ADOPT干预对居家不出老年人自我感知老化和抑郁的影响

The effect of ADOPT intervention on self-perceived aging and depression of the elderly with housebound

目的探讨基于ADOPT干预对居家不出(housebound)老年人自我感知老化和抑郁的影响。方法采用分层整群随机抽样方法,抽取河北省邯郸市复兴区所辖之建安社区,采用随机数字表法将社区中211例housebound老年人分为干预组105例和对照组106例,干预期间对照组失访1例。根据ADOPT模式制定干预方案对干预组进行为期6个月的干预,对照组为空白对照。分别在干预前、干预3个月和6个月对两组housebound老年人自我感知老化和抑郁进行效果评价。结果在干预3个月、6个月后,干预组老年人自我感知老化的积极维度得分均高于对照组,消极维度得分均低于对照组(P<0.05);干预组老年人抑郁比例降低,与对照组比较有显著性差异(P<0.05)。结论 ADOPT干预模式可有效强化积极的自我感知老化,减弱消极的自我感知老化,改善housebound老年人抑郁状况。

Objective To discuss the effect of ADOPT intervention on self-perceived aging and depression of the elderly with housebound. Methods Stratified cluster random sampling method was used to draw randomly Jian＇an community,in Handan city,Hebei province. There were 211 cases of the elderly with housebound who were randomly divided into intervention group（ 105 cases） and control group（ 106 cases）. During the intervention period,1 case of control group was lost to follow-up. According to ADOPT methods,a 6-month intervention was conducted to the intervention group. The effect on self-perceived aging and depression were evaluated after 3 and 6 months intervention. Results The scores of the self-perceived aging were higher in positive dimension and lower in negative dimension in intervention group than those in control group（ P 0. 05）. Compared with that of control group,the proportion of the depressed elderly in intervention group was lower（ P〈0. 05）. Conclusions ADOPT intervention could effectively strengthen the positive self-perception aging and weaken the negative self-perceived aging,which could improve the depression status of the elderly with housebound.