Qualidade de vida e coping religioso espiritual de idosos institucionalizados e da comunidade

• Ano de defesa: 2016
• Autor(a) principal: Vitorino, Luciano Magalhaes [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Aged; Homes for the aged; Spirituality; Religion and science; Quality of life; Comparative study; Idoso; Instituição de longa permanência para idosos; Espiritualidade; Religião e ciência; Qualidade de vida; Estudo comparativo
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=4162643; http://repositorio.unifesp.br/handle/11600/46183

Objectives: The objectives of this study were: 1) to investigate the association of spiritual religious coping (SRC) strategies and quality of life (QOL) of nursing home residents (NHRs); 2) to compare the effects of positive SRC and negative SRC on the QOL of older adults residents in nursing home and community-dwelling; 3) to assess the psychometric properties of the BRIEF-SRC scale using exploratory and confirmatory analysis. Methods: Analytical study with design or cross-sectional and probability sampling was conducted between September 2013 and March 2014, with 326 community-dwelling residents (CDRs) of the cities of Santa Rita do Sapucai and Pouso Alegre, both located in the southern state of Minas Gerais. For comparison, secondary data research was held in 2010 with 77 older adults residents in two nursing home, located in the same cities of CDRs. To collect data, a questionnaire on sociodemographic and health, Mini-Mental State Examination (for CDRs), BRIEFSRC scale, WHOQOL-BREF instrument and the WHOQOL-OLD module were used. For statistical analysis, the bivariate tests and multivariate models were used. For psychometric analysis of BRIEF-SRC scale was used factor analysis: exploratory and confirmatory. Results: The mean age of the CDRs was 67.22 (SD ± 4.84) years and NHRs was 76.56 ±9.46 years. Most of the CDRs was female (68.1%), about NHRs, the distribution was balanced with 50.6% female. Regarding the NHRs, most aspects of QOL was positively correlated with the positive SRC and Total SRC. It was observed that the SRC behaviors were significantly associated with QOL in both groups of older adults, but the effect of positive SRC was higher among NHRs in six aspects of QOL. Identified through the psychometric properties that BRIEF-SRC scale is a promising scale, but other psychometric analyzes are needed, especially in the dimension of negative SRC. The findings confirm an alternative model with 34 items and not 49 items and the use of only positive SRC and negative SRC and exclusion of the total score. Conclusion: The SRC strategies were associated with most aspects of QOL of both older adults groups, with highlighted on the QOL of NHRs. The findings suggest an alternative model of BRIEF-SRC scale with 34 items that can reduce the burden of researchers, health care professionals and patients. These findings may help researchers and health care professionals to better understand the importance of religious and spiritual beliefs practices on the QOL of older adults, and encourage the inclusion of activities that promote increased older adult’s QOL.