摘要
目的了解城市老年常见慢性病患者心理健康状况与相关因素的关系,为开展社区卫生保健服务、降低老年常见慢性病的发生提供依据。方法采用老年心理健康问卷、社会支持量表和物质生活问卷,对郑州城区60例高血压患者、60例冠心病患者、50例糖尿病患者和80例健康对照的心理健康状况进行调查,并对心理健康状况及其相关因素进行分析。结果3组慢性病患者心理健康总分、性格、情绪、适应、人际和认知分量表分均低于健康对照组,差异有统计学意义(P<0.05)。4组间社会支持状况评分差异无统计学意义(P>0.05);物质生活状况评分除糖尿病组住房分量表分低于其他3组外(P<0.05),其他分量表分4组间差异均无统计学意义(P>0.05)。高血压患者心理健康状况与社区服务、经济状况、客观支持有关(P<0.01);冠心病患者心理健康状况与住房、社区服务、生活环境、经济状况、客观支持和支持利用度有关(P<0.01或0.001);糖尿病患者心理健康状况与社区服务、经济状况、躯体不适感和支持利用度有关(P<0.05或0.01)。结论加强老年人社区卫生服务、改善生活环境可提高老年常见慢性病患者的生活质量。
Aim ： To study the mental health of the elder with chronic diseases in Zhengzhou urban area and its related factors, and provide the evidence of implementing health service for the elder in community. Methods： A total of 60 elder individuals with hypertension diseases ,60 elder individuals with coronary heart disease, 50 elder individuals with diabetes, and 80 healthy elder individuals from Zhengzhou urban area were investigated and analyzed by mental health inventory, Social Support Rating Scale, and Material Life Questionnaire. The mental health of the elder and its related factors in 4 groups were analyzed. Results： The three patient groups were lower than that of normal control group in the total scores, personality, emotion, conformation, human relations, and cognition （P 〈 0.05）. There were no significant difference in scores of social support among four groups （ P 〉 0.05 ）. The score of house of diabetes group was lower than those of the other three groups （ P 〈 0.05 ） , and there were no significant difference in other scores of material living among four groups （ P 〉 0.05 ）. The mental health of the elder with hypertension was related with community health services, economic condition, and impersonality support （P 〈 0.01 ） ; and that of the patient with coronary heart disease were related with housing condition, community health services, living environment, economic condition, social interaction, and support utilization （ P 〈 0.01 or 0.05 ） , and of the patient with diabetes was related with community health services, economic condition, discomfort, and support utilization（ P 〈 0.01 or 0.001 ）. Conclusion： Reinforcing community health services and improving living environment may enhance the living quality in the elder with chronic diseases.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2006年第2期308-310,共3页
Journal of Zhengzhou University(Medical Sciences)
基金
郑州铁路局基金资助项目03W22
关键词
老年人
心理健康
慢性病
相关因素
elder population
mental health
chronic disease
related factor
