通讯作者: 杨静, 903581517@qq.com

DOI：10.12201/bmr.202407.00063

Study on mental resilience and related factors of disabled elderly with suicidal ideation in nursing homes

• 摘要：目的 调查养老机构中伴有自杀意念失能老人的心理弹性,并分析其相关因素。方法 于2022.5—10月便利抽取重庆市8所养老机构,采用中文版Beck自杀意念量表筛查出119名有自杀意念的失能老人,再使用一般情况调查表、10条目简明心理弹性量表、纽芬兰纪念大学幸福感量表和医院抑郁量表对其进行问卷调查。结果 (1)伴自杀意念失能老人的心理弹性水平偏低,条目均分为(1.58±0.70)分；(2)伴自杀意念失能老人的心理弹性在养老机构性质、失能程度、文化程度、入住时长、与亲属通讯频率、参加集体活动频率等方面的差异具有统计学意义(P<0.05)；(3)伴自杀意念失能老人的心理弹性与抑郁症状呈负相关(r1=-0.631,P<0.001),与主观幸福感呈正相关(r2=0.652,P<0.001)；(4)文化程度和主观幸福感能正向预测伴自杀意念失能老人的心理弹性,抑郁症状负向预测其心理弹性(调整R2=0.521,P＜0.001)。结论 养老机构伴自杀意念失能老人的心理弹性水平较差,应重点改善文化程度和主观幸福感较低,抑郁症状较突出的失能老人的心理弹性,进而提高其适应能力。

  关键词： 自杀意念; 失能老人; 心理弹性; 养老机构

   

  Abstract: Objective To investigate the mental resilience of disabled elderly with suicidal ideation in nursing homes and analyze its related factors. Methods Using convenience sampling and the Chinese version of the Beck Scale for Suicide Ideation, a total of 119 disabled elderly with suicidal ideation were screened from 8 nursing homes in Chongqing from May to October 2022. Then they were investigated with the general information questionnaire, the Memorial University of Newfoundland scale of happiness, the 10-item Connor-Davidson Resilience Scale and the Hospital Depression Scale. Results (1) The average score of resilience of disabled elderly with suicidal ideation was (1.58±0.70), which was at a lower level; (2) There were statistically significant differences in the mental resilience of disabled elderly with suicidal ideation in terms of the nature of the nursing home, the degree of disability and education, the length of stay, the frequency of communication with relatives and participation in collective activities; (3) The mental resilience of disabled elderly with suicidal ideation was negatively correlated with depressive symptoms (r1=-0.631, P<0.001), and positively correlated with subjective well-being (r2=0.652, P<0.001); (4) Among disabled elderly with suicidal ideation, the degree of education and subjective well-being positively predicted mental resilience, while depressive symptoms negatively predicted mental resilience (adjusted R2=0.521, P<0.001). Conclusion The mental resilience level of the disabled elderly with suicidal ideation in nursing homes is poor. Nursing homes should focus on improving the mental resilience of the disabled elderly with lower educational level, lower subjective well-being and higher depression symptoms, so as to improve their adaptability.

  Key words: Suicidal ideation; Disabled elderly; Mental resilience; Nursing homes

  提交时间：2024-07-28

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-07-18	bmr.202407.00063V1	下载

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