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对转诊至社区卫生中心的老年人精神与社会健康及自我护理能力之间关系的评估。

Assessment of the Relationship between Spiritual and Social Health and the Self-Care Ability of Elderly People Referred to Community Health Centers.

作者信息

Mohammadi Mahboobeh, Alavi Mousa, Bahrami Masoud, Zandieh Zahra

机构信息

Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2017 Nov-Dec;22(6):471-475. doi: 10.4103/ijnmr.IJNMR_171_16.

Abstract

BACKGROUND

Promotion of self-care ability among older people is an essential means to help maintain and improve their health. However, the role of spiritual and social health has not yet been considered in detail in the context of self-care ability among elderly. The aim of this study was to assess the relationship between spiritual and social health and self-care ability of older people referred to community health centers in Isfahan.

MATERIALS AND METHODS

In this cross-sectional correlation study, 200 people, aged 60 years and older, referred to healthcare centers in 2016 were recruited through convenience sampling method. Data were collected by four-part tool comprising of: (a) demographics, (b) Ellison and Palotzin's spiritual well-being scale, (c) Kees's "social health" scale, and (d) self-care ability scale for the elderly by Soderhamn's; data were analyzed by descriptive and inferential (independent -test, analysis of variance - ANOVA, Pearson's coefficient tests, and multiple regression analysis) statistics by SPSS16 software.

RESULTS

Findings showed that the entered predictor variables were accounted for 41% of total variance ( ) of the two self-care ability in the model ( < 0.001, = 46.02). Two out of the three predictor variables including religious well-being and social health, significantly predicted the self-care ability of older people.

CONCLUSIONS

The results of this study emphasized on the relationship between spiritual and social health of the elderly people and their ability to self-care. Therefore, it would be recommended to keep the focus of the service resources towards improving social and spiritual health to improve self-care ability in elderly people.

摘要

背景

提高老年人的自我护理能力是帮助维持和改善其健康的重要手段。然而,在老年人自我护理能力的背景下,精神和社会健康的作用尚未得到详细考虑。本研究的目的是评估在伊斯法罕转介到社区卫生中心的老年人的精神和社会健康与自我护理能力之间的关系。

材料与方法

在这项横断面相关性研究中,通过便利抽样法招募了2016年转介到医疗中心的200名60岁及以上的老年人。数据通过四部分工具收集,包括:(a)人口统计学,(b)埃里森和帕洛津的精神幸福感量表,(c)基斯的“社会健康”量表,以及(d)索德哈姆恩编制的老年人自我护理能力量表;使用SPSS16软件通过描述性和推断性(独立样本t检验、方差分析 - ANOVA、皮尔逊系数检验和多元回归分析)统计方法对数据进行分析。

结果

研究结果表明,模型中进入的预测变量占两种自我护理能力总方差的41%(F = 46.02,P < 0.001)。三个预测变量中的两个,即宗教幸福感和社会健康,显著预测了老年人的自我护理能力。

结论

本研究结果强调了老年人的精神和社会健康与其自我护理能力之间的关系。因此,建议将服务资源的重点放在改善社会和精神健康上,以提高老年人的自我护理能力。

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1
Spirituality and religion in older adults with dementia: a systematic review.老年痴呆症患者的灵性和宗教:系统评价。
Int Psychogeriatr. 2015 May;27(5):715-25. doi: 10.1017/S1041610214001665. Epub 2014 Aug 26.
3
Self-care ability among home-dwelling older people in rural areas in southern Norway.挪威南部农村地区居家老年人的自我护理能力。
Scand J Caring Sci. 2012 Mar;26(1):113-22. doi: 10.1111/j.1471-6712.2011.00917.x. Epub 2011 Aug 25.

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