社区全科门诊中丧偶老人抑郁现况调查

Survey on Depression Status Among Spouse-bereft Elderly in Community Out-patient

目的了解丧偶老人的抑郁感及各项健康状况,与非丧偶老人进行比较,探究影响丧偶老人抑郁程度的影响因素。方法用GDS量表和SF-36量表对241名老人(丧偶老人131名,非丧偶老人110名)进行测量,用独立样本t检验对两组人群进行差异性比较,用多元逐步回归分析探究抑郁的影响因素。结果丧偶老人与非丧偶老人相比,GDS得分均有不同程度降低(t=3.382,P=0.001),丧偶老人SF-36量表各项评分均低于非丧偶老人。其中,生理功能、生理职能、躯体疼痛、情感职能和精神健康项目下降幅度较大,且差异具有统计学意义(P<0.05)。丧偶老人的躯体疼痛、精神健康与一般健康状况对其抑郁程度有影响。结论丧偶老人与非丧偶老人相比,各项身体健康状况较差,抑郁倾向更严重。因此,应加强对丧偶老人的关爱程度,及时进行心理疏导。

Objective To explore the health and depression status of the spouse-bereft elderly, and to explore the influence factors of depression for spouse-bereft elderly. Methods A total of 241 elderly(131 spouse-bereft and 110 non-spouse-bereft) were selected and measure by GDS scale and SF-36 scale. Independent sample t-test and multiple stepwise regression analysis were applied to explore the influencing factors of depression. Results The GDS scores and the SF-36 scores of spouse-bereft group were lower than non-spouse-bereft group(t=3.382, P=0.001). Among all the indicators, physiological function, physiological role, body pain, emotional functions, and mental health decreased in a greater degree with statistically significant difference(P<0.05). The body pain, mental health and general health condition had impact on their depression degree. Conclusion The physical condition and the depression trends of the spouse-bereft elderly were all worse than that of the non-spouse-bereft one. Intensive social care and timely mental counseling should be provided to improve health of them.