Abstract：
BACKGROUND: Supporting spirituality is an essential aspect of the holistic nursing care of older people living with dementia. Spirituality is defined as a search for answers to questions about the meaning and purpose of life and the individual\'s relationship with the sacred or transcendent. This relationship may or may not involve an affiliation with a specific religion.
OBJECTIVE: To understand how older people living with dementia and their family members experience spirituality and its support in nursing care.
METHODS: A qualitative study informed by the principles of Ricoeurian hermeneutic phenomenology.
METHODS: We conducted the study in home care and long-term care settings in Southern Finland.
METHODS: We collected data between 2017-2020 from a purposive sample of 10 older people living with dementia and their 9 family members (n = 19).
METHODS: We used interviews to collect data and adapted and used Ricoeur\'s theory of interpretation as a method for analysis.
RESULTS: The findings of this study show that older people living with dementia need spiritual support in nursing care based on their personal understanding of spirituality. The four elements of this spirituality that emerged were: religion, meaningful relationships, nature, and art. The participants addressed some challenges to spiritual support in the nursing care of older people living with dementia including: the competence and abilities of nursing, time available, presence and experience.
CONCLUSIONS: Older people living with dementia and their family members consider spiritual support an important aspect of nursing care. To support the spirituality of these older people, the elements of spirituality need to be understood as these are central to each person\'s spiritual position. Additionally, spiritual support requires understanding knowledge, experience, time and presence, to manage all four elements with individuals.
OBJECTIVE: To understand how older people living with dementia and their family members experience spirituality and its support in nursing care.
METHODS: A qualitative study informed by the principles of Ricoeurian hermeneutic phenomenology.
METHODS: We conducted the study in home care and long-term care settings in Southern Finland.
METHODS: We collected data between 2017-2020 from a purposive sample of 10 older people living with dementia and their 9 family members (n = 19).
METHODS: We used interviews to collect data and adapted and used Ricoeur\'s theory of interpretation as a method for analysis.
RESULTS: The findings of this study show that older people living with dementia need spiritual support in nursing care based on their personal understanding of spirituality. The four elements of this spirituality that emerged were: religion, meaningful relationships, nature, and art. The participants addressed some challenges to spiritual support in the nursing care of older people living with dementia including: the competence and abilities of nursing, time available, presence and experience.
CONCLUSIONS: Older people living with dementia and their family members consider spiritual support an important aspect of nursing care. To support the spirituality of these older people, the elements of spirituality need to be understood as these are central to each person\'s spiritual position. Additionally, spiritual support requires understanding knowledge, experience, time and presence, to manage all four elements with individuals.
摘要：
背景：支持灵性是老年痴呆症患者整体护理的一个重要方面。灵性被定义为寻找关于生命的意义和目的以及个人与神圣或超越的关系的问题的答案。这种关系可能涉及或可能不涉及与特定宗教的联系。
目的：了解老年痴呆症患者及其家庭成员在护理中如何体验灵性及其支持。
方法：根据Ricoeurian解释学现象学原理进行的定性研究。
方法：我们在芬兰南部的家庭护理和长期护理环境中进行了这项研究。
方法：我们收集了2017年至2020年之间的数据，这些数据来自10名患有痴呆症的老年人及其9名家庭成员（n=19）。
方法：我们使用访谈来收集数据，并采用Ricoeur的解释理论作为分析方法。
结果：这项研究的结果表明，患有痴呆症的老年人在护理中需要基于他们对灵性的个人理解的精神支持。出现的这种灵性的四个要素是：宗教，有意义的关系，自然,和艺术。参与者讨论了精神支持在老年痴呆症患者护理中的一些挑战，包括：护理的能力和能力，可用时间,存在和经验。
结论：老年痴呆症患者及其家庭成员认为精神支持是护理的重要方面。为了支持这些老年人的灵性，灵性的元素需要被理解，因为这些是每个人的精神位置的中心。此外,精神支持需要理解知识，经验,时间和存在,与个人一起管理所有四个要素。
目的：了解老年痴呆症患者及其家庭成员在护理中如何体验灵性及其支持。
方法：根据Ricoeurian解释学现象学原理进行的定性研究。
方法：我们在芬兰南部的家庭护理和长期护理环境中进行了这项研究。
方法：我们收集了2017年至2020年之间的数据，这些数据来自10名患有痴呆症的老年人及其9名家庭成员（n=19）。
方法：我们使用访谈来收集数据，并采用Ricoeur的解释理论作为分析方法。
结果：这项研究的结果表明，患有痴呆症的老年人在护理中需要基于他们对灵性的个人理解的精神支持。出现的这种灵性的四个要素是：宗教，有意义的关系，自然,和艺术。参与者讨论了精神支持在老年痴呆症患者护理中的一些挑战，包括：护理的能力和能力，可用时间,存在和经验。
结论：老年痴呆症患者及其家庭成员认为精神支持是护理的重要方面。为了支持这些老年人的灵性，灵性的元素需要被理解，因为这些是每个人的精神位置的中心。此外,精神支持需要理解知识，经验,时间和存在,与个人一起管理所有四个要素。
