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城乡空巢老年人抑郁状况与人格特征、社会支持关系的比较研究

Comparative study on the relationship between depression and personality and social support of urban and rural empty-nest elderly

摘要目的:探讨内蒙古赤峰市城乡空巢老年人抑郁与人格特征、社会支持的差异和关系,以及城乡空巢老年人抑郁的预测因素。方法采用一般资料调查表、老年抑郁量表、艾森克人格问卷简式量表中国版、社会支持量表对赤峰市398名城乡空巢老年人人口学资料、抑郁、人格特征及社会支持情况进行调查。结果农村空巢老年人抑郁得分(14.41±3.09)分,高于城市空巢老年人的(12.90±2.64)分,且差异有统计学意义(t=5.254,P<0.01);农村空巢老年人主观支持、客观支持、对社会支持的利用度及社会支持总分(18.35±2.14)、(6.37±1.40)、(6.01±1.17)、(30.73±4.24)分,均低于城市空巢老年人(19.83±2.27)、(7.34±1.13)、(6.95±1.12)、(34.12±3.73)分,且差异均有统计学意义(t=6.673~8.490,均P<0.01);城市空巢老年人外倾性得分为(7.58±2.51)分,高于农村空巢老年人的(6.37±2.02)分,差异有统计学意义(t=5.273,P<0.01),城市空巢老年人神经质得分为(10.38±2.06)分、精神质得分为(9.42±2.17)分,低于农村空巢老年人的(12.41±2.25)、(10.94±2.10)分,差异均有统计学意义(t=9.401、7.107,均P<0.01)。城乡空巢老年人抑郁得分与外倾性及社会支持各维度呈负相关(P<0.01);城乡空巢老年人抑郁得分与精神质和神经质呈正相关(P<0.01)。回归分析表明,婚姻状况、收入水平、子女探望频率是影响城乡空巢老年人抑郁的主要因素,文化程度亦是影响城市空巢老年人抑郁的主要因素。结论抑郁与人格特征、社会支持显著相关;农村与城市空巢老年人在一般资料、抑郁状况、人格特征、社会支持等方面存在差异,应针对不同的特点,给予有效的干预。

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abstractsObjective To investigate the relationship between depression and personality and social support of the urban and rural empty-nest, clear the influence factors of depression in the empty-nest elderly. Methods 398 cases of urban and rural empty-nesters selected from the Chifeng district, were valuated with the general information questionnaire, the Geriatric Depression Scale (GDS), Eysenck personality Questionnaire- Revised Short Scalr for Chinese (EPQ-RSC) and the Social Support Scale (SSRS), and to investigate the demographic data, depression, personality and social support. Results Rural cases had a higher level (14.41±3.09) points of depression than (12.90±2.64) points of urban cases, and the difference was statistically significant (t=5.254, P<0.01);rural empty nesters′subjective support (18.35 ± 2.14) points, objective support (6.37 ± 1.40) points, support utilization degree (6.01 ± 1.17) points and social support score (30.37 ± 4.24) points, were lower than (19.83 ± 2.27) points, (7.34 ± 1.13) points, (6.95 ± 1.12) points, (34.12 ± 3.73) points of urban′s, and the difference was statistically significant (t=6.673-8.490, P<0.01); the extraversion score of urban empty nesters was (7.58 ± 2.51) points which was&nbsp;higher than (6.37 ± 2.02) points of rural empty nesters, and the difference was statistically significant (t=5.273, P<0.01);the neuroticism score (10.38 ± 2.06) points and psychoticism score (9.42 ± 2.17) points of urban empty-nest were lower than (12.41 ± 2.25) points, (10.94 ± 2.10) points of empty-nest′s, and the difference was statistically significant (t=9.401, 7.107, P<0.01). Neuroticism and psychoticism was shown to be positively associated with depression while extraversion and social support to be negatively associated with depression (P<0.01). Regression analysis showed that marital status, income, children visit frequency and the education level were the main influencing factors of depression in the urban and rural empty-nesters. Conclusions There are differences between rural and urban empty-nest elderly in the aspect of general data, depression status, personality and social support, and should intervention them effectively according to their different characteristics.

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作者 毛丹旦 [1] 苏红 [2] 周郁秋 [2] 王丽娜 [3] 学术成果认领
作者单位 315010,浙江省宁波市中医院骨伤科 [1] 163319,哈尔滨医科大学大庆校区护理学院 [2] 现在湖州师范学院护理学院 [3]
栏目名称
DOI 10.3760/cma.j.issn.1672-7088.2017.01.001
发布时间 2017-03-17(万方平台首次上网日期,不代表论文的发表时间)
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