scholarly journals Factors Predicting Spiritual Well-Being among Dependent Older People

2022 ◽  
Vol 19 (1) ◽  
pp. 1718
Author(s):  
Doungmon Trapsinsaree ◽  
Linchong Pothiban ◽  
Rojanee Chintanawat ◽  
Tipaporn Wonghongkul
Keyword(s):  
Social Support ◽  
Older People ◽  
Health Care Providers ◽  
Religious Belief ◽  
Well Being ◽  
Religious Practice ◽  
Self Esteem ◽  
Care Providers ◽  
Study Results ◽  
Spiritual Well Being

Spiritual well-being is a deep feeling within the mind that represents peacefulness and the inner strength of individuals, resulting from an understanding of the nature of life and acceptance of changes occurring to themselves. Spiritual well-being is; therefore, very important to dependent older people. The objectives of this study were to identify the levels of spiritual well-being of dependent older people, to examine the relationships between religious belief, religious practice, self-esteem, social support, depression, and spiritual well-being, and to examine the ability of those factors to predict spiritual well-being among dependent older people. The study sample were 395 of people aged 60 years and above who are dependent and live in three provinces in southern Thailand. Data were collected using questionnaires, including the Spiritual Well-Being Scale for Dependent Older People, Thai version of the Rosenberg Self-Esteem Scale, Thai version of the Multidimensional Scale of Perceived Social Support, Thai Geriatric Depression Scale, the Religious Practices Questionnaire, and the Buddhist Belief Questionnaire. Data were analyzed using descriptive statistics, Spearman’s rank correlation coefficient, and multiple regression analysis. The study results were as follows: 1) The spiritual well-being among dependent older people was at a moderate level (x̅ = 46.97, SD = 7.22). 2) Religious belief, religious practice, self-esteem, and social support significantly related positively to spiritual well-being (p < 0.01), while depression significantly related negatively to spiritual well-being (p < 0.01). 3) Religious belief, self-esteem, and social support together could explain 46.00 % of the variance in spiritual well-being. The results of this study can be used by nurses and health care providers to determine interventions for enhancing spiritual well-being in this particular group of older people. HIGHLIGHTS Spiritual well-being is one of the important dimensions of holistic care. Spiritual well-being has a positive effect on physical, mental and social health The conceptual framework is guided by the Buddhism Principles Religious belief, self-esteem, and social support together could explain 46.00 % of the variance in spiritual well-being

Acculturative stress and life satisfaction of Chinese rural-to-urban migrants

2020 ◽  
Vol 48 (11) ◽  
pp. 1-11
Author(s):  
Dekuo Liang ◽  
Lei Wang ◽  
Liying Xia ◽  
Dawei Xu
Keyword(s):  
Social Support ◽  
Life Satisfaction ◽  
Acculturative Stress ◽  
Perceived Social Support ◽  
Well Being ◽  
Self Esteem ◽  
Construction Sites ◽  
Urban Migrants ◽  
Study Results ◽  
The Relationship

Little is known regarding the life satisfaction of rural-to-urban migrants in China. In this study we assessed whether self-esteem and perceived social support mediated the association between rural-to-urban migrants' acculturative stress and life satisfaction. We use convenience sampling to recruit 712 migrants who were employed at construction sites in Nanjing for the study. Results reveal that acculturative stress was negatively related to self-esteem, perceived social support, and life satisfaction; self-esteem was positively associated with perceived social support and life satisfaction; and perceived social support was a significant and positive predictor of life satisfaction. In addition, we found that self-esteem and perceived social support partially mediated the relationship between acculturative stress and life satisfaction. Our findings provide a better understanding of life satisfaction over the course of migration, and add to knowledge of psychological well-being and mental health among rural-to-urban migrants in China.

scholarly journals Prevalence and Patterns of Health Care Use Among Poor Older People Under the Livelihood Empowerment Against Poverty Program in the Atwima Nwabiagya District of Ghana

2019 ◽  
Vol 5 ◽  
pp. 233372141985545 ◽  
Author(s):  
Williams Agyemang-Duah ◽  
Charles Peprah ◽  
Francis Arthur-Holmes
Keyword(s):  
Health Care ◽  
Health Services ◽  
Older People ◽  
Health Care Providers ◽  
Health Care Expenditure ◽  
Well Being ◽  
Health Care Use ◽  
Public Health Care ◽  
Care Providers ◽  
Health Lifestyle

In spite of the growing literature on prevalence and patterns of health care use in later life globally, studies have generally overlooked subjective standpoints of vulnerable Ghanaian older people obstructing the achievement of the United Nations’ health-related Sustainable Development Goals. We examined the prevalence and patterns of health care use among poor older people in the Atwima Nwabiagya District of Ghana. Cross-sectional data were obtained from an Aging, Health, Lifestyle and Health Services Survey conducted between June 1 and 20, 2018 ( N = 200). Chi-square and Fisher’s exact tests were carried out to estimate the differences between gender and health care utilization with significant level of less than or equal to 0.05. Whereas, 85% of the respondents utilized health care, females were higher utilizers (88% vs. 75%) but males significantly incurred higher health care expenditure. The majority utilized health services on monthly basis (38%) and consulted public health care providers (77%). While 68% utilized services from hospitals, most sourced health information from family members (54%) and financed their health care through personal income (45%). The study found that the Livelihood Empowerment Against Poverty grant played a little role in reducing health poverty. Stakeholders should review social programs that target poor older people in order to improve their well-being and utilization of health care.

Longitudinal Study of Depressive Symptoms in Patients With Metastatic Gastrointestinal and Lung Cancer

2010 ◽  
Vol 28 (18) ◽  
pp. 3084-3089 ◽  
Author(s):  
Christopher Lo ◽  
Camilla Zimmermann ◽  
Anne Rydall ◽  
Andrew Walsh ◽  
Jennifer M. Jones ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Social Support ◽  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Well Being ◽  
Self Esteem ◽  
Physical Suffering ◽  
Spiritual Well Being ◽  
Physical Distress ◽  
Proximity To Death

Purpose Although early intervention is increasingly advocated to prevent and relieve distress in patients with metastatic cancer, the risk factors for such symptoms and their trajectory are not well established. We therefore conducted a longitudinal study to determine the course and predictors of depressive symptoms. Patients and Methods Patients (N = 365) with metastatic gastrointestinal or lung cancer completed measures of physical distress, self-esteem, attachment security, spiritual well-being, social support, hopelessness, and depression at baseline; physical distress, social support, hopelessness, and depression were subsequently assessed at 2-month intervals. Results Of the sample, 35% reported at least mild depressive symptoms, with 16% reporting moderate to severe depressive symptoms that persisted in at least one third of such individuals. Moderate to severe depressive symptoms were almost three times more common in the final 3 months of life than ≥ 1 year before death. Predictors of depressive symptoms included younger age, antidepressant use at baseline, lower self-esteem and spiritual well-being, and greater attachment anxiety, hopelessness, physical burden of illness, and proximity to death. The combination of greater physical suffering and psychosocial vulnerability put individuals at greatest risk for depression. Conclusion Depressive symptoms in advanced cancer patients are relatively common and may arise as a final common pathway of distress in response to psychosocial vulnerabilities, physical suffering, and proximity to death. These findings support the need for an integrated approach to address emotional and physical distress in this population and to determine whether early intervention may prevent depression at the end of life.

Managing Cancer and Living Meaningfully (CALM) Therapy

2021 ◽  
pp. 502-508
Author(s):  
Sarah Hales ◽  
Gary Rodin
Keyword(s):  
Health Care Providers ◽  
Affect Regulation ◽  
Symptom Management ◽  
Quantitative Research ◽  
Well Being ◽  
Care Providers ◽  
Safe Place ◽  
The Future ◽  
Spiritual Well Being ◽  
Relational Attachment

Managing Cancer and Living Meaningfully (CALM) is a brief, semistructured individual intervention designed to alleviate distress and to promote psychological growth in individuals with advanced disease. This intervention emerged from a longitudinal program of research and from the theoretical traditions of relational, attachment, and existential theory. Through a process that supports affect regulation, attachment security, and reflective functioning, CALM focuses on four content domains: (1) symptom management and communication with health care providers; (2) changes in self and relations with close others; (3) spiritual well-being, sense of meaning, and purpose; and (4) preparing for the future, sustaining hope, and facing mortality. Caregivers are invited to one or more CALM sessions, during which communication, relational strengths and disruptions, and hopes and fears related to the present and to the future are addressed. Qualitative research has shown that the structure of CALM provides a safe place for cancer patients to explore their fears, to be seen in human terms, and to face the challenges and threats of advancing disease. Quantitative research has shown that compared to usual care, it leads to significantly greater reduction in and prevention of depressive symptoms and improvement in death preparation. Therapist skill in the delivery of CALM is developed through didactic and experiential workshops and by ongoing supervision.

Assessing the Needs of Parents of Children Diagnosed With Cancer in China: A Psychometric Study Developing a Needs Assessment Tool

2017 ◽  
Vol 35 (1) ◽  
pp. 6-15
Author(s):  
Qingying Ji ◽  
Jennifer A. Currin-McCulloch ◽  
Anao Zhang ◽  
Calvin L. Streeter ◽  
Barbara L. Jones ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Assessment Tool ◽  
Well Being ◽  
Care Providers ◽  
Care Needs ◽  
Children With Cancer ◽  
Principle Components Analysis ◽  
Chinese Parents ◽  
Study Results ◽  
Components Analysis

The psychosocial well-being of parents remains integral to the treatment and recovery of children diagnosed with cancer. However, limited research addresses the unique needs of this population. To better understand the supportive care needs of parents of children with cancer, this study tested the reliability and stability of the factorial structure of a revised version of the Cancer Patient Needs Questionnaire (rCPNQ) with Chinese parents of children who have cancer. Analysis of the generalizability of the rCPNQ with this population was determined through principle components analysis with varimax rotation. Reliability coefficient and split sample analyses were performed to determine reliability and stability of the resulting factors. The principal components analysis resulted in a 6-dimension, 8-factor, 29-item survey. Each of the factors had Cronbach’s α ≥ .74, indicating satisfactory internal consistency and reliability of the survey with the Chinese population. Similar loadings on splitting of the samples reflects the stability of the factors. Study results provided a preliminary understanding of the needs of Chinese parents of children with cancer and demonstrated that the rCPNQ offers a reliable measure for nurses and other health care providers to partner with Chinese parents throughout their children’s treatment and survivorship to determine areas for support.

scholarly journals Self-Care and Its Predictive Factors in Hemodialysis Patients

2021 ◽  
Vol 10 (3) ◽  
pp. 153-159
Author(s):  
Fatemeh Sadat Izadi Avanji ◽  
Negin Masoudi Alavi ◽  
Hosein Akbari ◽  
Somayeh Saroladan
Keyword(s):  
Health Care Providers ◽  
Predictive Factors ◽  
Univariate Analysis ◽  
Self Care ◽  
Well Being ◽  
Care Providers ◽  
Multi Stage ◽  
Spiritual Well Being ◽  
Spss Software ◽  
The Relationship

Introduction: Chronic kidney disease is a serious problem and patients need active self-care. This study focuses on the relationship between self-care and its predictive factors in hemodialysis (HD) patients. Methods: This multicenter correlational study was conducted on 201 HD patients referring to HD centers in the west of Tehran, Iran. A multi-stage sampling method was used to select the samples. Data were collected using self-care Scale, Paloutzian-Ellison Spiritual Well-Being Scale, and Connor Davidson Resilience Questionnaires. Data were analyzed using SPSS software version 13 and descriptive statistics and linear regression with stepwise method. Results: The mean (SD) scores of self-care, resilience, and spiritual well-being were 35.5 (5.69), 53.4 (12.94), and 97.4 (17.9), respectively. Univariate analysis showed that self-care had a statistically significant relationship with gender, occupation, education, being diabetic, and hyperlipidemia. Self-care positively correlated with the resilience and negatively correlated with age. Multivariate regression indicated that the resilience (β=0.78, P=0.001), being diabetic (β=-0.09, P=0.01), and age (β=-0.11, P=0.005) could be predictors of self-care. These variables accounted for 78% of variance in self-care in HD patients. Conclusion: Our results showed that resilience was positively correlated with self–care, but being diabetic and age were negatively correlated with self-care in HD patients. Therefore, the health care providers should pay more attention to HD patients who are diabetic and older, as they are at a higher risk of having impaired self-care.

scholarly journals Beneficence or Bucks: Focus on Bioethics

2020 ◽  
Vol 54 (3) ◽  
pp. 175-176
Author(s):  
Rajiv Ahluwalia
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Well Being ◽  
Self Esteem ◽  
Care Providers ◽  
Global Institutions ◽  
Ethical Approach ◽  
Care Workers

Bioethics is the most appropriate and moral way of dealing with sensitive situations that arise in the field of medicine. This is more so in contemporary times with the advent of technology. Beneficence demands that health care providers develop and maintain skills and knowledge, continually update training, consider individual circumstances of all patients, and strive for patients’ well-being and benefit. Problems arising from unethical approach have now reached global proportions and this has prompted global institutions to work on this and create awareness amongst health care workers toward ethical approach. A pleasing appearance in today’s world has become a necessity, the smile being a prime asset to an individual’s appearance. Feeling attractive is directly related to elevated self-esteem. However, the objectives of cosmetic dentistry need to be met with unscrupulous treatment, keeping in mind dental ethics and adhering to the principles.

The Effect of Religious Involvement on Life Satisfaction among Korean Christians: Focused on the Mediating Effect of Spiritual Well-Being and Self-Esteem

2017 ◽  
Vol 71 (4) ◽  
pp. 257-266 ◽  
Author(s):  
Jieun Yoo
Keyword(s):  
Life Satisfaction ◽  
Religious Belief ◽  
Structural Equation ◽  
Religious Involvement ◽  
Well Being ◽  
Self Esteem ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Religious Behavior ◽  
Spiritual Well Being

The present study examined the relationship between two categories of religious involvement, namely religious belief and religious behavior, and life satisfaction among Korean Christians (N = 278) with spiritual well-being and self-esteem as potential mediators in this relationship by using structural equation modeling (SEM). The results supported the full mediated structural model and indicated that religious belief had a significant indirect effect on life satisfaction through the mediators, spiritual well-being and self-esteem. Religious behavior did not have an indirect or direct effect on life satisfaction among Korean Christians. The significance, implications, and limitations of the study were discussed.

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