ADL与其焦虑情况呈现负相关(r=-0.489,P<0.01)。结论养老机构老年人ADL越高,其焦虑水平越低。提高养老机构老年人ADL有助于改善老年人的精神状态,减轻焦虑水平。

Objective The aim of this study was to investigate the current situation of activity of daily living and prevalence of anxiety among the aged living in urban long term care facilities and analyze the influence factors and the relationship between them. Methods The activity of daily living and prevalence of anxiety were measured among the aged living in city A long term care facilities by using the test of Modified Barthel Index（ MBI） 、Geriatric Anxiety Inventory（ GAI）. Results 69% of the old with impaired activity of daily living,and5. 5% of the old with high risk of anxiety. The old with different age,monthly income,movement condition,hobbies,chronic diseases had significant effects on activity abilities（ P〈0.05）; the old with different age,educational level,monthly income,movement condition,hobbies,chronic diseases,institution type had significant effects on depression status（ P〈0.05）. The activity of daily living of the old was negatively related with their anxiety situation（ r =-0.489,P〈0.01）.Conclusions The better of the activity of daily of the aged living in long term care facilities,the less of their anxiety situation. It could improve the aged＇s mental state and relieve their anxiety level by increasing the activity of daily living among the aged living in long term care facilities.