心理健康教育对北京市养老机构老年人的干预效果及其影响因素

doi:10.3969/j.issn.1006-7795.2023.01.005

首都医科大学学报 ›› 2023, Vol. 44 ›› Issue (1): 27-34.doi: 10.3969/j.issn.1006-7795.2023.01.005

• 临床流行病和临床试验 • 上一篇下一篇

心理健康教育对北京市养老机构老年人的干预效果及其影响因素

齐涵^1,2, 贾鹏举³, 王春燕⁴, 胡维明⁵, 付晨光⁶, 夏晨妮⁷, 姜涛⁸, 吴曼琴⁹, 王学好⁵, 张长春³, 闫芳^1,2*

1.首都医科大学附属北京安定医院,国家精神心理疾病临床医学研究中心,精神疾病诊断与治疗北京市重点实验室,北京 100088;
2.首都医科大学人脑保护高精尖创新中心,北京 100069;
3.北京市房山区精神卫生保健院精神科,北京 102453;
4.北京市朝阳区第三医院培训宣教科,北京 100025;
5.北京市延庆区精神病医院心理研发中心,北京 102115;
6.北京市海淀区心理康复医院门诊部,北京 100194;
7.北京市通州区精神病医院心理科,北京 101118;
8.北京市怀柔区安佳医院医务科,北京 101408;
9.北京市西城区平安医院医务科,北京 100055

收稿日期:2022-10-24 出版日期:2023-02-21 发布日期:2023-01-13
基金资助:
北京市卫生健康科技成果和适宜技术推广项目(BHTPP202016),北京市高层次公共卫生技术人才培养计划(学科带头人-01-30)。

Effect and associated factors of mental health education on the elderly in endowment institutions in Beijing

Qi Han^1,2, Jia Pengju³, Wang Chunyan⁴, Hu Weiming⁵, Fu Chenguang⁶, Xia Chenni⁷, Jiang Tao⁸, Wu Manqin⁹, Wang Xuehao⁵, Zhang Changchun³, Yan Fang^1,2*

1. The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China;
2. Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100088, China;
3. Psychiatry Department, Beijing Fangshan Mental Health Care Center, Beijing 102453, China;
4. Training, Publicity and Education Section, the Third Hospital of Chaoyang District in Beijing, Beijing 100025, China;
5. Psychological Research and Development Center of Beijing Yanqing District Psychiatric Hospital, Beijing 102115, China;
6. Outpatient Department, Beijing Haidian Psychological Rehabilitation Hospital, Beijing 100194, China;
7. Psychology Department, Beijing Tongzhou District Psychiatric Hospital, Beijing 101118, China;
8. Medical Section, Beijing Huairou District Anjia Hospital, Beijing, 101408, China;
9. Medical Section, Beijing Xicheng District Pingan Hospital, Beijing 100055, China

Received:2022-10-24 Online:2023-02-21 Published:2023-01-13
Contact: *E-mail: yanfang2019@ccmu.edu.cn
Supported by:
Beijing Health Technologies Promotion Program (BHTPP202016), Beijing High Level Public Health Technical Talents Training plan(xuekedaitouren-01-30).

摘要/Abstract

摘要： 目的评估心理健康教育对北京市养老机构老年人的干预效果及其影响因素。方法采用自身前后对照的社区干预试验设计,通过两阶段方法筛选符合纳入排除标准的老年人作为研究对象,由专业人员对老年人提供为期半年的心理健康教育。在干预前后利用量表收集研究对象一般人口学资料、抑郁症状、焦虑症状、失眠症状和认知障碍情况,分析干预有效率、量表得分变化,以及影响干预效果的相关因素。结果来自北京市30家养老机构的620名老年人纳入分析,平均年龄(77.92±9.79)岁,男性占比50.5%。与干预前相比,心理健康教育干预后北京市养老机构老年人抑郁、失眠、焦虑、认知障碍量表总分显著下降(P<0.05)。多因素Logistic回归分析结果显示,性别、年龄、个人月收入水平、受教育程度以及慢性病患病情况是影响心理健康教育干预无效的相关因素(P<0.05)。结论心理健康教育可以有效改善北京市养老机构老年人的心理健康水平。未来还需要有针对性地采取个性化的心理健康教育进一步改善养老机构老年人的心理健康状况和生活质量。

关键词: 养老机构, 老年人, 心理健康教育, 影响因素, 北京市

Abstract: Objective To evaluate the effect and associated factors of mental health education on elderly people who lived in endowment institutions in Beijing. Methods A self-controlled community experimental design was adopted, and the elderly who met the inclusion and exclusion criteria were selected through a two-stage selection process. The mental health educations were carried out by professionally psychological service staff for a half year. The demographic data were collected, and the depression symptoms, anxiety symptoms, insomnia symptoms, and cognitive disorders were assessed with scales before and after the interventions. The response rates, changes of the total scores and the associated factors of the effect were analyzed. Results Totally, 620 elderly people from 30 endowment institutions were included in the analysis. The average age was (77.92±9.79) years old, and 50.5% were men. The total scores of the depression, insomnia, anxiety and cognitive impairment scales were significantly decreased after the interventions (P <0.05). The multivariate Logistic regressions showed that gender, age group, personal monthly income, education level and chronic diseases were significantly associated with the effect of the mental health educations (P<0.05). Conclusion The mental health educations could effectively improve the mental health status of the elderly in the endowment institutions in Beijing. According to the characteristics of the elderly, personalized mental health educations should be adopted to further improve the mental health status and quality of life in the future.

Key words: endowment institutions, elderly, mental health education, associated factors, Beijing

中图分类号:

R749.055

齐涵, 贾鹏举, 王春燕, 胡维明, 付晨光, 夏晨妮, 姜涛, 吴曼琴, 王学好, 张长春, 闫芳. 心理健康教育对北京市养老机构老年人的干预效果及其影响因素[J]. 首都医科大学学报, 2023, 44(1): 27-34.

Qi Han, Jia Pengju, Wang Chunyan, Hu Weiming, Fu Chenguang, Xia Chenni, Jiang Tao, Wu Manqin, Wang Xuehao, Zhang Changchun, Yan Fang. Effect and associated factors of mental health education on the elderly in endowment institutions in Beijing[J]. Journal of Capital Medical University, 2023, 44(1): 27-34.

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心理健康教育对北京市养老机构老年人的干预效果及其影响因素

Effect and associated factors of mental health education on the elderly in endowment institutions in Beijing

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