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±è¼øÀÚ ( Kim Sun-Ja ) - Sahmyook Medical Ccenter Nursing Department
¿Àº¹ÀÚ ( Oh Pok-Ja ) - Sahmyook University College of Nursing
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Abstract
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Purpose: This study investigated the effects of spiritual well-being on the cognitive function of elderly people, focusing on the mediating effects of health-promoting behaviors and depression.
Methods: Using convenience sampling, 136 elderly people were recruited from October 2018 through February 2019 for a cross-sectional survey. Data were collected through the Spiritual Well-Being Scale, Health-Promoting Lifestyle Profile, Geriatric Depression Scale, Everyday Cognition, and Montreal Cognitive Assessment and analyzed using descriptive statistics and correlation. Mediation analysis was also conducted using Hayes¡¯ PROCESS macro (Model 4).
Results: The mean scores for spiritual well-being, health-promoting behaviors, depression, objective cognitive function, and subjective cognitive function were 60.96, 108.09, 18.58, 19.49, and 63.35. The mediation effects in step 1 indicated that spiritual well-being had a statistically significant positive effect on health-promoting behaviors (B=0.32, p<.001) (R2=32.0%) and a significant negative effect on depression (B=-0.09, p=.001) (R2=31.0%). In step 2, spiritual well-being had a significant negative effect on subjective cognitive function (B=-0.12, p=.007) (R2=23.0%). In step 3, the direct effect of spiritual well-being on subjective cognitive function was not significant when the mediating variables (health-promoting behaviors and depression) were introduced. Health-promoting behaviors (B=-0.18, p=.047) and depression (B=0.41, p=.008) had complete mediating effects on the relationship between spiritual well-being and subjective cognitive function.
Conclusion: These findings suggest that there is a need to develop and implement nursing strategies that can improve spiritual well-being, and to develop a holistic nursing intervention that considers depression and health-promoting behaviors, when applicable, to improve cognitive function in elderly people.
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KeyWords
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³ëÀÎ, ÀÎÁö±â´É, ¿ì¿ï, °Ç°ÁõÁøÇàÀ§, ¿µÀû¾È³ç
Aged, Cognition, Depression, Health behavior, Spirituality
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µîÀçÀú³Î Á¤º¸
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