CAJ | 학술논문

目的：分析三峡库区老年人心身健康状况，研究心理亚健康老年人的人群分布情况及相关影响因素。方法采用自制一般情况调查表、康奈尔医学指数（CMI）、艾森克简式问卷（EPQ-RSC）、社会支持评定量表（SSRS）、日常生活能力量表（ADL）、纽芬兰纪念大学幸福度量表（MUNSH）为对三峡库区604名老年人进行评估。结果14．7％的库区老年人处于心理亚健康状态，其中年龄较大、无配偶、文化程度较低、城市老年人心理亚健康发生率较高。社会支持度、人格特点、自我幸福感体验、日常生活能力等指标对老年人心理亚健康有明显影响，差异均有统计学意义（P＜0．05）。多元逐步回归分析显示在所涉及的因子中，精神质、神经质、日常生活能力对老年人心身健康水平影响较大（P＜0．01）。结论三峡库区老年人心身健康状况整体良好，心理亚健康发生率较低，其心身健康更多受心境状态影响。
목적：분석삼협고구노년인심신건강상황，연구심리아건강노년인적인군분포정황급상관영향인소。방법채용자제일반정황조사표、강내이의학지수（CMI）、애삼극간식문권（EPQ-RSC）、사회지지평정량표（SSRS）、일상생활능역량표（ADL）、뉴분란기념대학행복도량표（MUNSH）위대삼협고구604명노년인진행평고。결과14．7％적고구노년인처우심리아건강상태，기중년령교대、무배우、문화정도교저、성시노년인심리아건강발생솔교고。사회지지도、인격특점、자아행복감체험、일상생활능력등지표대노년인심리아건강유명현영향，차이균유통계학의의（P＜0．05）。다원축보회귀분석현시재소섭급적인자중，정신질、신경질、일상생활능력대노년인심신건강수평영향교대（P＜0．01）。결론삼협고구노년인심신건강상황정체량호，심리아건강발생솔교저，기심신건강경다수심경상태영향。
Objective To investigate the status of psychosomatic health on the aged in reservoir area of three gorges .Study men-tal sub-health population distribution and the related influencing factors of the aged .Methods 604 elderly of reservoir area of three gorges were investigated by using self-made general questionnaire ,Cornell Medical Index(CMI) ,Eysenck Personality Questionnaire-R Short Scale(EPQ-RSC) ,Social Support Rating Scale(SSRS) ,Activities of daily living (ADL) ,Memorial University of Newfound-land Scale of Happiness(MUNSH) .Results 14 .7% aged′s mental health was in the sub-healthy status .Older age ,low education level ,no spouse ,urban elderly people were higher in mental sub-healthy .There was significant difference 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) .Conclusion The elderly psychosomatic health status of the Three Gorges Reservoir area is good ,with low incidence of mental sub-health ,their psychosomatic health more affected by the state of mind .