老年男性体检人群心理问题患病情况及影响因素分析

文燕嫦　龙洁珍　温鸿源 罗友琼　何楚婕　龙冬梅

【摘要】 目的：研究老年男性体检人群心理问题的患病情况及影响因素。方法：回顾性分析笔者所在医院体检的90例老年男性患者临床资料，根据是否存在焦虑、抑郁等心理问题将其分为健康（n=43）和患病（n=47）。进行单因素分析及多因素Logistic回归分析影响老年男性体检人群心理健康的因素，并探讨相应防治对策。结果：单因素分析显示，健康的患者与患病的患者身体健康状况、文化程度、婚姻及居住状态、经济来源、是否退休、睡眠质量、是否存在慢性病、日常生活能力比较差异有统计学意义（P<0.05）。多因素非条件Logistic回归分析显示，退休、存在慢性病均为影响老年男性心理健康的危险因素（P<0.05）。身体健康状况良好及日常生活能力正常为促进老年男性心理健康的保护因素（P<0.05）。结论：退休、存在慢性病是影响老年男性心理健康的危险因素，身体健康状况良好及日常生活能力正常为促進老年男性心理健康的保护因素。社会可通过多鼓励老年男性参加体检，亲人、朋友在日常生活中多关注其情绪变化，共同做好防护。

【关键词】 心理健康 老年男性 危险因素 身体健康状况 日常生活能力

doi：10.14033/j.cnki.cfmr.2020.18.066 文献标识码 B 文章编号 1674-6805（2020）18-0-03

Analysis on the Prevalence and Influencing Factors of Psychological Problems in the Elderly Male Physical Examination Population/WEN Yanchang， LONG Jiezhen， WEN Hongyuan， LUO Youqiong， HE Chujie， LONG Dongmei. //Chinese and Foreign Medical Research， 2020， 18（18）： -156

[Abstract] Objective： To study the prevalence and influencing factors of psychological problems in the elderly male physical examination population. Method： The clinical data of 90 elderly male patients who underwent physical examination in our hospital were retrospective analyzed. According to whether there are psychological problems such as anxiety and depression， they were divided into the health （n=43） and the sick （n=47）. Univariate analysis and multivariate Logistic regression analysis were carried out to analyze the factors influencing the psychological health of elderly male physical examination population， and the corresponding prevention and treatment measures were discussed. Result： Univariate analysis showed that there were statistically significant differences between healthy patients and sick patients in terms of physical health status， education level， marital and residential status， financial source， whether the retirement， sleep quality， whether the chronic disease， and daily living ability （P<0.05）. Multivariate logistic regression analysis showed that retirement and chronic disease were risk factors for psychological health in elderly male （P<0.05）. Good physical health and normal daily living ability were the protective factors for promoting psychological health of elderly male （P<0.05）. Conclusion： Retirement and chronic diseases are the factors influencing the psychological health of elderly male. Good physical health and normal daily living ability are the protective factors promoting the psychological health of elderly male. The society can encourage the elderly male to participate in physical examination more， and their relatives and friends should pay more attention to their emotional changes in daily life， so as to make protection together.