探索养老院中老年人精神健康的过程：扎根理论研究。
Exploring the Process of Spiritual Health of the Elderly Living in Nursing Homes: A Grounded Theory Study.
机构信息
School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Chronic Disease (Home Care) Research Center, Community Health Nursing Department, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
出版信息
Ethiop J Health Sci. 2021 May;31(3):589-598. doi: 10.4314/ejhs.v31i3.16.
BACKGROUND
Spiritual health is one of the important dimensions of the elderly's health, which plays an important role in other dimensions of their health. This study aimed to explain the process of spiritual health of the elderly living in nursing homes.
METHODS
This grounded theory study was conducted in 4 nursing homes in the city of Arak Iran between October 2019 and September 2020. The participants were 24 elderly people living in nursing homes, two health care providers, one nurse and one family member, first selected through purposive sampling and then, through theoretical sampling. The data were collected through semi-structured interviews and field notes. All the interviews were transcribed verbatim and analyzed based on Strauss and Corbin approach (2008).
RESULTS
Six main categories were identified, including helplessness, inefficient supportive environment, spiritual distress, seeking support, relative improvement of spiritual health and factors affecting spiritual health, each of which explains a part of the whole process of spiritual health of the elderly living in nursing homes.
CONCLUSION
Supporting the elderly living in nursing homes is necessary in order to meet their spiritual needs and preserve and promote their spiritual health.
背景
精神健康是老年人健康的重要维度之一，对他们健康的其他维度起着重要作用。本研究旨在解释居住在养老院的老年人的精神健康过程。
方法
这项扎根理论研究于 2019 年 10 月至 2020 年 9 月在伊朗阿拉克市的 4 家养老院进行。参与者是居住在养老院的 24 位老年人、2 位医疗保健提供者、1 位护士和 1 位家庭成员，他们首先通过目的性抽样选择，然后通过理论性抽样选择。数据通过半结构化访谈和现场记录收集。所有访谈都逐字转录，并根据 Strauss 和 Corbin 方法（2008）进行分析。
结果
确定了 6 个主要类别，包括无助感、低效的支持环境、精神困扰、寻求支持、精神健康的相对改善和影响精神健康的因素，每个类别都解释了居住在养老院的老年人精神健康整体过程的一部分。
结论
为了满足老年人的精神需求，维护和促进他们的精神健康，有必要为居住在养老院的老年人提供支持。
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