Adib-Hajbaghery Mohsen, Faraji Mona
Department of Medical Surgical Nursing, Kashan University of Medical Sciences, Kashan, Iran.
Int J Community Based Nurs Midwifery. 2015 Jul;3(3):216-26.
Several studies are available on the lifestyle, psychological and mental health of the elderly adults. This study aimed to compare the spiritual well-being and happiness in the elderly who lived in sanitariums with those lived in the community.
A comparative study was conducted on 384 elderly adults. A census sampling was used in sanitariums and a convenience sampling was performed to select the community dwelling (CD) older adults. A demographic questionnaire, the Pauloutzian and Ellison's spiritual well-being scale and the Oxford happiness questionnaire were used in this study. Descriptive statistics and Kolmogorov-Smirnov, Chi-square and Mann-Whitney U tests and Spearman correlation coefficient were employed for data analysis, using the SPSS software, version 13.0.
From the total participants, 56% were CD elderly and 44% were in sanitariums. Among the CD older adults, no one was at a high level of spiritual well-being while in sanitariums 24.4% were at a high level of spiritual well-being. Also, 71.2% of the community dwelling older adults were at a high level of happiness while only 3.6% of those living in sanitariums expressed a high level of happiness. A significant association was found between the level of spiritual well-being and happiness in those who lived in sanitariums (r=0.177, P<0.021).
Most of the elderly living in the community and in sanitariums showed moderate spiritual well-being and low happiness. Therefore, nurses and health authorities are responsible not only to inform the community about the importance of spiritual well-being and happiness, but also to establish some strategies in this regard.
有多项关于老年人生活方式、心理和精神健康的研究。本研究旨在比较住在疗养院的老年人与住在社区的老年人的精神幸福感和快乐程度。
对384名老年人进行了一项比较研究。在疗养院采用普查抽样,在社区采用便利抽样来选取居住在社区的老年人。本研究使用了一份人口统计学调查问卷、保罗齐安和埃里森的精神幸福感量表以及牛津快乐问卷。使用SPSS 13.0软件进行数据分析,采用描述性统计、柯尔莫哥洛夫-斯米尔诺夫检验、卡方检验、曼-惠特尼U检验和斯皮尔曼相关系数。
在所有参与者中,56%是居住在社区的老年人,44%住在疗养院。在居住在社区的老年人中,没有人处于高水平的精神幸福感,而在疗养院中有24.4%处于高水平的精神幸福感。此外,71.2%居住在社区的老年人处于高水平的快乐状态,而住在疗养院的老年人中只有3.6%表示处于高水平的快乐状态。在住在疗养院的人群中,精神幸福感水平与快乐程度之间存在显著关联(r = 0.177,P < 0.021)。
大多数居住在社区和疗养院的老年人精神幸福感中等,快乐程度较低。因此,护士和卫生当局不仅有责任向社区宣传精神幸福感和快乐的重要性,还应在这方面制定一些策略。