AIM:To explore the situation of life events that happens in the elderly in nursing homes,and its influence on their mental health.METHODS:Sixteen nursing homes in Xi'an were chosen by random cluster sampling method,The life events and the medical outcomes study 36-Item short-form health survey(SF-36)questionnaires were administered to 462 of the institutional elderly who were glad to attend this study.RESULTS:A total of 440 qualified questionnaires were collected.More than half of the subjects(59.6%)had suffered some kinds of life events during the last two years,27.7% of them suffered more than two kinds of life events.The total mental health score(role emotion,social function,vitality,mental health)was 287.9±71.8.Those who had suffered life events,especially the passive ones(health aggravation,financial difficulty,losing things or money,unhappy experiences,conflictsamong relatives),also had a lower mental health score.Health aggravation,financial difficulty,unhappy experiences were three main negative life events which influenced the mental health.CONCLUSION:Passive life events have a bad influence on the mental health of the old,interventions on how to deal with health aggravation,financial difficulty,unhappyexperiences were the main point to promote the elderly's mental health.

随着医学的发展、人们寿命的延长,我国已经跨入老龄化的国家,老年人的健康问题、养老问题越来越引起人们的重视.随着独生子女政策的实施,核心家庭成为主导性家庭模式,而养老模式不再是依靠子女养老的单一模式,老年人对子女的依赖正逐渐减少,而对社会的要求正逐步增加[1].

Objective To investigate the relationship between quality of life(QOL)and occurrence of depressive symptoms prospectively.Methods Ninety-three elderly people over 60 years without depressive symptoms in a community of Xi'an were sampled randomly in 2006.The QOL were evaluated by the Medical Outcomes Study 36-Item Short-Form Health Survey(SF-36).Following-up was done in 2008 and the Geriatric Depression Scale(GDS)was used to survey the occurrence status of depressive symptoms.Results The total score of QOL on base line of depressive symptoms occurrence group was significantly lower than that of the depressive symptoms nonoccurrence group(P0.05).Scores of QOL and its 5 dimensions had significantly negative relationship with scores of depressive symptoms(P0.05).The relative risk(RR)of the occurrence of depressive symptoms in the general health lower point group was 4.24 times higher than that in the higher point group.Conclusion Improvement in QOL of the elderly,especially the health self-evaluation,has a positive effect in preventing the occurrence of the depressive symptoms.

AIM:To obtain a general opinion on life quality of the old living in nursing homes and its influencing factors. METHODS: Fourteen nursing homes were chosen randomly. Questionnaires including general demographic data, self-designed influencing factors and the 36-Item Short-Form Health Survey(SF-36) were distributed to the eligible olds. RESULTS: Three hundred and seventy-three valid questionnaires were collected. The grade distribution that fell on good, moderate, and poor levels were 38.9%, 55.5%, and 5.6% respectively. Self-assessment of satisfaction of their life, satisfaction of the life of their children, interpersonal relation, having interests or not, learning health information initiatively or not, and disease attack were the main factors that contributed to the life quality of the old in nursing homes. CONCLUSION: The life quality of this sample population remains at a middle-up level. The relative factors warrant great consideration when we make strategies about the geriatric nursing and health promotion.

回顾我校护理硕士研究生教育2000-2008年中发展和培养的概况,介绍了培养目标、课程设置、培养方式,并着重阐述研究生能力的培养和学位课题的要求等做法,对学科定位、师资队伍建设、核心知识体系和课程设置等问题进行了探讨。

老年期抑郁症(depression in elderly)广义上指见于老年期(≥60岁)这一特定人群的抑郁症,既包括老年期首次发病,也包括老年期前发病持续到老年期或老年期复发抑郁症,还包括老年期的各种继发性抑郁障碍;狭义上特指老年期(≥60岁)首次发病的原发性抑郁症.本文主要论述广义上的老年期抑郁症。

Objective To investigate the understanding of the depression-related knowledge among the old people in Kunlun Commu-nity in Xi’an as well as the route to obtain the knowledge so as to explore the nursing intervention strategy.Methods Randomized cluster sampling was used to select the subjects of the old people according to the apartment numbers.GDS and the questionnaires of understanding rate of depression-related knowledge and route to obtain the knowledge were used to make the investigation.389 of 408 handed-out questionnaires were collected,with an effective rate of 95.3%.The collected data were analyzed with SPSS 13.0 and treated with two-sample t-test and Chi-square test,with P0.05 identified as statistical significance.Results The prevalence of depression was 15.9%.The subjective and objective understanding rates of depression were 57.3% and 17.2%,respectively.The sub-jective and objective understanding of depression-related knowledge exercised no influence on the scores on depression in old people(P0.05).The ole people obtained depression-related knowledge by TV,newspapers and community health education.Among them,health education was the route by which there was a big gap between their wishes and what they actually obtained.Conclusion The old people in Kunlun Community in Xi’an understand the knowledge of depression at a lower degree.Health education can be a promising way to increase the understanding rate of depression.