公共管理视阈下老年人群心理健康风险分析及对策
Influencing Factors and Policy Implications of Mental Health Risk of the Elderly: From the Perspective of Public Management

DOI: 10.12677/AP.2019.95115, PP. 935-945

Keywords: 老年人群，心理健康风险，影响因素，生活事件
The Elderly, Mental Health Risk, Influencing Factors, Life Events

Full-Text   Cite this paper   Add to My Lib

Abstract:

运用定量与定性研究相结合，分析老年人群的心理健康风险源。通过定性研究提出了影响老年人群心理健康源的四维来源，即生活事件、生存环境、人际关系资源、社会文化状况。采用德尔菲法、运用层次分析法等研究，发现老年人群心理健康社会风险源按其重要性依次排列为：生活事件，生存环境，人际关系资源，社会文化因素。通过对山东省2013位老年人进行问卷调查和心理测量，并运用二分类Logistic多元回归分析，发现心理问题阳性检出率为41.08%，定量研究影响老年人群心理健康的因素与定性研究具有一致性。按照上述四类因素寻找访谈对象进行深度访谈，发现它们的确会影响老年人的心理健康，在此基础上提出“三位一体”的老年群体心理健康风险预警、管控机制。
In this paper, we analyzed the influencing factors of the mental health risk using both qualitative and quantitative approaches. In the qualitative study, four domains of influencing factors of mental health, that is, life events, living environment, interpersonal relationship, social and cultural context. In the quantitative study, a total of 2013 participants were recruited in Shandong Province. The results show that 827 participants (41.08%) were diagnosed with psychological problems. The influencing factors of the mental health risk of the elderly found in the quantitative study were consistent with the findings from the qualitative study. According to those findings, in-depth interviews were performed and confirmed the four domains of influencing factors of the mental health risk of the elderly. Therefore, the trinity model of the monitoring and control system for the mental health risk of the elderly is suggested.

References

[1]	董毅, 郭继志, 胡善菊等(2016). 老年群体心理健康危机评价指标的构建. 护理学杂志, 31(11), 89-91.
[2]	胡善菊, 郭继志, 董毅等(2016). 基于SCL-90的山东省城乡老年人心理健康状况的比较分析. 中国卫生事业管理, 33(5), 377-380.
[3]	李敏, 郭继志, 王瑞梅等(2016). 山东省老年人心理健康状况及其影响因素. 中国健康心理学杂志, 24(5), 766-770.
[4]	Lurongjuan. 2015年调整企业退休人员基本养老金具体方案. http://www.citure.net/
[5]	王文新, 齐海梅, 张杰(2017). 农村老年心理健康服务现状及对策建议. 行政管理改革, (8), 48-52.
[6]	潘思兴(2013). 到2020年山东老年人口比例将上升到20%左右. http://www.dzwww.com/
[7]	宋埃米(2016). 官方调查: 中国老年人健康状况不容乐观: 老龄服务供少求多. http://news.hexun.com/
[8]	Fried, B. J. et al. (2000). Comparing Provider Perceptions of Access and Utilization Management in Full-Risk and No-Risk Medicaid Programs for Adults with Serious Mental Illness. Journal of Behavioral Health Services & Research, 1, 31-43. https://doi.org/10.1007/BF02287802
[9]	Jose, J. P., & Cherayi, S. (2016). Age Identity, Social Exclusion and Wellbeing: Implications for Elder Inclusive Societies. Indian Journal of Gerontology, 2, 143-167.

Full-Text