The Problem Of Psycho-Health And Intervention Among Aged People In The Elderly Housing In Chongqing

OBJECTIVE: To investigate the problem of psycho- health among aged people based on multiple factors in the elderly housing in Chongqing, to provide theoretical basis for prediction and intervention of sleep problem.METHODS:A cross-sectional study was respectively conducted among the elderly people aged 65 years or above who were sampled from each elderly housing in Chongqing's eight primary districts. The cluster sampling method was based on the Mini-mental state examination(MMSE), Activity of daily living scale(ADL), Symptom checklist 90(SCL-90), Memorial university of newfoundland scale of happiness( MUNSH),Life satisfaction index A(LSIA), The geriatric depression Scale (GDS), Hamilton anxiety scale, (HAMA) and demographic questionnaire. After the rudiment analysis of the questionnaire sampled from one elderly housing in Chongqing's eight primary districts. The Pittsburgh sleep quality index(PSQI) was used to evaluate the sleep disorder in one elderly housing sampled from the eight ones, the feasible plans were made by the specific sleep condition. All cases in two groups were assessed before intervention and after intervention.RESULTS:In the aspects of gender, profession and education, there were significant differences between the well-being elders and the diseased elders (P<0.05). Compared to the well-being elders, the diseased elders had bad direction-sense, inscribed function breakdown, depression of the calculating ability and the memory degradation(8.24±2.79,9.18±1.67;1.70±1.46,2.17±1.14;1.88±1.78,2.41±1.63;0.72±1.10,0.98±1.19,p<0.05). In the aspect of daily life ability, there were significant differences between the well-being elders and the diseased elders (P<0.01). In the aspects of somatization, anxiety, depression in the symptom checklist 90, there were significant differences between the well-being elders and the diseased elders (P<0.01). By comparing of MUNSH scores between two groups, there were significant differences in the sexual experience(P<0.01). The consequence of HAMA measuring scale evaluation showed that there were significant differences between the well-being elders and the diseased elders (P<0.01)in the aspects of somatic anxiety and psychic anxiety (P<0.001).The sleep quality before intervention were obviously lower than after intervention(p<0.01)in the elderly rooming house, which was 73% and 40% respectively. The total scores of PSQI of the elders before intervention were significantly higher than that of the elders after intervention(p<0.01). Compared to those after intervention, the elders before intervention had lower sleep quality, longer enter-sleep time, shorter sleep time, lower sleep efficiency, the sleep disorder and the function in daytime were more obvious, the usage of hypnotic drugs were more frequent. By logistic regressive analysis, the prevalence of sleep disorder in the elderly rooming house was more serious in (the people who are older, less educated, widowhood, physical diseased and introversive.CONCLUSION:①The psych-health problem of the diseased elders is serious in the elderly housing in Chongqing. For the diseased elders, the cognitive ability descends, the ability of daily life and the happiness index are lower, somatic anxiety,psychic anxiety and depression of the diseased elders are higher than that of the well-being elders.②The sleep quality of the aged people before intervention are lower than those after intervention, By adopting corresponding measures to carry out the interference, the sleep quality is obviously improved. The sleep disorder may is related with age,educational background, marriage status, physical status, and character.