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目的探讨海南冬季自然环境对异地抑郁老年人群健康状况、日常生活能力的影响。方法采用整群随机抽样的方法抽取2007～2010年间海口、三亚地区各个疗养院、老人公寓的异地疗养的老年人(≥65岁)共710例,疗养时间3个月。利用CES-D量表、SF-36量表、ADL量表进行面对面调查,评价其生理和心理健康状况。结果海南异地疗养老年人群抑郁患者的检出率达20%。抑郁人群与非抑郁人群疗养前后SF-36量表、CES-D量表、ADL量表评分及差值比较有统计学意义。各个维度与抑郁的相关性分析提示PF、RE、VT、MH这4个维度为抑郁的保护因素。结论海南异地疗养老年人群中有相当部分存在抑郁情绪,疗养后健康状况、日常生活能力均有提高,抑郁情绪有改善。海南冬季自然环境对异地老年人群健康状况、日常生活能力有益处,对有抑郁情绪的人群益处显著。
Objective To investigate the effects of winter natural environment in Hainan on the health status and daily living ability of elderly people with depressive disorder. Methods A total of 710 senile patients (≥65 years old) were enrolled from different nursing homes in Haikou and Sanya, and aged from 65 to 65 years in elderly apartments in 2007-2010. The duration of recuperation was 3 months. Using CES-D scale, SF-36 scale, ADL scale to conduct face-to-face survey to evaluate their physiological and mental health status. Results Hainan remote geriatric depressive patients with detection rate of 20%. SF-36 scale, CES-D scale and ADL scale before and after convalescent depression and non-depression groups were statistically significant. Correlation analysis of all dimensions and depression suggested that the four dimensions PF, RE, VT, MH were the protective factors of depression. Conclusion A significant part of elderly people in different age groups in Hainan are depressive. Their health status, daily living ability and the depression are improved after the treatment. Hainan winter natural environment in remote health of the elderly, daily living ability of good, depressed people have significant benefits.