本文選題：抑郁　切入點：情緒調(diào)節(jié)策略　出處：《寧夏醫(yī)科大學》2016年碩士論文　論文類型：學位論文

【摘要】：目的通過對銀川市社區(qū)和養(yǎng)老機構老年人抑郁與情緒調(diào)節(jié)策略的現(xiàn)況調(diào)查,了解銀川市老年人抑郁與情緒調(diào)節(jié)策略的現(xiàn)狀,探討不同養(yǎng)老方式下老年人抑郁的危險因素,以及老年人抑郁與情緒調(diào)節(jié)策略的關系,為改善老年人的抑郁狀況提供參考依據(jù)。方法(1)老年人抑郁與情緒調(diào)節(jié)策略的現(xiàn)況調(diào)查:采用方便抽樣的方法抽取銀川市5個社區(qū)的老年人538例,采用整群抽樣的方法抽取銀川市5所養(yǎng)老機構的老年人505例,共1043例,老年人抑郁調(diào)查采用老年抑郁量表(GDS),情緒調(diào)節(jié)策略采用Gross情緒調(diào)節(jié)問卷(ERQ)和反芻思維量表(RRS)。(2)老年人抑郁危險因素的病例對照研究:采用1:4匹配病例對照研究方法,選擇養(yǎng)老機構的中重度抑郁患者(GDS≥21分)47例為病例組,在同期調(diào)查的無抑郁者中(GDS≤10分),按照性別、年齡不超過4歲選擇188例老年人為對照組,采用自行設計的調(diào)查表進行問卷調(diào)查。結果(1)老年人抑郁現(xiàn)況調(diào)查結果顯示,銀川市老年人抑郁發(fā)生率為32.0%,其中社區(qū)老年人抑郁發(fā)生率為35.5%,養(yǎng)老機構老年人抑郁發(fā)生率為28.3%,差異有統(tǒng)計學意義(χ2=6.187,P0.05)。經(jīng)傾向值匹配分析法分析,社區(qū)老年人和養(yǎng)老機構老年人抑郁發(fā)生率未見統(tǒng)計學差異(χ2=0.066,P=0.798)。多因素非條件logisitic回歸分析結果顯示,高齡、無配偶、文化程度低、無經(jīng)濟收入和無興趣愛好是社區(qū)老年人抑郁的危險因素(P0.05);低齡、無興趣愛好、無家庭支持是養(yǎng)老機構老年人抑郁的危險因素(P0.05)。老年人情緒調(diào)節(jié)策略調(diào)查結果顯示,女性認知重評得分高于男性,差異有統(tǒng)計學意義(t=-3.406,P0.05);文化程度低、無經(jīng)濟收入的老年人表達抑制得分較高,差異有統(tǒng)計學意義(t=2.236,P0.05;t=2.183,P0.05);60~70歲的老年人反芻思維得分較高(F=4.968,P0.05),無配偶老年人得分高于有配偶者,差異有統(tǒng)計學意義(t=2.383,P0.05)。Pearson相關分析結果顯示,老年人抑郁得分與認知重評、表達抑制得分呈負性相關(r=-0.400,P0.01;r=-0.098,P0.05),抑郁得分與反芻思維得分呈正相關(r=0.652,P0.01)。(2)老年人抑郁危險因素的病例對照研究結果顯示,多因素條件logisitic回歸發(fā)現(xiàn),老年人抑郁與興趣愛好、患慢性病種類和過去一年經(jīng)歷負性生活事件有關,有興趣愛好老年人發(fā)生抑郁危險性是無興趣愛好者的0.254倍(95%CI:0.097~0.662),老年人患慢性病種類每增加一種其抑郁發(fā)生風險增加2.180倍(95%CI:1.456~3.264),過去一年經(jīng)歷負性生活事件的老年人發(fā)生抑郁的危險性是未經(jīng)歷者的25.285倍(95%CI:7.323~87.310)。結論(1)銀川市老年人抑郁發(fā)生率為32.0%,家庭養(yǎng)老與機構養(yǎng)老對老年人抑郁的發(fā)生未見影響。(2)老年人抑郁與情緒調(diào)節(jié)策略有關,抑郁與認知重評策略呈負性相關,與反芻思維策略呈正相關。(3)無興趣愛好、患多種慢性病、過去一年經(jīng)歷負性生活事件是老年人抑郁的危險因素。
[Abstract]:Objective to investigate the current situation of depression and emotion regulation strategies of the elderly in community and pension institutions in Yinchuan City, and to explore the risk factors of depression in the elderly in Yinchuan City. And the relationship between depression and mood regulation strategies in the elderly, Methods 1) A survey of depression and mood regulation strategies in the elderly: 538 elderly people in 5 communities in Yinchuan city were sampled by convenient sampling method. A total of 505 elderly people (1043) from 5 old-age institutions in Yinchuan City were selected by cluster sampling. A case-control study on the risk factors of depression in the elderly using the elderly Depression scale (GDSs), the emotion Regulation Strategy (Gross) and the ruminant thinking scale (RRSSv. 2): a 1: 4 matched case-control study, was used to study the risk factors of depression in the elderly. Forty-seven patients with moderate and severe depression were selected as the case group. In the same period, the GDS 鈮，

本文編號：1605175