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空巢老人心理健康素养现状及其潜在剖面分析

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目的 调查空巢老人心理健康素养现状,分析其潜在剖面类别,明确其不同潜在剖面人群特征及其影响因素。方法 采用多阶段分层随机抽样法,以一般资料调查表、中文版心理健康素养量表(MHLS)为调查工具,于2022年3-7月对浙江省湖州市363例空巢老人进行问卷调查。对湖州市空巢老人心理健康素养特征进行潜在剖面分析,并通过单因素分析和多元logistic回归分析识别其不同潜在剖面人群的影响因素。结果 空巢老人MHLS总得分为(95。98±21。46)分,其心理健康素养分为3个潜在剖面类别,分别命名为"高认知—主动探寻型"(23。14%)、"中认知—沉默外援型"(49。31%)和"低认知—被动灌输型"(27。55%)。多元logistic回归分析结果显示,居住地、文化程度、个人月收入、自评健康状况、是否有心理疾病接触史/心理健康服务咨询史是空巢老人心理健康素养的影响因素(P均<0。05)。结论 空巢老人心理健康素养水平不足,且其心理健康素养存在异质性。初级卫生保健人员应重点关注"低认知—被动灌输型",采取针对性干预措施提高空巢老人心理健康素养水平,改善其心理健康。
The current status of mental health literacy among empty nesters and its latent profile analysis
Objective To investigate the current status of mental health literacy among empty nesters,analyze their latent profile categories,and clarify the characteristics of their different potential profile populations and their influ-encing factors.Methods A questionnaire survey was conducted on 363 empty nesters in Huzhou City,Zhejiang Prov-ince,China,from March to July 2022 using the multi-stage stratified random sampling method,with the basic informa-tion questionnaire and the mental health literacy scale(MHLS)as the measurement tools.Latent profile analysis was conducted to characterize the mental health literacy of empty nesters elderly in Huzhou City,and the influencing factors of their different latent profile populations were identified by univariate analysis and multivariate logistic regression analy-sis.Results The total MHLS score of empty nesters was 95.98±21.46,and their mental health literacy was catego-rized into three latent profile categories named"high cognitive-active exploration type"(23.14%),"medium cognitive-si-lent outreach type"(49.31%),and"low cognitive-passive indoctrination type"(27.55%).The results of multiple logis-tic regression analysis showed that place of residence,level of education,personal monthly income,self-rated health sta-tus,and history of exposure to mental illness/consultation with mental health services are influencing factors of mental health literacy among empty nesters(all P<0.05).Conclusions The mental health literacy level of empty nesters el-derly is insufficient,and their mental health literacy is heterogeneous.Primary health-care workers should focus on the"low cognition-passive indoctrination type"and take targeted interventions to improve the mental health literacy level of empty nesters elderly people,improve their mental health,and promote their eventual realization of healthy aging.

mental healthmental health literacyempty nesterslatent profile analysisself-rated health status

王瑜、宋利、张庆华、商思懿、陈圣光

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湖州师范学院医学院、护理学院护理系,浙江 湖州 313000

湖州市重大慢性疾病精准防控重点实验室,浙江 湖州 313000

心理健康 心理健康素养 空巢老人 潜在剖面分析 自评健康状况

2024

老年医学研究

老年医学研究

ISSN:
年,卷(期):2024.5(6)