摘要
[目的]采用Meta分析方法探讨我国老年人自杀意念发生率的总体情况,为老年人自杀行为预防及干预提供理论依据。[方法]计算机检索PubMed,Web of Science,Elsevier,Cochrane Library、中国知网、万方数据库、中国生物医学文献服务系统、中文科技期刊全文数据库自建库至2018年6月发表的有关中国老年人自杀意念的文献,采用Stata 14.0软件进行Meta分析。[结果]共纳入文献18篇,总调查老年人54162名,自杀意念的发生率为1.00%~26.01%。纳入的研究异质性较大(I2=99.2%,P<0.001),采用随机效应模型进行数据合并,结果显示中国老年人自杀意念发生率为9.90%[95%CI(6.96%,13.25%)];通过亚组分析显示不同性别、研究区域、样本量等老年人自杀意念的发生率差异有统计学意义(P<0.001)。单个协变量的Meta回归结果显示,样本量和研究区域与本研究的异质性有关(P<0.05)。[结论]现有证据显示,中国老年人自杀意念发生率较高,需要给予一定的重视,并且有必要对老年人的身心问题进行相关干预,从而减少老年人自杀行为的发生。
Objective:To estimate prevalence of suicids ideation of Chinese elderly by Meta‐analysis,so as to provide a theoretical basis for the prevention and intervention of suicide behaviors in the Chinese elderly.Methods:The studies on suicide ideation among Chinese elderly were searched in PubMed,Web of Science,Elsevier,Cochrane Library,China National Knowledge Infrastructure,Wan Fang Data,China Biomedical Literature Service System and VIP,from inception to June 2018.Meta‐analysis was conducted by Stata 14.0 software.Results:A total of 18 studies with 54162 participants were included,the incidence of suicide ideation ranged from 1.00%to 26.01%.The included studies showed great heterogeneity(I2=99.2%,P<0.001),and the incidence of suicide ideation by random‐effects model was 9.90%[95%CI(6.96%,13.25%)].The subgroup analysis showed that there were significant differences in the incidence of suicide ideation among gender,research area,sample and so on(P<0.001).Meta regression results of single covariate showed that sample size and study area were related to heterogeneity(P<0.05).Conclusions:The current evidence showed that the prevalence of suicide ideation among the Chinese elderly was relatively high,which should be paid more attention.And it is necessary to carry out related intervention on the physical and mental problems of the elderly,so as to reduce the occurrence of suicide in the elderly.
作者
王珊
陈欧
赵妹
吴方
王雅琦
王克芳
WANG Shan;CHEN Ou;ZHAO Mei;WU Fang;WANG Yaqi;WANG Kefang(School of Nursing and Health,Shandong University,Shandong 250012 China)
出处
《护理研究》
北大核心
2020年第5期806-813,共8页
Chinese Nursing Research
关键词
中国老年人
自杀意念
自杀行为
预防
META分析
影响因素
Chinese elderly
suicide ideation
suicide behavior
prevention
Meta analysis
influencing factor
