The Relationship of Physiopsychosocial Factors and Spiritual Well-Being in Elderly Residents: Implications for Evidence-Based Practice

Worldviews on Evidence-based Nursing
Yi-Heng ChenMei-Li Chen

Abstract

Older adults in residential settings frequently suffer from functional decline, mental illness, and social isolation, which make them more vulnerable to spiritual distress. However, empirical evidence of the interrelationships between physiopsychosocial variables and spiritual well-being are still lacking, limiting the application of the biopsychosocial-spiritual model in institutional healthcare practice. To explain the mechanisms by which these variables are linked, this cross-sectional study tested a causal model of predictors of spiritual well-being among 377 institutionalized older adults with disability using a structural equation modeling approach. The primary variables in the hypothesized model were measured using the Barthel Index for functional ability, the Geriatric Depression Scale-short form for depression, the Personal Resources Questionnaire 85-Part 2 for perceived social support, and the Spiritual Well-Being Scale for spiritual well-being. The model fit indices suggest that the hypothesized model had a reasonably adequate model fit (χ2= 12.18, df = 6, p = .07, goodness-of-fitness index [GFI] = 0.99, adjusted GIF index [AGFI] = 0.93, nonnormed fit index [NFI] = 0.99, comparative fit index [CFI] = 0.99). In this s...Continue Reading

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Citations

Jul 31, 2020·BMC Geriatrics·Sara LimaClarisse Magalhães
Feb 11, 2021·Revista brasileira de enfermagem·Maria Gorete Mendonça ReisLuís Manuel Mota Sousa
Feb 27, 2021·Journal of Religion and Health·Yvonne WellsNicholas J R Hunter
Apr 30, 2021·Journal of Religion and Health·Ali JadidiMasoud Fallahi-Khoshknab

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