养老机构的特征性因素对老年人述情障碍的影响

Effect of characteristic factors of pension institutions on alexithymia of the elderly

[目的]了解养老机构老年人述情障碍的发生现状,分析养老机构的特征性因素对老年人发生述情障碍的影响。[方法]采用整群抽样的方法,在唐山市整群抽取7所养老机构,应用一般情况调查表、养老机构特征性因素问卷和多伦多述情障碍量表(TAS-20)对符合入组标准的517位老年人进行问卷调查。[结果]养老机构老年人述情障碍的发生率较高,总得分为(58.74±7.23)分。多元逐步回归分析显示,文化程度、机构性质、整洁程度、营养搭配、亲友看望频率、集体活动和居住幸福感均是养老机构老年人发生述情障碍的影响因素。[结论]养老机构医护人员应当重点关注老年人述情障碍的发生情况,并从养老机构的特征性因素入手,采取相应措施减低老年人述情障碍的发生。

Objective:To understand the current situation of alexithymia among the elderly in pension institutions and analyze the effect of characteristic factors of pension institutions on alexithymia among the elderly.Methods:Seven pension institutions were selected by cluster sampling in Tangshan city.A total of 517 elderly people who met included criterion,were surveyed by using the general situation questionnaire,Characteristic Factor Questionnaire in Pension Institutions and Toronto Alexithymia Scale(TAS-20).Results:The incidence of alexithymia among the elderly in pension institutions was higher,with a total score of 58.74±7.23.Multivariate stepwise regression analysis showed that educational level,institutional nature,cleanliness,nutritional mix,visiting frequency,collective activities and living well-being affected the occurrence of alexithymia among the elderly in institutions.Conclusion:Medical staff in pension institutions should pay attention to the occurrence of alexithymia among the elderly.They should take corresponding intervention measures on characteristics of the pension institutions,in order to reduce the occurrence of alexithymia.