NTNU Center for Health Promotion Research, NTNU Norwegian University of Science and Technology, Trondheim, Norway.
Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.
Scand J Caring Sci. 2021 Mar;35(1):208-219. doi: 10.1111/scs.12836. Epub 2020 Mar 22.
The nursing-home population is at a high risk of declined well-being and quality of life. Finding approaches to increase well-being among older adults in nursing-homes is highly warranted. Responding to this need, the approach framed 'Joy-of-Life-Nursing-Homes' (JoLNH) was developed in Norway.
To investigate the association between nurse-patient interaction and joy-of-life in the nursing-home population.
Cross-sectional data were collected in 2017 and 2018 using the Nurse-Patient Interaction Scale and the Joy-of-Life Scale. A total of 204 cognitively intact nursing-home residents met the inclusion criteria and 188 (92%) participated. A structural equation model (SEM) of the relationship between nurse-patient interaction and joy-of-life was tested by means of STATA/MP 15.1. Ethical approval was given and each participant provided voluntarily written informed consent.
The SEM-model yielded a good fit with the data (χ = 162.418, p = 0.004, df = 118, χ /df = 1.38, RMSEA = 0.046, p-close 0.652, CFI = 0.97, TLI = 0.96, and SRMR = 0.054). As hypothesised, nurse-patient interaction related significantly with joy-of-life (γ1,1 = 0.61, t = 7.07**).
The cross-sectional design does not allow for conclusions on causality. The fact that the researchers visited the participants to help fill in the questionnaire might have introduced some bias into the respondents' reporting.
Relational qualities of the nurse-patient interaction should be essential integral aspects of nursing-home care. Consequently, such qualities should be emphasised in clinical practice, and research and education should pay more attention to nurse-patient interaction as an important, integral part of the caring process promoting joy-of-life and thereby well-being.
养老院的人群处于幸福感和生活质量下降的高风险之中。寻找提高养老院老年人幸福感的方法是非常必要的。为了满足这一需求，挪威开发了一种名为“生活乐趣养老院”（JoLNH）的方法。
调查护士-患者互动与养老院人群生活乐趣之间的关系。
使用护士-患者互动量表和生活乐趣量表，于 2017 年和 2018 年收集了横断面数据。共有 204 名认知功能正常的养老院居民符合纳入标准，其中 188 名（92%）参与了研究。使用 STATA/MP 15.1 测试了护士-患者互动与生活乐趣之间关系的结构方程模型（SEM）。本研究获得了伦理批准，每位参与者均自愿提供书面知情同意。
SEM 模型与数据拟合良好（χ ²=162.418，p=0.004，df=118，χ /df=1.38，RMSEA=0.046，p-close 0.652，CFI=0.97，TLI=0.96，SRMR=0.054）。正如假设的那样，护士-患者互动与生活乐趣显著相关（γ1,1=0.61，t=7.07**）。
横断面设计不允许得出因果关系的结论。研究人员访问参与者以帮助填写问卷可能会使受访者的报告存在一些偏差。
护士-患者互动的关系质量应该是养老院护理的基本组成部分。因此，在临床实践中应强调这些质量，并且研究和教育应更加关注护士-患者互动作为促进生活乐趣和幸福感的护理过程的重要组成部分。
