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Spiritual well-being, resilience, and health-promoting lifestyle among older adult hypertensive patients: a cross-sectional study

Navid Alinejad, Fateme Khosromanesh, Mostafa Bijani, Ali Taghinezhad, Zahra Khiyali, A. Dehghan

BMC Geriatrics, 2025

18 citations

Abstract

Hypertension, commonly known as the silent killer, is one of the most prevalent cardiovascular disorders among older adults and represents a significant burden on healthcare systems worldwide. Spiritual well-being appears to play a critical role in fostering resilience and facilitating the adoption of a health-promoting lifestyle in older hypertensive patients. Consequently, this study was undertaken in southern Iran to investigate the associations among spiritual well-being, resilience, and a health-promoting lifestyle in this population. In this descriptive-analytical, cross-sectional study, 230 older adult hypertensive patients attending the Fasa Cardiac Clinic in southern Iran were recruited using convenience sampling. Data were collected via a demographic information form and three self-report questionnaires: The Health Promoting Lifestyle Profile, the Paloutzian and Ellison Spiritual Health Scale, and the Connor-Davidson Resilience Scale. Statistical analyses were performed using SPSS version 25, employing descriptive statistics, Pearson correlation coefficients, and linear regression analyses, with significance determined at p < 0.05. The mean age of the participants was 64.36 ± 6.06 years, with the majority being male (66.90%) and residing in urban areas (94.80%). Among the participants, 70.44% were married and 41.74% were employed in government positions. The mean scores for the health-promoting lifestyle, spiritual well-being, and resilience measures were 127.70 ±…

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Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.

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