Exercise Identity and Spiritual Well-Being in Nursing Home Residents: Mediating Roles of Social Support and Exercise Behavior in Hebei Province, China
Shan Luo,1 Li Ming Wu,1 Yan Wang,1 Hong Qin Jin,1 Ya Ning Zhao,2 Xiao Fei Du1 1Department of Nursing, Tangshan Vocational & Technical College, Tangshan, Heibei, 063000, People’s Republic of China; 2College of Nursing and Rehabilitation, North China University of Science and Technology, Tangs...
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Dove Medical Press
2025-07-01
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| Series: | Clinical Interventions in Aging |
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| author | Luo S Wu LM Wang Y Jin HQ Zhao YN Du XF |
| author_facet | Luo S Wu LM Wang Y Jin HQ Zhao YN Du XF |
| author_sort | Luo S |
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| description | Shan Luo,1 Li Ming Wu,1 Yan Wang,1 Hong Qin Jin,1 Ya Ning Zhao,2 Xiao Fei Du1 1Department of Nursing, Tangshan Vocational & Technical College, Tangshan, Heibei, 063000, People’s Republic of China; 2College of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan, Heibei, 063210, People’s Republic of ChinaCorrespondence: Li Ming Wu, Department of Nursing, Tangshan Vocational & Technical College, Tangshan, Heibei, People’s Republic of China, Email wuliming334@163.comObjective: 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.Keywords: older adults in nursing homes, exercise identity, spiritual well-being, perceived social support, exercise behavior |
| format | Article |
| id | doaj-art-cd8e417f44854d1fad709e5c3a625f65 |
| institution | DOAJ |
| issn | 1178-1998 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Interventions in Aging |
| spelling | doaj-art-cd8e417f44854d1fad709e5c3a625f652025-08-20T03:08:36ZengDove Medical PressClinical Interventions in Aging1178-19982025-07-01Volume 20Issue 110991108105175Exercise Identity and Spiritual Well-Being in Nursing Home Residents: Mediating Roles of Social Support and Exercise Behavior in Hebei Province, ChinaLuo S0Wu LM1Wang Y2Jin HQ3Zhao YN4Du XF5Nursing DepartmentDepartment of NursingDepartment of NursingDepartment of NursingCollege of Nursing and RehabilitationDepartment of NursingShan Luo,1 Li Ming Wu,1 Yan Wang,1 Hong Qin Jin,1 Ya Ning Zhao,2 Xiao Fei Du1 1Department of Nursing, Tangshan Vocational & Technical College, Tangshan, Heibei, 063000, People’s Republic of China; 2College of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan, Heibei, 063210, People’s Republic of ChinaCorrespondence: Li Ming Wu, Department of Nursing, Tangshan Vocational & Technical College, Tangshan, Heibei, People’s Republic of China, Email wuliming334@163.comObjective: 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.Keywords: older adults in nursing homes, exercise identity, spiritual well-being, perceived social support, exercise behaviorhttps://www.dovepress.com/exercise-identity-and-spiritual-well-being-in-nursing-home-residents-m-peer-reviewed-fulltext-article-CIAolder adults in nursing homesexercise identityspiritual well-beingperceived social supportexercise behavior |
| spellingShingle | Luo S Wu LM Wang Y Jin HQ Zhao YN Du XF Exercise Identity and Spiritual Well-Being in Nursing Home Residents: Mediating Roles of Social Support and Exercise Behavior in Hebei Province, China Clinical Interventions in Aging older adults in nursing homes exercise identity spiritual well-being perceived social support exercise behavior |
| title | Exercise Identity and Spiritual Well-Being in Nursing Home Residents: Mediating Roles of Social Support and Exercise Behavior in Hebei Province, China |
| title_full | Exercise Identity and Spiritual Well-Being in Nursing Home Residents: Mediating Roles of Social Support and Exercise Behavior in Hebei Province, China |
| title_fullStr | Exercise Identity and Spiritual Well-Being in Nursing Home Residents: Mediating Roles of Social Support and Exercise Behavior in Hebei Province, China |
| title_full_unstemmed | Exercise Identity and Spiritual Well-Being in Nursing Home Residents: Mediating Roles of Social Support and Exercise Behavior in Hebei Province, China |
| title_short | Exercise Identity and Spiritual Well-Being in Nursing Home Residents: Mediating Roles of Social Support and Exercise Behavior in Hebei Province, China |
| title_sort | exercise identity and spiritual well being in nursing home residents mediating roles of social support and exercise behavior in hebei province china |
| topic | older adults in nursing homes exercise identity spiritual well-being perceived social support exercise behavior |
| url | https://www.dovepress.com/exercise-identity-and-spiritual-well-being-in-nursing-home-residents-m-peer-reviewed-fulltext-article-CIA |
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