髋部骨折后老年人的精神应对策略和生活质量：一项横断面调查。
Spiritual coping strategies and quality of life in older adults who have sustained a hip fracture: A cross-sectional survey.
机构信息
Faculty of Health Sciences, University of Malta, Msida, Malta.
Mater Dei Hospital, Msida, Malta.
出版信息
Nurs Open. 2021 Mar;8(2):572-581. doi: 10.1002/nop2.662. Epub 2020 Oct 17.
AIMS
To investigate the relationship between spiritual coping strategies and quality of life in persons with a hip fracture.
DESIGN
A correlational, cross-sectional survey design.
METHODS
The total population of Maltese-speaking adults over 65 years (N = 299), with a hip fracture receiving treatment in a public hospital in Malta in 2015, were invited. The WHOQOL-BREF questionnaire and the Spiritual Coping Strategies Scale were used.
RESULTS
A response rate of 51% (n = 147) was achieved. The poorest quality of life was for the physical and psychological domains. Spiritual coping strategies were associated with better quality of life with the exception of physical quality of life. Non-religious coping strategies were the stronger predictor of quality of life compared with religious coping strategies. The former predicted physical, psychological, environmental, social and overall quality of life.
CONCLUSION
Hip fractures have serious implications on quality of life which could be improved by promoting non-religious spiritual coping strategies.
目的
调查髋部骨折患者精神应对策略与生活质量之间的关系。
设计
相关性、横断面调查设计。
方法
2015 年，马耳他一家公立医院邀请了 299 名讲马耳他语的 65 岁以上成年人（总人口）参与调查，这些成年人髋部骨折并正在接受治疗。研究使用了 WHOQOL-BREF 问卷和精神应对策略量表。
结果
（调查）达成了 51%（n=147）的应答率。生活质量最差的是身体和心理领域。精神应对策略与生活质量呈正相关，除了身体生活质量。与宗教应对策略相比，非宗教应对策略是生活质量的更强预测因素。前者预测了身体、心理、环境、社会和总体生活质量。
结论
髋部骨折对生活质量有严重影响，通过提倡非宗教精神应对策略，可以改善生活质量。
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