Evidence map›Paper›PMID 40269763›Full record

ArticleBMC geriatrics2025

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, Azizallah Dehghan

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Navid AlinejadDepartment of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran.
Fateme KhosromaneshStudent Research Committee, Fasa University of Medical Sciences, Fasa, Iran.
Mostafa BijaniDepartment of Medical-Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran. bizhani_mostafa@yahoo.com.
Ali TaghinezhadDepartment of Foreign Languages, Fasa University of Medical Sciences, Fasa, Iran.
Zahra KhiyaliIranian Research Center on Aging, Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. za.khiyali@uswr.ac.ir.
Azizallah DehghanNoncommunicable Diseases Research Center (NCDRC), Fasa University of Medical Sciences, Fasa, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension, 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.

methodsIn 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.

resultsThe 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 ± 17.30, 83.30 ± 18.40, and 62.50 ± 14.10, respectively. Furthermore, significant direct correlations were observed between spiritual well-being and resilience (r = 0.37, p < 0.001) and between spiritual well-being and a health-promoting lifestyle (r = 0.47, p < 0.001). Additionally, a robust positive correlation emerged between health-promoting lifestyle and resilience (r = 0.52, p < 0.001), with spiritual well-being proving to be a significant predictor of both a health-promoting lifestyle and resilience in this cohort.

conclusionIn light of the demonstrated predictive role of spiritual well-being in enhancing both resilience and the adoption of health-promoting behaviors, interventions aimed at bolstering spiritual well-being may serve as a valuable resource. This approach holds promise for improving the overall health of older adults and potentially reducing the incidence of chronic diseases often linked to unhealthy lifestyle choices.

Indexed as

Health PromotionHealthy LifestyleHypertensionLife StyleResilience, PsychologicalSpiritualityAgedCross-Sectional StudiesFemaleHumansIranMaleMiddle AgedSurveys and QuestionnairesAgedHealthHypertensionLife stylePatientsResilienceSpirituality

Identifiers

PMID40269763
PMCPMC12016123

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.