School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Young Researchers and Elite Club, Abadeh Branch, Islamic Azad University, Abadeh, Iran.
J Relig Health. 2019 Aug;58(4):1328-1339. doi: 10.1007/s10943-019-00782-1.
The aim of this study was to investigate the effect of spiritual care on the perceived stress and mental health of the elderlies living in nursing home in Isfahan. This is a semi-experimental study with pretest and posttest design with control group. Ninety eligible elderlies living in the nursing home were divided into intervention and control groups through census and random allocation. The interventional spiritual care was conducted for the intervention group for 90 days. After conducting the spiritual care, the majority of the elderlies (62.22%) in the intervention group had a low perceived stress level and the majority of the subjects (64.44%) in the control group had a high perceived stress level. Therefore, after performing spiritual care, a significant difference was observed at the perceived stress level of the two groups (X = 3.22 and P = 0.001). The results of mental health level indicated that the mean score of the general health questionnaire was ranged between 10.95 and 27.2. After performing care, a significant difference was observed in mental health level of both groups, and 31.11% and 53.33% of the participants were suspected to general disorder in the intervention and control groups, respectively. Based on the results, there was a significant difference in the mental health level of both groups after the implementation of spiritual care (X = 6.56 and P = 0.001). Further, a significant negative correlation was found between the perceived stress and mental health (r = - 0.241 and P = 0.01). Considering the spiritual health as one of the health dimensions influencing the psychosocial variables of elderlies seems necessary. Policymakers and planners of health area contribute to the improvement of mental health level by using comprehensive care approach with an emphasis on the spiritual dimension of care for the elderly people.
本研究旨在探讨灵性关怀对伊斯法罕养老院老年人感知压力和心理健康的影响。这是一项半实验性研究，采用前后测设计和对照组。通过普查和随机分配，将 90 名符合条件的养老院老年人分为干预组和对照组。对干预组进行了为期 90 天的干预性灵性关怀。在进行灵性关怀后，干预组的大多数老年人（62.22%）感知压力水平较低，而对照组的大多数老年人（64.44%）感知压力水平较高。因此，在进行灵性关怀后，两组的感知压力水平存在显著差异（X=3.22，P=0.001）。心理健康水平的结果表明，一般健康问卷的平均分在 10.95 到 27.2 之间。在进行护理后，两组的心理健康水平均有显著差异，干预组和对照组分别有 31.11%和 53.33%的参与者被怀疑患有一般障碍。基于这些结果，在实施灵性关怀后，两组的心理健康水平存在显著差异（X=6.56，P=0.001）。此外，还发现感知压力与心理健康之间存在显著负相关（r=-0.241，P=0.01）。考虑到灵性健康是影响老年人心理社会变量的健康维度之一，这似乎是必要的。卫生领域的政策制定者和规划者可以通过采用全面关怀方法来提高老年人的心理健康水平，重点关注关怀的灵性维度。
