Exercise Identity and Spiritual Well-Being in Nursing Home Residents: Mediating Roles of Social Support and Exercise Behavior in Hebei Province, China.
Shan Luo, Li Ming Wu, Yan Wang, Hong Qin Jin, Ya Ning Zhao, Xiao Fei Du
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Abstract
Objective: With China's rapidly aging population, institutional care for older adults is becoming increasingly common. Spiritual well-being has emerged as a key component of quality elderly care, contributing to emotional resilience, life satisfaction, and positive aging. This study explores the impact of exercise identity on the Spiritual well-being of older adults residing in nursing homes and the mediating roles of perceived social support and exercise behavior.
Methods: A survey was conducted on 514 older adults residing in nursing homes using general demographic questionnaires, the Spirituality Index of Well-Being Scale, the Perceived Social Support Scale, the Physical Activity Rating Scale, and the Exercise Identity Scale.
Results: The total score of Spiritual well-being among older adults residing in nursing homes was (32.76 ± 7.07). Significant positive correlations were found among exercise identity, perceived social support, exercise behavior, and Spiritual well-being. Perceived social support partially mediated the relationship between exercise identity and Spiritual well-being, with an indirect effect value of 0.237, accounting for 39.6% of the total effect (0.599). Exercise behavior also partially mediated the relationship between exercise identity and Spiritual well-being, with an indirect effect value of 0.201, accounting for 33.5% of the total effect (0.599).
Conclusion: Perceived social support and exercise behavior have parallel mediating effects on the relationship between exercise identity and Spiritual well-being of older adults residing in nursing homes. These findings offer a theoretical foundation for developing targeted interventions aimed at enhancing spiritual well-being through improved exercise identity and supportive environments in institutional care settings.
期刊介绍：
Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.
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