Loading...
Publication
Bem-estar espiritual da pessoa idosa : contributos na capacidade de autocuidado
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 3.25 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Um número crescente de estudos relacionados com a espiritualidade/ religiosidade e bemestar espiritual evidenciam resultados positivos no domínio da saúde. Contudo a evidência científica não é unânime quanto à relação entre a espiritualidade e a capacidade de autocuidado da pessoa idosa. Objetivos: Analisar a relação entre o Bem-estar Espiritual e Capacidade de Autocuidado em pessoas idosas; compreender a relação entre as dimensões do Bem-estar espititual e as dimensões da Capacidade de Autocuidado, assim como, analisar a relação entre as variáveis sociodemográficas e autoperceção do estado de saúde no Bem-estar Espiritual e na Capacidade de Autocuidado. Metodologia: Estudo de natureza não experimental, transversal, quantitativo de tipo descritivo e correlacional, desenvolvido em duas etapas. A primeira etapa refere-se ao processo de tradução, adaptação cultural e validação da Exercise of Self-care Agency Scale (ESCA) para a versão portuguesa em pessoas idosas residentes em contexto domiciliário. A segunda etapa visou dar resposta aos objetivos propostos e integrou 400 pessoas idosas residentes em contexto domiciliário. Resultados: Do processo de tradução, adaptação e validação da ESCA, apresenta-se um instrumento constituído por 29 itens com características psicométricas adequadas para utilização em pesquisas futuras (escala global α = .871). O género, idade, escolaridade e autoperceção do estado de saúde, demonstram estar associados a diferenças significativas no Bem-estar espiritual, com resultados superiores no género feminino, nas pessoas mais idosas, em níveis mais baixos de escolaridade e nas pessoas idosas que se autopercecionam como incapazes de cuidar de si. A idade, escolaridade e a autoperceção do estado de saúde, demonstram estar associados a diferenças significativas em algumas das dimensões da capacidade de autocuidado. O Bem-estar espiritual, nas suas dimensões constituintes Fé pessoal, Prática religiosa e Paz espiritual, explicam 16% capacidade de autocuidado. A influência das dimensões do Bem-estar espiritual na autoperceção do estado de saúde, mediado pela Capacidade de autocuidado, revelou que a Paz espiritual agindo positivamente sobre o Autoconceito, Iniciativa e responsabilidade e atividade para o autocuidado detém uma influência positiva na autoperceção de saúde. A Fé pessoal e a Prática religiosa constituem-se como impulsionadoras da capacidade de autocuidado, desempenhando um papel fundamental nas pessoas idosas que se autopercecionam como incapazes de cuidar de si. Conclusões: O Bem-estar espiritual constitui-se como um tipo de apoio capaz de potenciar a capacidade de autocuidado. Como tal, os enfermeiros, integrando uma abordagem holística do cuidar, devem promover o bem-estar espiritual da pessoa idosa no decorrer dos processos de saúde/doença. Implicações do estudo para a educação em enfermagem e investigação foram discutidas.
A growing number of studies related to spirituality/religiosity and spiritual well-being show positive results in terms of health. However, the scientific evidence is not unanimous on the role of spirituality in the self-care capacity of the elderly. Objectives: To analyze the relationship between Spiritual Well-Being and Self-Care Ability in elderly people; to understand the relationship between the dimensions of Spiritual Well-Being and the dimensions of Self-Care Ability, and to analyze the relationship between sociodemographic variables and self-perception of health status in Spiritual Well-Being and Self-Care Ability. Methodology: This is a non-experimental, cross-sectional, quantitative descriptive and correlational study, carried out in two stages. The first stage refers to the process of translation, cultural adaptation and validation of the Exercise of Self-care Agency Scale (ESCA) for the portuguese version in elderly people living at home. The second stage aimed to meet the proposed objectives and included 400 elderly people living at home. Results: From the process of translation, adaptation and validation of the ESCA, an instrument consisting of 29 items is presented with psychometric characteristics suitable for use in future research (overall scale α = .871). Gender, age, schooling and self-perception of health status have been shown to be associated with significant differences in spiritual wellbeing, with higher results for females, older people, lower levels of schooling and older people who perceive themselves as unable to look after themselves. Age, schooling and self-perception of health status have been shown to be associated with significant differences in some of the dimensions of self-care capacity. Spiritual well-being, in its constituent dimensions Personal faith, Religious practice and Spiritual peace, explain 16% of self-care capacity. The influence of the dimensions of Spiritual Well-Being on selfperceived health, mediated by Self-Care Capacity, revealed that Spiritual Peace, acting positively on Self-Concept, Initiative and Responsibility and Activity for Self-Care, has a positive influence on self-perceived health. Personal faith and religious practice are drivers of the capacity for self-care, playing a fundamental role in elderly people who perceive themselves as incapable of looking after themselves. Conclusions: Spiritual well-being is a type of support capable of enhancing the capacity for self-care. As part of a holistic approach to care, nurses should promote the spiritual well-being of the elderly during health/illness processes. Implications of the study for nursing education and research were discussed.
A growing number of studies related to spirituality/religiosity and spiritual well-being show positive results in terms of health. However, the scientific evidence is not unanimous on the role of spirituality in the self-care capacity of the elderly. Objectives: To analyze the relationship between Spiritual Well-Being and Self-Care Ability in elderly people; to understand the relationship between the dimensions of Spiritual Well-Being and the dimensions of Self-Care Ability, and to analyze the relationship between sociodemographic variables and self-perception of health status in Spiritual Well-Being and Self-Care Ability. Methodology: This is a non-experimental, cross-sectional, quantitative descriptive and correlational study, carried out in two stages. The first stage refers to the process of translation, cultural adaptation and validation of the Exercise of Self-care Agency Scale (ESCA) for the portuguese version in elderly people living at home. The second stage aimed to meet the proposed objectives and included 400 elderly people living at home. Results: From the process of translation, adaptation and validation of the ESCA, an instrument consisting of 29 items is presented with psychometric characteristics suitable for use in future research (overall scale α = .871). Gender, age, schooling and self-perception of health status have been shown to be associated with significant differences in spiritual wellbeing, with higher results for females, older people, lower levels of schooling and older people who perceive themselves as unable to look after themselves. Age, schooling and self-perception of health status have been shown to be associated with significant differences in some of the dimensions of self-care capacity. Spiritual well-being, in its constituent dimensions Personal faith, Religious practice and Spiritual peace, explain 16% of self-care capacity. The influence of the dimensions of Spiritual Well-Being on selfperceived health, mediated by Self-Care Capacity, revealed that Spiritual Peace, acting positively on Self-Concept, Initiative and Responsibility and Activity for Self-Care, has a positive influence on self-perceived health. Personal faith and religious practice are drivers of the capacity for self-care, playing a fundamental role in elderly people who perceive themselves as incapable of looking after themselves. Conclusions: Spiritual well-being is a type of support capable of enhancing the capacity for self-care. As part of a holistic approach to care, nurses should promote the spiritual well-being of the elderly during health/illness processes. Implications of the study for nursing education and research were discussed.
Description
Keywords
Autocuidado Espiritualidade Bem-estar espiritual Idoso Self-care Spirituality Spiritual well-being Elderly
Pedagogical Context
Citation
Publisher
CC License
Without CC licence