Abdallah Abu Khait, PhD, CNS, MSN, RN, Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan.
Austin Menger, Ph.D, MSc, Menger Analytics, New York, NY, USA.
J Am Psychiatr Nurses Assoc. 2024 May-Jun;30(3):646-662. doi: 10.1177/10783903231174464. Epub 2023 May 19.
Jordan's population of older adults is growing due to improved health care and lifestyle, but the country has limited mental health care resources, causing challenges for the health care system. Reminiscence is a point of nursing intervention and a way for psychiatric nurses to help people improve their mental health by expanding their personal boundaries (self-transcendence).
The study aimed to examine the mediating effects of self-transcendence on the relationship between reminiscence functions and death anxiety in a sample of Jordanian older adults. Psychiatric nurses can refine reminiscence therapy by targeting aspects of self-transcendence to reduce death anxiety.
An online cross-sectional survey was employed to collect the data. A total of 319 older adults participated in the study. The sample was recruited using convenience and snowball sampling strategies through social media and personal contacts.
The reminiscence function of "Bitterness Revival," gender, the presence of a life-threatening disease, a history of psychiatric disorder, and the work sector were statistically significant predictors of death anxiety. This model accounts for 24% of the death anxiety score ( = 7.789, < .001). Reminiscence functions 1, 2, and 5 predicted self-transcendence. This model explained 25% of the variance in the self-transcendence score ( = 6.548, < .001). Self-transcendence exerts a positive, partial mediating effect between "Bitterness Revival" and death anxiety, controlling for other covariates in the death anxiety model ( = .016).
The study is informative for understanding the role of self-transcendence in buffering death anxiety, notwithstanding "Bitterness Revival" reminiscences. This knowledge reveals practical implications for psychiatric nurses about the importance of developing reminiscence interventions to promote self-transcendence and ease death anxiety.
由于医疗保健和生活方式的改善，约旦的老年人口正在增长，但该国的精神卫生保健资源有限，这给医疗保健系统带来了挑战。怀旧是护理干预的一个切入点，也是精神科护士帮助人们通过扩大个人边界（自我超越）来改善心理健康的一种方式。
本研究旨在考察自我超越在约旦老年人群体中怀旧功能与死亡焦虑之间的关系中的中介作用。精神科护士可以通过针对自我超越的各个方面来细化怀旧疗法，从而降低死亡焦虑。
采用在线横断面调查收集数据。共有 319 名老年人参与了研究。样本通过社交媒体和个人联系，采用方便抽样和滚雪球抽样策略招募。
“痛苦再现”怀旧功能、性别、威胁生命疾病的存在、精神障碍史和工作部门是死亡焦虑的统计学显著预测因子。该模型解释了 24%的死亡焦虑得分（ = 7.789， <.001）。怀旧功能 1、2 和 5 预测了自我超越。该模型解释了自我超越得分的 25%（ = 6.548， <.001）。自我超越在控制死亡焦虑模型中的其他协变量后，对“痛苦再现”和死亡焦虑之间存在正向部分中介效应（ =.016）。
该研究有助于了解自我超越在缓冲死亡焦虑方面的作用，尽管存在“痛苦再现”怀旧。这一知识为精神科护士提供了实践意义，即发展怀旧干预措施以促进自我超越和缓解死亡焦虑的重要性。
