居住在养老院的老年人的焦虑患病率:来自印度北阿坎德邦喜马拉雅地区的横断面研究

Suresh Sharma, Priyanka Malhotra, Hem Lata, Shayna Sahotra, Rekha Choudhary
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摘要

背景:社会结构的变化,印度社会的城市化、工业化和全球化,迫使越来越多的老年人呆在养老院,寻求安全、保障、独立、陪伴和支持。很明显,老年人患几种精神疾病的风险正在增加,在印度OAHs的居民中,这一风险在30 - 64.4%之间。然而,在OAHs居住的老年人中,缺乏具有临床意义的焦虑的区域数据。目的:评估印度北阿坎德邦选定养老院(OAHs)老年人的焦虑患病率及其与选定社会人口统计学特征的关系。患者和方法:本横断面研究是对居住在北阿坎德邦选定的OAHs的老年人进行的。采用比例分层随机抽样技术,采用标准化焦虑筛查工具“老年焦虑量表”(GAI)对老年人的焦虑进行评估,从三家不同的养老院中抽取70名参与者。结果:采用描述性统计和推断性统计对数据进行分析,并采用交叉汇总表的频率和比例分布表示。采用Chi-quire检验和95%可信区间的比例进行推理统计。临床显著性焦虑患病率为24% (95%CI= 14.8,36.0%);与女性、过去低就业状况、家庭虐待和因缺乏子女支持而留在OAH显著相关(P<0.05)。结论:定期评估和适当治疗OAHs居民的焦虑对预防其身体健康和生活质量的长期有害后果至关重要。
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Prevalence of anxiety amongst elderly people residing in old-age homes: A cross-sectional study from Sub-Himalayan Region, Uttarakhand, India
Background: Changing social structure, urbanization, industrialization and globalization of Indian society have compelled more number of elderly to stay in old age homes for safety, security, independence, companionship and support. It is clearly evident that elderly people are at increasing risk of several psychiatric morbidities, which range between 30 – 64.4% among residents of OAHs in India. However, there is paucity of regional data on clinically significant anxiety among elderly residing in OAHs. Aims: To assess the prevalence rate of anxiety and its association with selected socio-demographic characteristics of elderly people residing in selected old age homes (OAHs) of Uttarakhand, India. Patients and Methods: This cross-sectional study was conducted on elderly people residing in selected OAHs of Uttarakhand. Total 70 participants were selected from three different old age homes by using proportionate stratified random sampling technique and Geriatric Anxiety Inventory (GAI), a standardized anxiety screening tool was used to assess the anxiety in elderly. Result: Data were analyzed using descriptive and inferential statistics and presented using frequency and proportion distribution in cross summary tables. Chi-quire test and 95% confidence interval of proportion was used as inferential statistics. The prevalence rate of clinically significant anxiety was 24% (95%CI= 14.8,36.0%); which was significantly associated with female gender, past low employment status, abuse by family and staying in OAH due to lack of support from children (P<0.05). Conclusion: Regular assessment and adequate treatment of anxiety in residents of OAHs is essential for prevention of long-term deleterious consequences on their physical health and quality of life.
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