Analysis of the current situation of psychological crisis vulnerability and influencing factors of the elderly multimorbidity
Objective To understand the current situation of psychological crisis vulnerability among elderly individuals with multimorbidity and analyze the factors that influence it,to provide insights for improving their coping abilities.Methods A cross-sectional survey designwas conducted at Renmin Hospital of Wuhan University from May 1 to November 30,2022.The attitudes toward aging,sense of meaning of life,and vulnerability to psychological crisis were analysed among outpatients and inpatients.Statistical analysis was performed on the questionnaire results,and the influencing factors of vulnerability to psychological crisis in elderly patients with co-morbidities were analyzed using one-way linear regression and multivariate linear regression.Additionally,the correlation between aging attitudes,sense of meaning of life,and vulnerability to psychological crisis was examined using Pearson correlation analysis.Results A total of 685 questionnaires were distributed,and 602 valid questionnaires were collected,resulting in a valid recovery rate of 87.9％.The total score for the sense of meaning of life in elderly co-morbid patients was(39.2±8.3),while the total score for aging attitudes was(80.2±13.5).The total score for psychological crisisvulnerability was(69.4±12.8),indicating a medium-high level of vulnerability.The results of multiple linear regression analysis revealed that the factors influencing psychological crisis vulnerability in elderly multimorbidity,in descending order,were residence status,economic situation,marital status,age,type of chronic disease,and hospitalization history in the past six months.Psychological crisis vulnerability in elderly multimorbidity showed a negative correlation with the sense of meaning of life and the attitude of aging(r=-0.315,-0.264,both P＜0.01),while the attitude of aging exhibited a positive correlation with the sense of meaning of life(r=0.515,P＜0.01).Conclusions The vulnerability of elderly individuals with multimorbidity to psychological crises is influenced by several factors.Healthcare professionals should prioritize individuals who are elderly,residing in nursing institutions,widowed,financially disadvantaged,experiencing multiple illnesses,and not currently hospitalized.
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