合肥市城市社区老年抑郁症卫生服务研究概述

Study on Health Services of Geriatric Depression in the Communities of Hefei City

目的建立合肥市城市社区老年抑郁症的流行病学本底资料,为预防老年抑郁症提供科学依据。方法采用整群随机抽样方法,对1736份有效样本进行了描述性分析、χ2检验和Logistic回归分析。结果(1)调查发现老年抑郁症39例,患病率为2.2%。(2)多因素Logistic回归分析显示文盲、大专及以上文化程度、自评健康差、生活满意度差、担心子女、患有癌症、与非直系人员同住、健康恶化和亲友去世都能够增加老年抑郁症的患病率,而经常出去散步或旅游能够降低老年抑郁症的患病率。建议(1)开展动员全社会、社区干预、家庭关注和个人参与的“四位一体”老年抑郁症的卫生保健工作。(2)加强老年抑郁症的社区三级预防工作。

OBJECTIVES To investigate the prevalence and relevant factors of depression of the elder and setup basic data of the old population so as to provide scientific rationale for the proper community intervention and preventive measures.METHODS The 1 736 subjects were interviewed,the methods of descriptive analysis,the χ2 test and Logistic regression,etc.were used to examine the correlation between the geriatric depression and relevant factors.RESULTS (1)The investigation identified 39 cases of the geriatric depression and its prevalence was 2.2%.(2)Multiple stepwise regression showed that the major risk factors of the old population were being illiterate,having college level and above,self perceived poor health,self perceived life dissatisfaction,worrying about their children,having cancer,living with non lineal family members,worse health status,losing their relatives,etc.Such oapproaches as going for a walk frequently and traveling,etc.may decrease the prevalence of geriatric depression.RECOMMENDATIONS (1)Developing “quarterunitied depression health care model”of the elder aims at whole socitys mobilization,community interference,family care and individual participation.(2)Intensifying the three level prevention project of geriatric depression in the community.