社会支持对失能老人心理健康的影响研究

Research on the Impact of Social Support on the Mental Health of Disabled Elderly People

基于CLHLS 2011-2018年3期调查数据,使用多元Logistic回归方法,从生活支持、经济支持、情感支持、医学支持等4个层面分析社会支持对失能老人心理健康的影响机制。实证分析结果表明:在控制了失能老人的社会经济特征后,各层面的社会支持对失能老人的心理健康水平产生影响,对不同特征失能老人心理健康的影响存在一定差异;各层面的社会支持对失能老人心理健康影响的贡献度不同,政府以及社区所提供的正式支持更能显著改善失能老人的心理健康状况;照料满意度在社会支持对失能老人心理健康影响中具有中介效应,生活照料和医疗保障为其最基本的需求,当基本需求得到有效满足时,其心理健康水平将会得到相应提高。基于此,建议切实提高失能老人的生活支持服务水平,社会和家庭给予失能老人更多情感慰藉,改进对失能老人的医疗服务方式,提高失能老人的心理健康水平。

Based on the CLHLS survey data from 2011 to 2018,multiple logistic regression methods were used to analyze the impact mechanism of social support on the mental health of disabled elderly people from four levels:life support,economic support,emotional support,and medical support.The empirical analysis results show that after controlling for the socio-economic characteristics of disabled elderly people,social support at all levels has an impact on the mental health level of disabled elderly people,and there are certain differences in the impact on the mental health of disabled elderly people with different characteristics;The contribution of social support at different levels to the mental health of disabled elderly people varies,and formal support provided by the government and community can significantly improve the mental health status of disabled elderly people;Care satisfaction has a mediating effect on the impact of social support on the mental health of disabled elderly people.Life care and medical security are their most basic needs.When these basic needs are effectively met,their mental health status will be correspondingly improved.Based on this,it is recommended to effectively improve the level of life support services for disabled elderly people,provide more emotional comfort to disabled elderly people in society and families,improve the medical service methods for disabled elderly people,and enhance their mental health level.