2019年绵阳市老年人激惹情绪现状及其影响因素

Current situation and influencing factors of the irritability of the elderly in Mianyang City in 2019

目的了解绵阳市老年人激惹情绪现状,探索其相关影响因素。方法于2019年采用多阶段随机抽样的方法抽取绵阳市823名60岁及以上的老年人作为研究对象,其中男性351人(42.65%),女性472人(57.35%),年龄中位数为67岁,四分位数间距为8岁。采用激惹、抑郁和焦虑自评量表及负性情绪影响因素调查问卷收集信息,主要调查内容为激惹情绪、健康状况、健康相关行为、养老支持、养老特征和精神卫生知识认知等,描述激惹情绪检出率,采用二分类Logistic回归模型分析其激惹情绪的影响因素。结果共调查823名绵阳市老年人,检出激惹情绪者178人,激惹情绪检出率为21.63%。多因素Logistic回归模型分析结果显示:女性(OR=1.800,95%CI 1.223~2.627)、两周内患病(OR=1.611,95%CI 1.101~2.358)、一年内曾住院(OR=2.045,95%CI 1.327~3.048)、无配偶(OR=0.349,95%CI 0.209~0.582)、自评健康状况良好(OR=0.389,95%CI 0.243~0.625)、子女提供情感支持(OR=0.549,95%CI 0.341~0.882)、养老方式为自我养老(OR=0.649,95%CI 0.453~0.931)与激惹情绪有关。结论绵阳市老年人群激惹情绪检出率高,性别、婚姻状况、健康状况、养老支持及特征是激惹情绪的影响因素。

OBJECTIVE To understand the current situation of irritability in the elderly in Mianyang City,explore the influencing factors of irritability.METHODSIn 2019,823 elderly people over 60 years old in Mianyang City were selected by multi-stage random sampling,including 351(42.65%)males and 472(57.35%)females,with a median age of 67 years and a interquartile interval of 8 years.The information was collected by self rating scale of irritability,depression and anxiety and questionnaire of influencing factors of negative emotion.Questionnaire surveys were used to investigate their irritability,health status,health-related behaviors,support for the elderly,characteristics of the elderly,and mental health knowledge.Describe the detection rate of irritability,and use two-class logistic regression model to analyze the influencing factors of their depressive symptoms.RESULTS A total of 823 elderly people in Mianyang City were investigated,178 were found to be irritable,and the prevalence of irritability was 21.63%.The result of Logistic regression model showed that:female(OR=1.800,95%CI 1.223-2.627),ill within two weeks(OR=1.611,95%CI 1.101-2.358),hospitalized within one year(OR=2.045,95%CI 1.327-3.048),no spouse(OR=0.349,95%CI 0.209-0.582),good self-rated health(OR=0.389,95%CI 0.243-0.625),emotional support for children(OR=0.549,95%CI 0.341-0.882),the old-age care model was self care(OR=0.649,95%CI 0.453-0.931),they were related to irritating emotions.CONCLUSION A certain proportion of the elderly in Mianyang City have irritability.Gender,marital status,health status,pension support and characteristics are the influencing factors of irritability.