Jayasinghe Nimali, Rocha Leila P, Sheeran Thomas, Wyka Katarzyna, Bruce Martha L
Weill Cornell Medical College, New York, NY 10065, USA.
Home Health Care Serv Q. 2013;32(3):163-77. doi: 10.1080/01621424.2013.813885.
This study examined the prevalence and associates of anxiety symptoms in older home health care recipients (N = 249) who completed structured interviews assessing sociodemographic, cognitive, medical and disability, and psychosocial variables--including anxiety (assessed by the Clinical Anxiety Scale). Mild or moderate anxiety was reported by 3.6% of the sample. No anxiety symptoms whatsoever were reported by 63.9%, while the remaining endorsed at least one symptom. Binary logistic regression analysis revealed that the odds of having any anxiety were elevated among participants who had had a recent fall, OR = 2.81, 95% CI [1.46, 5.43]; and those with major depression, OR = 4.78, 95% CI [1.46, 15.68]. These findings point to the importance of conducting studies to clarify whether the mild severity of anxiety found in this sample is best accounted for by protective factors inherent to the home health care setting or assessment factors that diminish the reporting of anxiety symptoms.
本研究调查了接受家庭健康护理的老年人（N = 249）中焦虑症状的患病率及其相关因素，这些老年人完成了结构化访谈，评估了社会人口统计学、认知、医疗和残疾以及心理社会变量，包括焦虑（通过临床焦虑量表评估）。3.6%的样本报告有轻度或中度焦虑。63.9%的人未报告任何焦虑症状，而其余的人至少认可一种症状。二元逻辑回归分析显示，近期有过跌倒的参与者出现任何焦虑的几率升高，OR = 2.81，95% CI [1.46, 5.43]；患有重度抑郁症的参与者出现焦虑的几率也升高，OR = 4.78，95% CI [1.46, 15.68]。这些发现表明开展研究以阐明本样本中发现的轻度焦虑严重程度是由家庭健康护理环境固有的保护因素还是减少焦虑症状报告的评估因素来最好解释的重要性。
