农村老年自杀意念及健康促进生活方式的相关性研究

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。

Study on the relationship between suicide ideation and health promoting lifestyle in rural elderly

Objective To explore the relationship between suicide ideation and health promoting lifestyle in rural elderly. Methods A cross-sectional survey method was conducted and a multistage clustered random sampling was adopted to select the elderly people in Chenzhou’s rural areas. The questionnaire was used to assess the suicidal ideation and health promoting lifestyle. Results The incidence rate of elderly’suicide ideation in Chenzhou’s rural area was 26.01%, Rural elderly residents’ self-rating idea of suicide scale score was(9.36±4.1). The health promoting lifestyle profile(LHHA-II)score was(112.048± 18.71), the health responsibility score was(15.76±3.54), the nutrition score was(20.28±4.23), the stress management score was(20.31±4.31). the exercise score was(16.01 ±4.78). the interpersonal support score was(20.56 ±4.27)and the selfactuali-zation score was(18.93 ±4.86). Moreover, the higher health promoting lifestyle level, the lower suicide ideation level. Spearman correlation analysis showed that The health promoting lifestyle profile(LHHA-II)score was negatively correlated with the self-rating idea of suicide scale score. Comclusion The health promoting lifestyle was negatively correlated with the suicide ideation in rural elderly. It is possible for the elderly to reduce the level of suicidal ideation in by adopting the health promoting lifestyle .