摘要
Abstract
Objective To analyze the mental health status and influencing factors in elderly patients with hearing impairment.Methods 224 elderly hearing-impaired patients were selected.Their mental health status was evaluated using the Symptom Checklist 90(SCL-90),and they were divided into the positive group and the negative group based on the results.The Medical Outcomes Study Social Support Scale(MOS-SSS)was used to assess the social support received by the elderly hearing-impaired patients,and the social support received by the positive group and the negative group was compared.The clinical data of the two groups of patients were collected,and the risk factors analyzed using the Logistic regression model.The ROC curve was plotted based on the probability values obtained from the regression equation.Results SCL-90 positive 126 cases(56.25%),classified as positive group.98 cases(43.75%)were negative,classified as the negative group.The total score of MOS-SSS in the positive group was significantly lower than that in the negative group(P<0.05).Logistic regression analysis showed that unmarried/divorced/widowed,family per capita annual income<30000,living alone,combined with 3 or more long-term diseases,severe or extremely severe hearing impairment were independent risk factors for mental health in elderly patients with hearing impairment(P<0.05).The total score of MOS-SSS was its protective factor(P<0.05).ROC curve analysis showed that the AUC of combined prediction was 0.980,95%CI was 0.960-1.000,sensitivity 0.905,and specificity 0.908.Conclusion 56.25%of elderly patients with hearing impairment have mental health problems.Marital status,family per capita annual income,living situations,number of chronic diseases,hearing impairment degrees,and MOS-SSS total score are important influencing factors for the mental health status of elderly patients with hearing impairment,with high combined predictive efficacy.It is essential to focus on elderly patients with hearing impairment who have these risk factors and provide targeted interventions to improve their mental health status.关键词
听力障碍/老年人/心理健康/影响因素/社会支持Key words
Hearing impairment/Elderly/Mental health/Influencing factors/Social support分类
医药卫生
