| Objective:(1)To investigate the status of psychosomatic health and the infulence factors of social demography on the aged in reservoir area of three gorges(.2)To study the effect of personality,social support,subjective well-being,activities of daily living on psychosomatic health of the aged in reservoir area of three gorges.Methods:Adopt Multi-stage stratified random sampling methods, 604 elderly of reservoir area of three gorges were investigated by using General questionnaire,Mini-Mental State Examination(MMSE),Cornell Medical Index ( CMI ),Eysenck Personality Questionnaire-R Short Scale(EPQ-RSC),Social Support Rating Scale(SSRS),Memorial University of Newfoundland Scale of Happiness(MUNSH),Activities of daily living(ADL).Results:1.CMI's mean score of the aged in reservoir area of three gorges was 26.82±11.56(<30),M-R's mean score was 4.05±3.01(<10),positive affection predominated(SWB>24) to 80.6%.prompt the psychosomatic health and subjective well-being of the aged in reservoir area of three gorges was well,but there was 14.7% aged's mental health was in the sub-healthy status.2. Ranking for Positive answer of CMI showed that the physical problems of ears and eyes,cardiovascular system,fatigue, respiratory system was obviously, audio and sight problems was in the first. Factor analysis on psychiatric symptom showed that depression was the major factor.3.The status of psychosomatic health in different genders were no significantly different( P>0.05) .The scores of males were higher than females in respiratory system,and the scores of females were higher than males in sensitive factor( P<0.05 ).4.The status of psychosomatic health in different age groups were significantly different( P<0.05 ), the psychosomatic health disorders have an increasing tendency with age.5.The psychosomatic health of the aged with university qualifications was better,followed by the group with high school record,the groups with primary education and below was worse( P<0.05 ).6.The psychosomatic health of the aged with spouse was better than the without group(the unmarried, the divorced, the widowed) ( P<0.05 ). The psychosomatic health of urban elderly was worse than the rural( P<0.05 ).7. Social support,subjective well-being,activities of daily living and extroversion had a significantly positive correlation with the status of psychosomatic health( P<0.05) .Neuroticism,psychoticism had a significantly negative correlation with the status of psychosomatic health( P<0.05) .8.There was significantly different between mental sub-healthy group and mental healthy group in the aspect of personality,social support,subjective well-being,activities of daily living( P<0.05 ).9.The psychosomatic symptoms of the aged had a significantly positive correlation with psychiatric symptoms(r=0.773,P <0.05 ).The physiology interacts with psychology,were a significantly positive correlation(r=0.629,P <0.05 ).10.By stepwise multiple regression analysis, we found the activities of daily living,neuroticism,age,negative affect,positive experience,education and psychoticism had a greatest impact on the aged.11.Path analysis showed activities of daily living,neuroticism,subjective well-being direct effect to psychosomatic health,social support,extroversion,psychoticism indirect effect to psychosomatic health by mediator.Conclusions:The overall level of psychosomatic health and subjective well-being is well in the aged of three gorges reservoir area. However,there still have some psychosomatic problems deserved to concern. The psychosomatic health was affected by social demographic factor, personality, subjective well-being, activities of daily living and social support. In our study, the effect of audio and sight problem on psychosomatic health was great. As a result, we should intensify steps on health care of audio and sight, strengthen publicity on mental health information, raise the self-confidence of the aged , so as to enhance psychosomatic health of elder comprehensively.
|
PDF Full Text Request