承德市养老院老年人群孤独感、人际信任现状调查及预测受骗可能性的价值研究

目的 探究承德市养老院老年人群孤独感、人际信任现状及预测受骗可能性的价值。方法 选取承德市养老院老年人218例，分别采用加利福尼亚大学洛杉矶分校（UCLA）孤独感量表和人际信任量表（ITS）评估承德市养老院老年人群孤独感、人际信任现状。结果 本组218例养老院老年人的UCLA孤独感量表评分为（51.26±7.35）分，ITS评分为（92.83±10.34）分；多因素分析显示养老院老年人ITS评分与年龄、文化水平、户籍地、亲属探望频率、性格特征、月收入、因病长期用药、UCLA孤独感量表评分显著相关（OR=3.291、0.450、4.295、0.538、3.770、0.510、5.086、4.490，P＜0.05）；未发生受骗者的UCLA孤独感量表评分、ITS评分均低于发生受骗者（t=4.742、3.092，P＜0.05）；UCLA孤独感量表评分、ITS评分联合预测养老院老年人群受骗的AUC（0.855）大于二者单一预测（0.728、0.765），联合预测的最佳敏感度、特异度分别为81.27%、74.36%。结论 承德市养老院老年人群存在明显孤独感，人际信任程度较高，明确其孤独感、人际信任情况有助于预测受骗风险。

The status quo of loneliness and interpersonal trust among the elderly in Chengde nursing homes and value research of predicting the possibility of being deceived

To explore the current situation of loneliness and interpersonal trust among the elderly in Chengde nursing homes and the value of predicting the possibility of deception. Methods A total of 218 elderly cases in Chengde nursing homes were selected. The loneliness scale of the University of California, Los Angeles(UCLA) and the interpersonal trust scale(ITS) were used to evaluate the current status of loneliness and interpersonal trust among the elderly in Chengde nursing homes. Results The UCLA Loneliness Scale score of 218 elderly people in nursing homes in this group was(51.26±7.35) points, and the ITS score was(92.83±10.34) points. Multivariate analysis showed that the ITS score of the elderly in nursing homes was significantly correlated with age, cultural level, household registration, frequency of relative visits, personality characteristics, monthly income, long-term medication due to illness, and UCLA Loneliness Scale score(OR=3.291, 0.450, 4.295, 0.538, 3.770, 0.510, 5.086, 4.490, all P<0.05). The scores of UCLA Loneliness Scale and ITS of those who hadn’t been deceived were lower than those who had been deceived(t=4.742 and 3.092, both P<0.05). The combined prediction of UCLA Loneliness Scale and ITS scores for elderly people in nursing homes was deceived(0.855) than the two single predictions(0.728, 0.765), and the best sensitivity and specificity of the combined prediction were 81.27% and 74.36%respectively. Conclusion There is obvious loneliness among the elderly in Chengde nursing homes, with a high degree of interpersonal trust. Knowing their loneliness and interpersonal trust can help predict the risk of deception.