Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Correlation Between Spirituality and The Level of Psychological Well-Being in the Elderly at Banyuwangi Nursing Home Niken Aprilia1*. Fahruddin Kurdi2 . Hanny Rasni2 1 Faculty of Nursing. Universitas Jember. Indonesia 2 Department of Community. Family and Gerontic Nursing. Faculty of Nursing. Universitas Jember. Indonesia Article History Submitted: 25-06-2024 Revised: 28-07-2024 Accepted: 10-08-2024 org/10. 58545/jkki. Copyright . 2024 Authors This is an open-access article under the CC-BY-SA License. Abstract Background: Elderly in nursing homes face various problems such as a decline in body condition and health due to the aging process which has an impact on psychological well- being. Problems in psychological wellbeing can be addressed through spirituality, which functions as a coping Purpose: This study aims to analyze the relationship between spirituality and the level of psychological well-being in elderly at nursing home in Banyuwangi. Methods: This study is a quantitative study, correlational study design with a cross sectional approach. The sample in this study consisted of 42 respondents selected using a total sampling according to inclusion and exclusion criteria. This study used the Daily Spiritual Experience Scale (DSES) questionnaire and the Psychological Well-Being Scale (PWBS) questionnaire. Results: Descriptive analysis showed that the majority of elderly at nursing home in Banyuwangi had a high level of spirituality . 0%) and a high level of psychological well-being . 1%). Based on the Kendall's Tau b correlation test, the p-value was 0. 001, indicating there is relationship between spirituality and the level of psychological well-being in the elderly at nursing home in Banyuwangi. The results of the r-value was 487, show there is a positive correlation which means the higher the level of spirituality in the elderly, the higher the level of psychological well-being. Conclussion: spirituality has an important role in improving the psychological well-being of the elderly, so efforts can be made to improve the psychological well-being in the elderly by increasing spirituality in the elderly. Keywords: Elderly. Spirituality. Psychological well-being. Nursing Correspondence Niken Aprilia Faculty of Nursing. Universitas Jember Jl. Kalimantan No. Sumbersari. Kabupaten Jember. East Java 68121 Indonesia Email: nikenaprilia605@gmail. How to cite: Aprilia. Kurdi. & Rasni. Correlation Between Spirituality and The Level of Psychological Well-Being in the Elderly Banyuwangi Nursing Home. Jurnal Kesehatan Komunitas Indonesia, 4. , https://doi. org/10. 58545/jkki. BACKGROUND declines that occur and have policies in In general, the elderly will experience address their life process (Amin et al. a decrease in physical condition, where this The inability of the elderly to accept condition requires the ability of the elderly this decline can lead to several problems to adapt. Elderly can adapt can accept the such as stress, depression, and loneliness. Aprilia . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 thus affecting the psychological well-being such as loneliness, lack of confidence, of the elderly. Physical decline in the feeling useless, and dependence, which can elderly can lead to decreased independence affect the psychology and spirituality of the in carrying out daily activities, so that elderly (Lassale et al. , 2. Elderly in assistance is needed by both tools and general have high spirituality, the older other people to fulfill them. Elderly people they get, the better their spirituality will who do not get help in fulfilling this can develop (Matillah et al. , 2. However, cause neglect. According to data from the previous research shows that the spiritual Regional Development Planning Agency, health of the elderly living in nursing the number of neglected elderly in East Java homes gradually decreases (Jadidi et al. based on the identification of Persons with Another study on the level of Social Welfare Problems (PMKS) in 2017 spirituality of the elderly at a nursing home was 142,086 elderly (Badan Perencanaan in Banyuwangi found that 41. 2% of the Pembangunan Daerah, 2. In 2019, the elderly had a low spiritual level (Kirnawati number of displaced elderly in East Java et al. , 2. Low spirituality makes it based on the identification of PMKS difficult for the elderly to feel calm, difficult reached 173,871 elderly, of which 897 lived to find meaning and purpose in life through in nursing home (Badan Pusat Statistik their relationship with themselves, others. Provinsi Jawa Timur, 2. The Social the environment, and God. This can have Service is one of the institutions that an impact on the psychological well-being handles neglected elderly in the nursing of the elderly. Based on a study conducted home program. by Mailisa & Khairani . , it is known There are several reasons that make that the level of psychological well-being of the elderly live in nursing home, such as the the elderly at nursing home in Banda Aceh absence of family or relatives who are is categorized as less, as indicated by the willing to provide shelter and livelihood, number of 34 people . 4%). economic inability, and the inability of the Psychological well-being can be family to provide services to the elderly achieved influenced by several factors such (Iskandar et al. , 2. Abandonment due as age, education level, gender, socio- to rejection by the family can lead to the loss of one source of social support and trigger the onset of psychosocial symptoms changes in life, spirituality and religiosity. Correlation Between Spirituality and The Level of Psychological Well-Being in the Elderly Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Spirituality is closely related to various need for research related to the relationship conditions, such as chronic illness, dying, between spirituality and the level of loneliness, isolation, increased dependence psychological well-being of the elderly at on others, and unexpected life events nursing home in Banyuwangi. (PPNI, 2. Good spirituality can be achieved through spiritual support such as METHODS facilitating worship activities and clergy This study is a quantitative study, visits, as well as interacting with family, correlational study design with cross friends or others (PPNI, 2018. Elderly sectional approach. This study was who have good spirituality will feel the meaning and purpose of life, satisfaction Banyuwangi from April to May 2024. The with the meaning of life, feelings of population in this study were 100 elderly. Respondents in this study were selected themselves and believe in others (PPNI, using total sampling with inclusion criteria These conditions can help a person for elderly aged Ou 60 years who live in build components of psychological well- nursing homes and are willing to become being so that they can assist in the respondents, exclusion criteria are elderly development of psychological well-being. with severe physical health problems Nursing home in its services provides . , elderly who are unable to physical, spiritual and social care for the communicate, and elderly with MMSE These services are in the form of score O 21. providing clothing, food, shelter, health The care, mental and religious guidance, as well spirituality, was measured using the Daily as leisure activities such as sports and skills Spiritual in order to fulfill the needs of the elderly so questionnaire developed by Underwood & that they reach a state of well-being. Until Tersesi . which consists of 15 now, research related to the level of questions with a likert scale . = never, 2 = psychological well-being of the elderly and once in a while, 3 = several days, 4 = almost the relationship between spirituality and every day, 5 = every day, and 6 = several the level of psychological well-being of the times a da. and 1 question with answer elderly at nursing home in Banyuwangi has options 1 = not at all close, 2 = somewhat not been conducted. Therefore, there is a close, 3 = very close, and 4 = as close as Experience Scale (DSES) Aprilia . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 The results of this questionnaire namely low . , medium . - . , were categorized into low . , medium and high . levels of psychological . , and high . spirituality well-being. Data analysis in this study was The dependent variable is the level of carried out by conducting descriptive psychological well-being measured using analysis and correlation analysis using Scale Kendall's Tau b. The interpretation (PWBS) questionnaire developed by Carol guideline is if the p-value is <0. 05 then the Ryff . which consists of 42 hypothesis is accepted, but if the p-value is> questions with a likert scale . trongly 05 then the hypothesis is rejected, which disagree, disagree, somewhat disagree, means that there is no relationship somewhat agree, agree, and strongly agre. between the independent and dependent The Psychological Well-Being measurement are categorized into 3. RESULTS Table 1. Characteristics of Elderly Respondents at Banyuwangi Nursing Home . = . (Continue to page . Respondent Characteristics Age (In Year. Frequency Length of Stay in Nursing Home (Months Religion Muslim Christian Catholic Gender Male Female Educational Background Not School Elementary school Junior high school Senior high school Bachelor Employment Background No employd Laborer Farmer Self-employed Private employed Public servant Marital Status Married Not married Widow/Widower Percentage (%) Median(P25-P. 69,00 . ,00-76,. Median (P25-P. 36,00 . ,25-48,. Correlation Between Spirituality and The Level of Psychological Well-Being in the Elderly Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Respondent Characteristics Disease History No history Hypertension Diabetes Mellitus Stroke Uric Acid Hypertension and Diabetes Mellitus Hypertension and uric Acid Hypertension and Stroke Frequency Percentage (%) Based on Table 1, it is known that the employment history, most respondents median age of respondents is 69 years. were elementary school graduates . Regarding the length of stay in the nursing and used to work as laborers . 2%). The home, the median value was 36 months or 3 years. The majority of respondents Regarding widows/widowers . 1%) and had a were Muslim . 2%), some were female . 8%). history of hypertension . 1%). Table 2 Indicators of Spirituality in the Elderly at Banyuwangi Nursing Home . = . Spirituality Indicator Relationship with God and the whole of life Happiness and a sense of self- transcendence Strength and comfort Sense of peace God's help God's guidance Perception and feeling of God's love Feeling of awe Sense of gratitude and appreciation Caring for others Unity and closeness to God Total Score of Spirituality Min Max MASD 8,50A2,222 4,24A1,144 9,48A2,501 3,69A1,585 4,83A1,305 4,21A1,138 7,74A2,296 4,76A0,850 5,26A0,885 7,31A1,760 8,29A0,995 67,81A12,196 0,955 0,881 0,867 0,828 0,826 0,911 0,910 0,821 0,743 0,933 0,882 0,963 P-value 0,099 C 0,001 C 0,001 C 0,001 C 0,001 0,003 0,003 C 0,001 C 0,001 0,017 C 0,001 0,183 M= Mean. SD= Standard Deviation. Z= Value of Shapiro-Wilk Test. P-value= Significance value of Shapiro-Wilk Test. Based on the analysis of spirituality awe, sense of gratitude and appreciation, indicators in Table 2, it is known that there caring for others, and unity and closeness is no significant difference in the total score to God show that there is a significant of spirituality with p-value = 0. In the difference with a p-value <0. 05, but in the indicators of happiness and a sense of self- indicator of relationship with God and the transcendence, strength and comfort, a whole of life shows that there is no sense of peace. God's help. God's guidance, significant difference with a p-value> 0. perception and feeling God's love, sense of Aprilia . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Table 3. Frequency Distribution of Elderly Spirituality Level at Banyuwangi Nursing Home . = . Spirituality Category Low spirituality Moderate spirituality High spirituality Frequency. Percentage (%) 2,4% 47,6% 50,0% Based on Table 3, it can be seen that most . 0%). Table 4. Dimensional Indicators of Level of Psychological Well-Being in the Elderly at Banyuwangi Nursing Home . = . Dimension Level of Psychological Wellbeing Min Max MASD P-value Self-acceptance Positive relationships with others Autonomy Environmental control Life purpose Self-development Total Score of Psychological Wellbeing Level 29,98A3,040 29,81A3,156 30,29A2,982 26,00A3,193 29,24A3,925 30,12A3,814 175,43A13,646 0,973 0,975 0,872 0,945 0,967 0,946 0,967 0,419 0,483 C 0,001 0,042 0,271 0,048 0,267 M= Mean. SD= Standard Deviation. Z= Value of Shapiro-Wilk Test. P-value= Significance value of Shapiro-Wilk Test. Based on the results of the analysis of spirituality indicators in Table 4, it is difference with a p-value <0. Meanwhile, known that there is no significant the indicators of self-acceptance, positive relationships with others, and life purpose psychological well- being with a p-value = showed no significant difference with a p- In the indicators of autonomy, value> 0. Table 5. Frequency Distribution of Levels of Psychological Well-Being of the Elderly at Banyuwangi Nursing Home . = . Well-being Low level of psychological well-being Moderate level of psychological well-being High level of psychological well-being Frequency Table 5 shows that the majority of Percentage (%) 26,2% 35,7% 38,1% well-being, respondents . 1%). Table 6. Analysis of the Relationship between Spirituality and the Level of Psychological Well-Being of the Elderly at Banyuwangi Nursing Home . Variable Spirituality Psychological Well-being Correlation Direction 0,487 0,001 Positive Correlation Between Spirituality and The Level of Psychological Well-Being in the Elderly Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Based on Table 6, the results of the level of spirituality of the elderly at nursing analysis using Kendall's tau B test showed home in Banyuwangi is possible because of that the p value = 0. 001 (<0. with the the programs provided by the nursing correlation strength value of the two home staff such as routine activities in the variables is 0. 487 which means that the form of social and mental, religious and correlation strength of the two variables is physical guidance so as to increase the The direction of the correlation spirituality of the elderly. shows a positive direction so that it can be The high level of spirituality of the interpreted that someone with a high level elderly at nursing home in Banyuwangi is of spirituality tends to have a high level of indicated by the high value on the psychological well-being as well. Based on indicators of unity and closeness to God this description, it shows that there is a and relationship with God. This may be relationship between spirituality and the related to the existence of spiritual or level of psychological well-being of the elderly at nursing home in Banyuwangi. spirituality needs through religion can be Fulfillment done by getting closer to God and DISCUSSION increasing worship or other religious Spirituality of the Elderly at Nursing activities (Efendi et al. , 2. Based on the Home in Banyuwangi results of the study, it shows that the The results showed that half of the majority of respondents are Muslims where respondents had a high level of spirituality, the fulfillment of spiritual or religious as many as 21 elderly . 0%). Study activities is carried out through prayer related to spirituality conducted at the activities and lecture activities which are Balai Pelayanan Sosial Tresna Werdha carried out regularly every Thursday so Unit Bantul that through these activities it can support Yogyakarta shows that the level of the fulfillment of the spirituality needs of spirituality of the elderly is in the high the elderly. Based on the findings in this category as much as 61%, where this is related to the support of structured implementation of religious activities can spiritual activities which are a means for strengthen the spirituality of the elderly. Budi Luhur Kasongan the elderly to learn and express their The results of the analysis on the spirituality (Yoga et al. , 2. The high indicators of the sense gratitude and Aprilia . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 appreciation also show a high value. The the form of direction activities by the majority of the elderly said they were nursing home staff, one of which is about grateful for their condition and old age and maintaining harmony between residents of were still given life until now and all their the nursing home and also community needs had been met by the nursing home. service to maintain good relations between In line with the results of the study which the elderly in the nursing home. Harmony show that the majority of elderly in the or harmonious relationships that exist can nursing home have hypertension and do be psychological, social, and spiritual not work. However, this does not make the support for the elderly (Kirnawati et al. elderly in the nursing home ungrateful for Based on the results of the study, it their current condition. Theories related to can be seen that spirituality can be moral/spiritual support the idea that when supported through social activities that in the phase near the end of life, the elderly can maintain and improve harmonious will find spiritual wholeness (Wallace, relationships between fellow elderly in the Religion and spirituality are one of nursing home. the sources of coping that the elderly The findings in this study indicate usually use when feeling sad, lost, or when that there are still elderly with a moderate faced with a problem, which can give the level of spirituality, namely 20 elderly elderly a new outlook on life and be able to . 6%). This is possible due to the lack of accept everything positively (Kirnawati et knowledge and understanding of the , 2. Based on the results of the study elderly regarding spirituality as shown in which showed a high level of the sense the indicators of perception and feeling gratitude and appreciation for the elderly God's love, especially in questions related at nursing home, it is possible that it comes to feeling God's love through others. from religious activities carried out by the Elderly who have spiritual understanding elderly such as prayer and lecture activities and beliefs will feel a good relationship where these activities can increase the with others (Yuwono et al. , 2. The elderly's good understanding of religion. The findings on the indicator of spirituality may be related to the majority caring for others show a fairly good value, of the elderly's educational history in the it is possible that this is related to the nursing home which is classified as low, existence of social and mental guidance in namely the majority of elementary school Correlation Between Spirituality and The Level of Psychological Well-Being in the Elderly Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Where according to Musfirah & Masriadi . , states that the higher a In addition, to support harmony person's education, the level of awareness between the elderly, attention is needed so about health will increase. Therefore, more that elderly participation in activities that in-depth information is needed related to involve cooperation between the elderly spirituality in order to increase the elderly's can run well. understanding of spirituality so that it is also expected to increase the elderly's Level of Psychological Well-Being of the awareness of their spirituality needs. Elderly at Nursing Home in Banyuwangi The results of this study also show The results of the analysis of the level that there is 1 elderly . 4%) with a low of psychological well-being of the elderly at level of spirituality. This is possible the nursing home in Banyuwangi showed a because the elderly at the nursing home in high category of 16 elderly . 1%). These Banyuwangi tend to be reluctant to results are supported by study by Ainayya socialize with others, either because they & Periantalo . which shows that the feel unsuitable, quarrel or because of the level of psychological well-being of the inability to mobilize due to decreased elderly at the nursing home Budi Luhur in physical strength, limiting the elderly to Jambi City is in the moderate category socialize as shown in the analysis of the tending to be high. The high level of sense of peace indicator with a fairly low psychological well-being of the elderly may average value compared to other indicators. be related to the ability of the elderly in the Relationships between individuals that are nursing home to adapt, the influence of the harmoniously established can be a source environment, and the activeness of the of motivation and support spirituality for elderly in participating the elderly in dealing with problems provided by the nursing home. in activities (Kirnawati et al. , 2. According to The Manurung et al . , to get peace of mind and peace in facing old age can be namely self- acceptance, show a high value. done through worship. Therefore, to The elderly at the nursing home in increase the sense of peace in the elderly at Banyuwangi are aware of their current the nursing home in Banyuwangi can be condition, as is the case with regard to done through worship activities such as physical conditions where the elderly well-being Aprilia . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 admit that their physical condition has are easily familiar with others. Good decreased, but they still feel grateful and relationships that exist between the elderly confident and have been able to accept the are a source of social and emotional circumstances they have to face at this age. support for the elderly (Yunita et al. , 2. Good self-understanding including by Therefore, it is necessary to pay attention accepting and knowing the positive and to harmony or good relations with fellow negative aspects in oneself can help in elderly in the nursing home and other improving the self-adjustment of the people so as to make this a social and elderly which leads to increased self- emotional support for the elderly so that acceptance (Malahati, 2. The high their need for attention and affection can value of the self- acceptance dimension in be fulfilled. the elderly in the nursing home may be Elderly related to the mental and social guidance Banyuwangi in carrying out their daily provided by the nursing home which can activities are carried out independently help the elderly adapt and understand their such as cleaning the bed, washing, drying current condition. clothes, taking their own meals in the Based on the answers to the have limitations in moving or elderly with questionnaire, the dimension of positive total care conditions to fulfill these needs relationships with others shows a fairly are assisted by the nursing home staff. The good value. The elderly in the nursing home independence of the elderly in carrying out are quite capable of having a sense of these daily activities may be related to the attention and empathy, sharing affection, median age of the elderly in the nursing having mutual trust, and giving and home, which is 69 years old where this age receiving relationships between others is included in the elderly age group. Elderly in the elderly stage still have the ability to differences in understanding or arguments tolerate daily activities independently between the elderly in the nursing home. (Maryam et al. , 2. In addition, the This is in line with the research of Laxmi et elderly in nursing home also have the , . which shows that elderly who determination to maintain their choices have positive relationships with others and are not easily influenced by others, this show trusting behavior, care for others, and is indicated by the high value of the well-being nursing home kitchen, but for elderly who Correlation Between Spirituality and The Level of Psychological Well-Being in the Elderly Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 autonomy dimension. This is supported by capable of finding life purpose. The elderly research by Ainayya & Periantalo . in the nursing home are aware of their which shows that elderly with moderate current condition, which is not as young as levels of well-being tend to be high in the before and has decreased body condition. autonomy dimension, indicating that the This makes the elderly explore the meaning elderly are quite good at controlling their of life and focus their life purpose on behavior and evaluating themselves based worship activities and getting closer to on their standards. Based on the results of God. Elderly who have explored the research that shows a high value in the meaning of their lives and have hope after autonomy dimension, it is possible that it is death, this allows a sense of peace to arise related to the elderly who understand their in the elderly (Wallace, 2. Sukadari et potential or abilities. explained that the elderly who In terms of the dimension of self- can accept the weaknesses and difficulties development, the results of the analysis faced, and feel easy in achieving their life show a high value in this dimension. The purpose because they can recognize their elderly at nursing home in Banyuwangi show that they have a desire to continue to The results also showed that there grow, have a desire to try new experiences. were elderly with moderate and low levels According to Ainayya & Periantalo . , of psychological well-being with 15 elderly good personal growth appears in the way a . 7%) and 11 elderly . 2%) respectively. person views himself as someone who is This is indicated by the value in the always developing and open to new dimension of environmental control which The elderly in the nursing is quite low compared to other dimensions. home have enthusiasm in carrying out daily This may be related to the process of activities, they feel more productive and adaptation of the elderly in the nursing enthusiastic about the activities provided Based on the results of the study, it by the nursing home staff such as skill is known that the median length of stay of activities and recreational activities such as the elderly in the nursing home is 36 singing together. months or 3 years, during which time it is Referring to the dimension of life possible that the elderly are still in the purpose shows a fairly good value. The adjustment process. Elderly who are new elderly in the nursing home are quite to living in nursing home feel more lonely Aprilia . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 and less welcoming to group activities and level of spirituality allows 2. 8 times greater programs than others, but elderly who have to have a good level of psychological well- lived in nursing home for a longer period of being when compared to someone who has time are more interactive and happy (Jadidi a low level of spirituality. et al. , 2. Therefore, it is hoped that the Spirituality can provide a sense of elderly will be able to adjust to their comfort, it can help the elderly be more environment so that they can enjoy what enthusiastic in living life, minimize despair, they have and also need to be considered and can maintain the satisfaction of the regarding the implementation of activities elderly's life. A person's self-acceptance is that can increase harmony between the created because a person gets strength and elderly in the nursing home. comfort that arises from aspects of spirituality, namely the relationship with The Relationship between Spirituality God and all of life and the perception and and the Level of Psychological Well- feeling of God's love (Supriyanto, 2. Being of the Elderly at Nursing Home in Comfort can be found through religion. Banyuwangi worship activities, and may come from Analysis of the relationship between other sources such as from nature or other the two variables in this study shows that sources (Mauk, 2. The results showed there is a relationship between spirituality that when the elderly in the nursing home and the level of psychological well-being of have a high level of spirituality, it can the elderly at the nursing home in increase the relationship and closeness to Banyuwangi. This is related to a high level God and the perception and feeling of of spirituality so that it is related to the God's love which brings strength and level of psychological well-being of the comfort to the elderly, causing gratitude to elderly, namely the majority of elderly God which leads to an increase in one of the living in the nursing home have a high level dimensions of psychological well-being, of psychological well-being. These results namely self- acceptance. are supported by research conducted by Spirituality in the elderly is positively Kurniati et al. , . which shows that interpreted as something that is beneficial there is a significant relationship between to the lives of the elderly. Spirituality has a spirituality and the level of psychological positive role in a person's prosocial well-being, where someone who has a high Anwar Correlation Between Spirituality and The Level of Psychological Well-Being in the Elderly Rana Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 mentioned that the social aspect of the elderly at the nursing home in spirituality is specifically beneficial for Banyuwangi can be pursued by increasing psychological well-being. The elderly at the spirituality in the elderly. nursing home enjoy talk with their friends, show concern for their friends and are CONCLUSION Based on the results of the study, it activities held by the nursing home staff. can be concluded that the majority of This can be a source of social and community support for the elderly in the Banyuwangi have a high level of spirituality nursing home which can affect one of the . 0%) and a high level of psychological dimensions of psychological well-being, well-being . 1%). Based on the results of namely positive relationships with others statistical tests, it is known that there is a so that it can contribute to improving relationship between spirituality and the psychological well-being. level of psychological well-being of the Spirituality is one of the support or elderly at the nursing home in Banyuwangi. coping mechanisms for a person in The results of this study also show a overcoming problems (Kirnawati et al. positive correlation direction which means Spirituality through indicators of that the higher the level of spirituality of gratitude and appreciation felt by the the elderly at the nursing home in elderly in the nursing home helps in Banyuwangi, the higher the level of increasing one of the dimensions of psychological well-being. So that as an psychological well-being, namely self- effort to improve the psychological well- acceptance of the elderly in the orphanage. being of the elderly at nursing home in In addition, spirituality through indicators Banyuwangi of concern for others helps in improving the increasing spirituality. dimension of positive relationships with others in the elderly in the nursing home. AUTHOR CONTRIBUTIONS Therefore, it can be said that spirituality The author contribute all research has an attachment to the level of activity such as conceptualization, data psychological well-being in the elderly in curation, analysis, writing & editing, nursing home. Based on these results, to manuscript revisions. improve the psychological well-being of Aprilia . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 231-247 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Anwar. , & Rana. Spiritual ACKNOWLEDGMENT We would like to thank you for the information in research. wellbeing of Pakistani University Current Psychology, 43. , 5388Ae5395. CONFLICT OF INTEREST https://doi. org/10. 1007/s12144-023- The authors declare no conflict of interest for this publication. Badan Perencanaan Pembangunan Daerah DATA AVAILABILITY STATEMENT The data that support the findings of corresponding author upon reasonable . Data Dinamis Provinsi Jawa Timur : Triwulan I 2018. Badan Pusat Statistik Provinsi Jawa Timur . Data Jumlah Lansia Terlantar di Jawa Timur 2019. Efendi. Nissa. Islam. Sunan. REFERENCES Ainayya. , & Periantalo. , & Surabaya. Penguatan Gambaran psychological well-being Kualitas Spiritual Lansia Melalui lansia di Panti Sosial Tresna Werdha Kegiatan Budi Luhur Kota Jambi. Jurnal Pelayanan Sosial Tresna Werdha Psikologi Banyuwangi. Mukaddimah: Jurnal Jambi, 8. , 7Ae16. Sholawat UPT https://doi. org/10. 22437/jpj. Studi https://doi. org/10. 14421/mjsi. Amin. 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