fa رابطه سلامت معنوی و رشد پس از سانحه در سالمندان خانواده قربانیان مبتلا به کووید-۱۹ مسائل اجتماعی سالمندان elderly social issues پژوهشي اصیل Original research <span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مقدمه: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">با توجه به تغییرات و چالش‌های پاندمی کووید-</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">۱۹</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> بر جوامع و خانواده‌ها و نیز فقدان برخی اعضای خانواده‌ها، ارتقای سلامت معنوی و کاهش تنش‌های روانی و دستیابی به رشد پس از سانحه در سالمندان خانواده‌های داغ‌دیده اهمیت ویژه‌ای دارد. مطالعه حاضر با هدف تعیین رابطه سلامت معنوی و رشد پس از سانحه در سالمندان خانواده قربانیان کووید-</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">۱۹</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> در شهر تهران، ایران انجام شد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">روش کا</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">ر: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">این مطالعه توصیفی-تحلیلی در فاصله فروردین تا اسفند </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">1401</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">با حجم نمونه 230 سالمند در شهر تهران انجام شد. افراد واجد شرایط با روش نمونه‌گیری خوشه‌ای وارد مطالعه شدند. داده‌ها با استفاده از پرسش‌نامه‌های دموگرافیک، سلامت معنوی پولوتزین و الیسون (1982) و پرسش‌نامه رشد پس از سانحه به‌صورت الکترونیکی جمع‌آوری شدند. تحلیل داده‌ها با آزمون‌های توصیفی و ضریب همبستگی اسپیرمن انجام شد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">.</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یافته ها: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نتایج ضریب همبستگی اسپیرمن نشان داد که بین نمره کل سلامت معنوی و نمره رشد پس از سانحه در سالمندان همبستگی مثبت و متوسطی وجود دارد و از نظر آماری معنی‌دار است </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">(001/0</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">p<</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، 61/0</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">r=</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">). </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">همچنین بین نمرات ابعاد مذهبی</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">(001/0</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">p<</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، 55/0</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">r=</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">)</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">و وجودی</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">(001/0</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">p<</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، 58/0</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">r=</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">سلامت معنوی با رشد پس از سانحه نیز همبستگی مستقیم و متوسط مشاهده شد. بین این دو بعد، سلامت معنوی وجودی یا درونی رابطه قوی‌تری نسبت به سلامت معنوی مذهبی یا محیطی با رشد پس از سانحه سالمندان داشت. بنابراین، هرچه سطح سلامت معنوی سالمندان بالاتر باشد، رشد پس از سانحه آنان نیز افزایش می‌یابد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">.</span></span></span><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نتیجه‌گیر</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">ی: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یافته‌های مطالعه نشان می‌دهد که با برنامه‌های درمانی و مراقبتی و ارائه مداخلاتی جهت افزایش سلامت معنوی سالمندان می‌توان گامی مؤثر برای افزایش رشد پس از سانحه در مواجهه با بحران‌هایی مانند پاندمی کووید-</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">۱۹</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> برداشت</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">.</span></span></span><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Introduction: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Considering the changes and challenges posed by the COVID-19 pandemic on communities and families, as well as the loss of family members, promoting spiritual well-being, reducing psychological stress, and achieving post-traumatic growth in older adults from bereaved families is of particular importance. This study aimed to examine the relationship between spiritual well-being and post-traumatic growth in older adults from families of COVID-19 victims in Tehran, Iran.</span></span></span><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Methods: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">This descriptive-analytical study was conducted from April to December 2022 with a sample of 230 older adults in Tehran. Eligible participants were recruited using a cluster sampling method. Data were collected electronically using demographic questionnaires, the Paloutzian and Ellison Spiritual Well-Being Questionnaire (1982), and the Post-Traumatic Growth Inventory. Data were analyzed using descriptive statistics and Spearman&rsquo;s rank correlation coefficient.</span></span></span><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Results: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Spearman correlation results indicated a moderate positive and statistically significant relationship between total spiritual well-being and post-traumatic growth in older adults (r = 0.61, p < 0.001). Additionally, moderate positive correlations were observed between the religious dimension (r = 0.55, p < 0.001) and the existential dimension (r = 0.58, p < 0.001) of spiritual well-being and post-traumatic growth. Among these dimensions, existential or inner spiritual well-being showed a stronger relationship with post-traumatic growth compared to religious or environmental spiritual well-being. Therefore, higher levels of spiritual well-being in older adults were associated with greater post-traumatic growth.</span></span></span><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">The findings suggest that therapeutic and supportive programs, along with interventions aimed at enhancing spiritual well-being, can effectively promote post-traumatic growth in older adults facing crises such as the COVID-19 pandemic.</span></span></span><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span><br> &nbsp; کرونا ویروس, سالمندان, سلامت معنوی, رشد پس از سانحه, ایران Coronavirus, Older Adults, Spiritual Well-Being, Post-Traumatic Growth, Iran 10 18 http://joge.ir/browse.php?a_code=A-10-919-1&slc_lang=fa&sid=1 Hussein Qolami حسین غلامی husseinqolamiarab@yahoo.com 10031947532846009636 10031947532846009636 No Tehran University of Medical Sciences, Tehran,Iran علوم پزشکی تهران Fatemeh Bahramnezhad فاطمه بهرام نژاد bahramnezhad.f@gmail.com 10031947532846009637 10031947532846009637 Yes Tehran University of Medical Sciences, Tehran,Iran علوم پزشکی تهران