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目的 :探讨农村老年人自杀意念及健康促进生活方式的相关性,为老年人自杀意念的干预提供依据。方法 :采用分层整群随机抽样的方法进行抽样。随机抽取郴州市农村地区9个村委会的老年人进行一般人口学资料、自杀意念水平及健康促进生活方式的调查研究。结果 :农村老年人自杀意念的发生率为26.01%,自杀意念自评量表总分为(9.36±4.1)分。HPLP-Ⅱ量表总分为(112.05±18.71),健康责任得分为(15.76±3.54)分,营养得分为(20.28±4.23)分,压力管理得分为(20.31±4.31)分,运动锻炼得分为(16.01±4.78)分,人际间支持得分为(20.56±4.278)分,自我实现得分为(18.93±4.86)分。随着健康促进生活方式水平的提高,调查对象自杀意念的发生率呈下降趋势,差异均有统计学意义。Pearson相关分析显示,健康促进生活方式量表得分及与自杀意念量表得分之间呈负性相关,且结果具有统计学意义。结论 :健康促进生活方式与自杀意念之间呈负性相关,通过采取健康促进生活方式可能降低老年自杀意念水平。
Objective: To investigate the correlation between suicidal ideation and health promotion life style of the elderly in rural areas, and provide basis for the intervention of suicidal ideation among the elderly. Methods: Stratified cluster random sampling method for sampling. We randomly selected the elderly in 9 village committees in rural areas of Chenzhou to carry out general demographic data, the level of suicidal ideation and healthy lifestyles. Results: The incidence rate of suicidal ideation in rural elderly was 26.01%, and the total score of suicidal ideation self-rating scale was 9.36 ± 4.1. The score of HPLP-Ⅱ was (112.05 ± 18.71), the score of health responsibility was (15.76 ± 3.54), the score of nutrition was (20.28 ± 4.23) and the score of stress management was (20.31 ± 4.31) (16.01 ± 4.78) points respectively. Interpersonal support scores were (20.56 ± 4.278) points and self-actualization scores were (18.93 ± 4.86) points. With the improvement of health promotion lifestyle, the incidence of suicidal ideation of the respondents showed a downward trend, the differences were statistically significant. Pearson correlation analysis showed that there was a negative correlation between the score of Health Promotion Lifestyle Scale and the score of suicide ideation scale, and the result was statistically significant. Conclusion: There is a negative correlation between health promotion lifestyle and suicidal ideation. The adoption of health promotion lifestyle may reduce the level of suicidal ideation in the elderly.