The relationship between spiritual well-being and comfort, affecting the relations factors at elderly living in Nursing home

Within creasing elderly population in Turkey, it has begun to focus such as good quality healthy aging, health of the elderly, spiritual health. This study is a descriptive study to examine the effect of spiritual well-being of elderly people living in nursing homes. The study was carried out in Izmir Narlıdere Nursing Home Elderly Care and Rehabilitation Center between 11 June - 5 December 2018. The study was conducted with elderly people who accepted to participate, who lived in the institution for at least three weeks, who could communicate, who were not diagnosed with dementia, major depression or neurological disease, and who were 65-84 years old. Datas were collected using The "Elderly Introduction Form" (YTF), the "3dSpiritual Well-being Scale" and the "General Comfort Scale ". Within formed volunteer form, written and verbal consent was taken from every elderly person who accepted to participate this study. Datas from the research was evaluated that doing descriptive analysis, correlation and regression analysis with using SPSS 22. Spiritual well-being average scores of the elderly aged 65-74 years were found to be 124.7 ± 7.6. There was a significant difference between the average scores of spiritual well-being of the elderly aged 65-74 years and the average of the elderly aged 75-84 years (p <0.05). There was no difference between the average scores of the spiritual well-being and the sub-dimension, the general comfort scale and the sub-dimension scores of the elderly according to gender, maritalstatus, educational status and having children (p> 0.05). The average scores of spiritual well-being scale, transcendence and harmony with nature subscale scores of the elderly who stated that they had a negative experience were lower than those who did not have a negative experience (p <0.05). A significant difference was found in the socio-cultural subscale average score of the general comfort scale of the elderly living in the institution between 6-11 years (p <0.05). According to the results of the study, it is thought that the spiritual well-being can be increased by informing the elderly in the old age of 75-84 years old and providing spiritual support. İt is thought that it will be supported by coping methods for the elderly who have negative experience and if necessary, supported by taking expert opinion will increase the spiritual good. It is recommended that elderly people who is living between 6-11 years in the institution should be supported in order to make them more socioculturally active.