独居与非独居老年人不确定心理压力比较

Comparative study of uncertainty stress between the solidarity elderly and the non⁃solidarity elderly

目的:调查浙江省独居与非独居老年人不确定心理压力水平,并分析不确定心理压力水平的影响因素。方法:采用多阶段随机抽样方法,抽取浙江省多地独居老年人173人和非独居老年人957人为研究对象,采用自编老年人一般情况调查表、不确定心理压力问卷进行调查。结果:独居老年人的不确定心理压力明显高于非独居老人[(22.50±8.34)分与(21.56±7.85)分,P<0.05]。多重线性回归分析显示,家庭人均月收入、与子女关系、有无社区养老服务、是否了解急救处理方法可影响独居老年人不确定心理压力水平;而婚姻状况、家庭人均月收入、与子女关系、是否了解急救处理方法、自评健康状况和近1年意外跌倒史可影响非独居老年人不确定心理压力水平。结论:浙江省老年人不确定心理压力水平普遍较高,且独居老年人不确定心理压力水平高于非独居老年人。提示应加大对独居老年人的经济支持,呼吁子女多关爱父母,社区提供更多的老年服务,从而缓解老年人的不确定心理压力。

Objective:To investigate the uncertain stress of the solidarity elderly and the non-solidarity elderly in Zhejiang province,and to analyze the influencing factors of the uncertain stress.Methods:A total of 173 solidarity elderly and 957 non-solidarity elderly in Zhejiang provincewere recruited by multi-stage random sampling.They were investigated by the general information questionnaire and uncertainty stress questionnaire.Results:The score of uncertain stress among the solidarity elderly were significantly higher than the non-solidarity elderly[(22.50±8.34)vs(21.56±7.85),P<0.05].Multiple linear regression showed that monthly household income per person,relations with descendant,availability of community-based services,and knowledge of first aid methods were factors affecting uncertain stress among the solidarity elderly.Marital status,monthly household income per person,relationship status with descendant,knowledge of first aid methods,self-rated health status and nearly 1-year history of unexpected fall were predictors of uncertain stress among the non-solidarity elderly.Conclusion:The prevalence of uncertain stress the elderly is relatively high in Zhejiang province,with a higher uncertain stress level in the solidarity elderly.It is suggested that the financial support for the solidarity elderly should be increased,and the descendant should care more for their parents,and the community should provide more services for the elderly,so as to alleviate the current situation of high uncertain stress of the elderly.