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社会支持对中国农村老年人身体健康与自杀意念之间关系的调节作用:养老院样本。

The moderating effect of social support on the relationship between physical health and suicidal thoughts among Chinese rural elderly: A nursing home sample.

机构信息

School of Nursing, Shandong University, Jinan, Shandong, China.

School of Mathematics, Beijing University, Beijing, China.

出版信息

Int J Ment Health Nurs. 2018 Oct;27(5):1371-1382. doi: 10.1111/inm.12436. Epub 2018 Jan 23.

Abstract

Suicide rate is relatively high among Chinese rural elderly. While there has been some exciting work on reporting and preventing suicide among community-dwelling elderly, only a few published studies have addressed the issues of rural nursing homes in China. This study aimed to investigate the relationship among perceived social support, physical health, and suicidal thoughts of the elderly living in Chinese rural nursing homes. It also examined the moderating effects of social support on the path from physical health to suicidal thoughts of the rural institutional elderly in China. This study investigated 205 participants aged 60 years and above in Chinese rural nursing homes. Participants' suicidal thoughts, perceived social support, and physical health were assessed. This study conducted descriptive analysis, Student's t-test, and Pearson's chi-square test to test how physical health and social support predicted suicidal thoughts, as well as the moderating effects of family's, friends', and others' social support on physical health and suicidal thoughts. Both physical health and perceived social support were significantly related to suicidal thoughts. Perceived social support from family, friends, and significant others moderated the relationship between physical health and suicidal thoughts. Findings of this study suggested that increasing social support and improving physical health would be effective in both suicide prevention and intervention for the residents in Chinese rural nursing homes.

摘要

农村老年人的自杀率相对较高。虽然已经有一些关于社区居住的老年人自杀报告和预防的令人兴奋的工作,但只有少数已发表的研究涉及中国农村养老院的问题。本研究旨在调查中国农村养老院老年人的感知社会支持、身体健康和自杀意念之间的关系。它还检验了社会支持对中国农村机构老年人身体健康与自杀意念之间关系的调节作用。本研究调查了中国农村养老院 205 名 60 岁及以上的参与者。评估了参与者的自杀意念、感知社会支持和身体健康。本研究进行了描述性分析、学生 t 检验和 Pearson 卡方检验,以检验身体健康和社会支持如何预测自杀意念,以及家庭、朋友和其他社会支持对身体健康和自杀意念的调节作用。身体健康和感知社会支持都与自杀意念显著相关。来自家庭、朋友和重要他人的感知社会支持调节了身体健康与自杀意念之间的关系。本研究的结果表明,增加社会支持和改善身体健康将对中国农村养老院居民的预防和干预自杀有效。

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