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韧性和灵性可以调节慢性疾病老年患者的焦虑和生活满意度。

Resilience and spirituality mediate anxiety and life satisfaction in chronically Ill older adults.

机构信息

Students Research Committee, Qom University of Medical Sciences, Qom, Iran.

Spiritual Health Research Center, School of Health and Religion, Qom University of Medical Sciences, Qom, Iran.

出版信息

BMC Psychol. 2023 Aug 31;11(1):256. doi: 10.1186/s40359-023-01279-z.

DOI:10.1186/s40359-023-01279-z
PMID:37653553
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10472626/
Abstract

BACKGROUND

Spirituality and psychological resilience can be considered as a protective factor for coping with anxiety in geriatric populations. The aim of the study was to investigate the structural model related to the mediating role of spirituality and psychological resilience in predicting the relationship between anxiety and life satisfaction in older adults with chronic illness.

METHODS

In a cross-sectional study, one hundred patients over sixty years of age from one university hospital were selected by convenience sampling. Data were collected using the Spiritual Health Scale, the Anxiety Module of the Hospital Anxiety and Depression Scale, the Connor-Davidson Resilience Scale, the Life Satisfaction Scale, and a sociodemographic questionnaire. Data analysis was performed using Partial Least Squares (PLS) structure modeling.

RESULTS

There was a positive and significant relationship between resilience, spirituality and life satisfaction of the samples. The structural model showed that spirituality, and psychological resilience mediated in the relationship between anxiety and life satisfaction directly and in indirectly in the older people with chronic disease, explaining approximately 34% of the variance in life satisfaction.

CONCLUSIONS

The findings suggest that spirituality and psychological resilience can help older adults with chronic illness to negate the impact of anxiety on satisfaction, with the effect of spirituality being stronger than resilience in this relationship.

摘要

背景

灵性和心理韧性可以被视为应对老年人群体焦虑的保护因素。本研究的目的是调查与预测慢性疾病老年患者焦虑与生活满意度之间关系相关的结构模型,该模型涉及灵性和心理韧性的中介作用。

方法

采用横断面研究方法,便利选取一所大学附属医院的 100 名 60 岁以上患者。使用精神健康量表、医院焦虑和抑郁量表的焦虑模块、Connor-Davidson 韧性量表、生活满意度量表和社会人口学问卷收集数据。采用偏最小二乘法(PLS)结构模型进行数据分析。

结果

研究样本中,韧性、灵性与生活满意度之间存在正相关且显著关系。结构模型显示,在患有慢性疾病的老年人中,灵性和心理韧性直接和间接中介了焦虑与生活满意度之间的关系,解释了生活满意度约 34%的变异。

结论

研究结果表明,灵性和心理韧性可以帮助慢性疾病老年患者减轻焦虑对生活满意度的影响,而且在这种关系中,灵性的作用强于韧性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/10472626/b6559f9cb2fd/40359_2023_1279_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/10472626/b6559f9cb2fd/40359_2023_1279_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/10472626/b6559f9cb2fd/40359_2023_1279_Fig1_HTML.jpg

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