养老机构伴自杀意念失能老人心理弹性及相关因素研究

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.