合肥市城市社区老年抑郁症卫生服务研究-社会医学与卫生事业管理专业论文.docxVIP

童堡墨翌查堂翌主堂竺笙圭 一 Study on Health Services of Geriatric Depression in the Communities of Hefei City Abstraet Objectives：This study aims at investigating the prevalence and relevant factors of depression ofthe elder in urban areas ofHefei City,Anhui Province and setting up basic data of the old population SO as to provide scientific rationale for the government’S community health planning and proper community intervention and preventive nleasllres． Methods：65 year-old and above residents who have lived in the community for five years or more were selected by random sampling from Yimin Corrmaunity,Luyang District，in Hefei City．The 1 736 subjects were interviewed with the Geriatric Mental State Schedule(GMS)and its corresponding computerized diagnostric system．the Automated Geriatric Examination for computer assisted Taxonomy(AGECAT)and the Minimum Data Set(MDS)．All data were analysed by using the SPSS．The methods of descriptive analysis，the X。test mad a logistic regression，etc．were used to examine the correlation between the geriatric depression and relevant factors． Results：(1)AGECAT，t11e computer—aided diagnostric system，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 heMth，self-perceived life dissatisfaction， worrying about their children，having cancer,living with non．1ineal family members， worse health status，losing their relatives，etc．Such approaches as going for a walk 行equently and travelling，ete．may decrease the prevalence of geriatric depression(3) The AGECAT has high reliability and validity,which can be used in the screenin g， diagnostic and epidemic survey ofthe geriatric depression． Recommendation：(1)Intensilying international and domestic communication and cooperation in the epidemiologic study on depression of the elder．(2)Developing “quar