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目的了解城区与农村老年人心理健康状况的差别,为进一步干预提供科学依据。方法采取整群抽样调查法,用症状自评量表(SCL-90)和一般情况调查表,分别对某区城区(城区组)和农村(农村组)老人各100例进行调查,比较两组SCL-90评分的差别。结果农村组SCL-90阳性项目数以及躯体化、抑郁、焦虑、恐怖、偏执因子分明显高于城区组(t=5.265,3.176,2.329,2.646,2.129,3.758;P<0.05),但强迫、人际关系因子分低于城区组(t=2.059,8.396;P<0.05);两组阳性项目数和抑郁、焦虑、恐怖因子分以及农村组躯体化、城区组人际关系因子分高于国内常模(P均<0.05)。结论城区和农村老人心理健康均处于较低水平状态,而农村老人心理健康状况更差。
Objective To understand the difference of mental health status between urban and rural elderly and provide scientific basis for further intervention. Methods A total of 100 elderly residents in urban (urban district) and rural (rural) groups in a certain district were investigated by cluster sampling method and Symptom Checklist 90 (SCL-90) respectively. SCL-90 score difference. Results The number of SCL-90 positive cases and the factors of somatization, depression, anxiety, terror and paranoid in rural areas were significantly higher than those in urban areas (t = 5.265,3.176,2.329,2.646,2.129,3.758; P <0.05) The interpersonal factors were lower than those in urban areas (t = 2.059, 8.396; P <0.05). The number of positive items and depression, anxiety and terrorist factors in both groups and somatization in rural areas were higher than those in urban areas (P <0.05). Conclusions Mental health of urban and rural elderly are at a low level, while mental health of rural elderly is even worse.