Research Article
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The Relationship Between Spiritual Well-Being, Quality of Life and Health Protective Behaviors in Women with Chronic Diseases

Year 2025, Volume: 8 Issue: 1, 22 - 33, 30.04.2025

Necmettin Çiftci , Saliha Yurtçiçek Eren

https://doi.org/10.54803/sauhsd.1519513

Abstract

Objective: This study was conducted to determine the relationship between spiritual well-being, quality of life and health protective behaviors in women with chronic disease.
Methods: The sample of our descriptive and cross-sectional study consisted of 626 women with chronic diseases. Personal Information Form, SF-12 Quality of Life Scale, Spiritual Well-Being Scale and Health Protective Behavior Scale were used to collect data in the study. Data were analyzed using SPSS 22.0, G*Power 3.1.
Results: In the research, it was determined that there is a moderate positive relationship between spiritual well-being, quality of life and health protective behaviors (p<0.000). It was determined that the spiritual well-being levels of women with chronic diseases were above the medium level, their quality of life was at a medium level and their health protection behaviors were below the medium level.
Conclusion: In our study, as the spiritual well-being levels increased, quality of life and health protective behavior were found to increase. Determining the spiritual well-being and health-protective behavior levels of women with chronic diseases may facilitate the development of interventions aimed at improving patients' quality of life.

Keywords

Chronic Disease Women Health Protective Behavior Spiritual Well-Being Quality of Life

Ethical Statement

Permission for the research was granted by the scientific research and publication ethics committee of a university (date and number 04.07.2022-55502)

Thanks

We thank all the women who participated in the study.

References

  • Centers for Disease Control and Prevention (CDC). Chronic disease [Internet]. 2022 [cited 2022 Oct]. Available from: https://www.cdc.gov/chronicdisease/about/index.htm
  • Yilmaz CK, Kara FŞ. The effect of spiritual well-being on adaptation to chronic illness among people with chronic illnesses. Perspect Psychiatr Care. 2021;57(1):318-25.
  • Lee M, Park S, Lee K-S. Relationship between morbidity and health behavior in chronic diseases. J Clin Med. 2020;9(1):121.
  • Şen S, Arslan ÖH. Maintaining women's health and improving quality of life in chronic diseases. In: Arslan Özkan H, editor. The role of the nurse in protecting and improving women's health. 1st ed. Ankara: Türkiye Clinics; 2019. p. 27-33.
  • Vervoort D, Wang R, Li G, Filbey L, Maduka O, Brewer LC, et al. Addressing the global burden of cardiovascular disease in women. J Am Coll Cardiol. 2024;83(25):2690-707.
  • Zehirlioglu L, Hatice M. New approach to chronic diseases: Lifestyle medicine. Mersin Univ J Health Sci. 2019;12(2):341-50.
  • Ramezankhani A, Ghaedi M, Hatami H, Taghdisi MH, Golmirzai J, Behzad A. Association between spiritual health and quality of life in patients with type 2 diabetes in Bandar Abbas, Iran. Hormozgan Med J. 2013;18(3):210-8.
  • Nasution LA, Afiyanti Y, Kurniawati W. Effectiveness of spiritual intervention toward coping and spiritual well-being on patients with gynecological cancer. Asia Pac J Oncol Nurs. 2020;7(3):273-9.
  • Tsoho MA, Soylar P. Investigation of the relationship between spiritual well-being and quality of life in breast cancer patients. J Public Health. 2024;32(9):1683-90.
  • Kim S. World Health Organization Quality of Life (WHOQOL) Assessment. In: Maggino F, editor. Encyclopedia of quality of life and well-being research. Cham: Springer International Publishing; 2023. p. 7866-7.
  • Yaşar H, Alay S, Kendirli T, Tekeli H, Şenol MG, Türker T, et al. Quality of life and sleep in young male epilepsy patients. J Epilepsy. 2014;20(1):17-22.
  • Megari K. Quality of life in chronic disease patients. Health Psychol Res. 2013;1(3).
  • Wang H-M, Beyer M, Gensichen J, Gerlach FM. Health-related quality of life among general practice patients with differing chronic diseases in Germany: Cross sectional survey. BMC Public Health. 2008;8(1):1-12.
  • Özkan S, Yılmaz E. Healthy lifestyle behaviors of nurses working in the hospital. J Fırat Health Serv. 2008;3(7):89-105.
  • Behice E, Tortumluoğlu G, Aydın İ. The relationship between the healthy lifestyle behaviors of midwives working in preventive services and the care services provided during pregnant and postpartum follow-ups. Ataturk Univ J Sch Nurs. 2000;3(1):16-22.
  • Bor NA, Taylan ŞB. Evaluation of the effect of the public health course given to vocational school of health services students on healthy living awareness and health-promoting and protective behaviors. Euroasia J Math Eng Nat Med Sci. 2021;8(19):103-13.
  • Temkin SM, Noursi S, Regensteiner JG, Stratton P, Clayton JA. Perspectives from advancing National Institutes of Health research to inform and improve the health of women: A conference summary. Obstet Gynecol. 2022;140(1):10-9.
  • Yurtçiçek Eren S. Hemşirelik ve ebelik öğrencileri için kadın sağlığı ve hastalıkları. In: Beydağ KD, Pekcan N, editors. Kadın sağlığına genel bakış. 1st ed. Ankara: Ankara Nobel Tıp Kitabevleri; 2022.
  • Harris ML, Egan N, Forder PM, Loxton D. Increased chronic disease prevalence among the younger generation: Findings from a population-based data linkage study to inform chronic disease ascertainment among reproductive-aged Australian women. PLoS One. 2021;16(8).
  • Cohen J. Statistical power analysis for the behavioral sciences. 3rd ed. New Jersey: Lawrence Erlbaum Associates; 1988.
  • Vandenbrouckel JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and elaboration. PLoS Med. 2007;4(10):1628-55.
  • World Health Organization. A healthy lifestyle-WHO recommendations [Internet]. 2024 [cited 2024 Dec]. Available from: https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations
  • Peterman AH, Fitchett G, Brady MJ, Hernandez L, Cella D. Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy-Spiritual Well-being Scale (FACIT-Sp). Ann Behav Med. 2002;24(1):49-58.
  • Aktürk Ü, Erci B, Araz M. Functional evaluation of treatment of chronic disease: Validity and reliability of the Turkish version of the Spiritual Well-Being Scale. Palliat Support Care. 2017;15(6):684-92.
  • Ware JE, Kosinski M, Keller SD. SF-12: how to score the SF-12 Physical and Mental Health Summary Scales. Boston: The Health Institute, New England Medical Center; 1995.
  • Soylu C, Kütük B. Reliability and validity study of the Turkish form of the SF-12 quality of life scale. Turk J Psychiatry. 2021:1-9.
  • Ping W, Cao W, Tan H, Guo C, Dou Z, Yang J. Health protective behavior scale: Development and psychometric evaluation. PLoS One. 2018;13(1).
  • Ödek Ö, Savaş M, Zincir H. Validity and reliability of the Turkish version of Health Protective Behavior Scale. J Basic Clin Health Sci. 2022;6(1):95-104.
  • Ural A, Kılıç İ. Scientific research process and data analysis with SPSS. Ankara: Detay Publishing; 2013.
  • Albusoul RM, Hasanien AA, Abdel Razeq NM, Al-Maharma DY. Symptom clusters and their impact on spiritual well-being among women with breast cancer. Int J Womens Health. 2024;16:961-70.
  • Durmuş M, Çiftci N, Gerçek A, Durmuş Y. The effect of COVID-19 crisis on hopelessness, loneliness and spiritual well-being of patients with type 1 and type 2 diabetes in Turkey. J Relig Health. 2022;61(2):1703-18.
  • Tirgari B, Khaksari M, Soltani Z, Mirzaee M, Saberi S, Bashiri H. Spiritual well-being in patients with chronic diseases: A systematic review and meta-analysis. J Relig Health. 2022:1-19.
  • Dural G, Sarıtaş SÇ. Quality of life and factors affecting quality of life in patients with acute coronary syndrome. J Cardiovasc Nurs. 2017;8(17):131-41.
  • Durmuş M, Durar E. The relationship between spiritual well-being and fear of COVID-19 in individuals with chronic disease during COVID-19 outbreak. Spirit Psychol Couns. 2022;7(1):37-53.
  • Toygar İ, Hançerlioğlu S, Şimşir IY, Çetinkalp Ş. Quality of life of diabetic foot patients and affecting factors. Aegean J Med. 2020;59(4):272-9.
  • Kalsoom U. Gender role in anxiety, depression and quality of life in chronic kidney disease patients. Pak J Med Sci. 2020;36(2):251-4.
  • Ograczyk-Piotrowska A, Gerlicz-Kowalczuk Z, Pietrzak A, Zalewska-Janowska AM. Stress, itch and quality of life in chronic urticaria females. Adv Dermatol Allergol. 2018;35(2):156-60.
  • Oliveira APD, Maia EG, Silva FM, Martins APB, Claro RM. Peer reviewed: Needed improvements in diabetes prevention and management in Brazil. Prev Chronic Dis. 2018;15.
  • Kohler LN, Garcia DO, Harris RB, Oren E, Roe DJ, Jacobs ET. Adherence to diet and physical activity cancer prevention guidelines and cancer outcomes: A systematic review. Cancer Epidemiol Biomarkers Prev. 2016;25(7):1018-28.
  • Topçu B, Gülcivan G. Evaluation of quality of life and healthy lifestyle behaviors of breast cancer patients. Namık Kemal Med J. 2017;5(2):63-74.
  • Küçükberber N, Özdilli K, Yorulmaz H. Evaluation of factors affecting healthy lifestyle behaviors and quality of life in heart patients. Anadolu Kardiyol Derg. 2011;11:619-26.
  • Albayrak A, Kurt E. The relationship between pain and limb loss (mastectomy)-related depression levels and quality of life and religiosity in breast cancer patients. DEUIFD. 2016:41-81.
  • Jafari N, Farajzadegan Z, Zamani A, Bahrami F, Emami H, Loghmani A. Spiritual well-being and quality of life in Iranian women with breast cancer undergoing radiation therapy. Support Care Cancer. 2013;21(5):1219-25.
  • Gülnar E, Özveren H, Yuvanç E. Correlation between spiritual well-being and quality of life in patients with urinary incontinence: A cross-sectional descriptive study. Wound Manag Prev. 2020;66(12):23-8.
  • Nouri L, Ahmadi I, Ghiasi G, Abdi A, Borji M, Tarjoman A, et al. The relationship between spiritual well-being and quality of life in patients with diabetes: A systematic review and meta-analysis. Med Sci. 2020;24(104):2351-61.
  • Jafari N, Farajzadegan Z, Loghmani A, Majlesi M, Jafari N. Spiritual well-being and quality of life of Iranian adults with type 2 diabetes. Evid Based Complement Alternat Med. 2014;2014:1-9.
  • Rosiek A, Kornatowski T, Frąckowiak-Maciejewska N, Rosiek-Kryszewska A, Wyżgowski P, Leksowski K. Health behaviors of patients diagnosed with type 2 diabetes mellitus and their influence on the patients' satisfaction with life. Ther Clin Risk Manag. 2016;12:1783-92.
  • Annaç S. Examining healthy lifestyle behaviors and quality of life in individuals with coronary artery disease [dissertation]. [Gaziantep]: Hasan Kalyoncu University; 2018.

Kronik Hastalığı Olan Kadınlarda Sipiritüel İyi Oluş, Yaşam Kalitesi ve Sağlığı Koruyucu Davranışlar Arasındaki İlişki

Year 2025, Volume: 8 Issue: 1, 22 - 33, 30.04.2025

Necmettin Çiftci , Saliha Yurtçiçek Eren

https://doi.org/10.54803/sauhsd.1519513

Abstract

Amaç: Bu çalışma kronik hastalığı olan kadınlarda ruhsal iyilik hali, yaşam kalitesi ve sağlığı koruyucu davranışlar arasındaki ilişkiyi belirlemek amacıyla yapılmıştır.
Yöntem: Tanımlayıcı ve kesitsel nitelikteki çalışmamızın örneklemini kronik hastalığı olan 626 kadın oluşturdu. Araştırmada veri toplamak amacıyla kişisel bilgi formu, SF-12 Yaşam Kalitesi Ölçeği, Manevi İyi Oluş Ölçeği ve Sağlığı Koruyucu Davranış Ölçeği kullanılmıştır. Veriler SPSS 22.0, G*Power 3.1 kullanılarak analiz edildi.
Bulgular: Araştırmada manevi iyi oluş, yaşam kalitesi ve sağlığı koruyucu davranışlar arasında orta düzeyde pozitif bir ilişkinin olduğu belirlendi (p<0,000). Kronik hastalığı olan kadınların ruhsal iyi oluş düzeylerinin orta düzeyin üzerinde, yaşam kalitelerinin orta düzeyde olduğu ve sağlığını koruma davranışlarının orta düzeyin altında olduğu belirlendi.
Sonuç: Çalışmamızda manevi iyi oluş düzeyleri arttıkça yaşam kalitesinin ve sağlığı koruyucu davranışların arttığı tespit edildi. Kronik hastalığı olan kadınların ruhsal iyilik ve sağlığı koruyucu davranış düzeylerinin belirlenmesi, hastaların yaşam kalitesini iyileştirmeye yönelik müdahalelerin geliştirilmesini kolaylaştırabilir.

Keywords

Kronik hastalık Kadın Sağlığı koruyucu davranış Spiritual iyi oluş Yaşam kalitesi

Ethical Statement

Araştırma izni bir üniversitenin bilimsel araştırma ve yayın etiği kurulu tarafından verilmiştir (tarih ve sayı 04.07.2022-55502)

Thanks

Çalışmaya katılan tüm kadınlara teşekkür ederiz.

References

  • Centers for Disease Control and Prevention (CDC). Chronic disease [Internet]. 2022 [cited 2022 Oct]. Available from: https://www.cdc.gov/chronicdisease/about/index.htm
  • Yilmaz CK, Kara FŞ. The effect of spiritual well-being on adaptation to chronic illness among people with chronic illnesses. Perspect Psychiatr Care. 2021;57(1):318-25.
  • Lee M, Park S, Lee K-S. Relationship between morbidity and health behavior in chronic diseases. J Clin Med. 2020;9(1):121.
  • Şen S, Arslan ÖH. Maintaining women's health and improving quality of life in chronic diseases. In: Arslan Özkan H, editor. The role of the nurse in protecting and improving women's health. 1st ed. Ankara: Türkiye Clinics; 2019. p. 27-33.
  • Vervoort D, Wang R, Li G, Filbey L, Maduka O, Brewer LC, et al. Addressing the global burden of cardiovascular disease in women. J Am Coll Cardiol. 2024;83(25):2690-707.
  • Zehirlioglu L, Hatice M. New approach to chronic diseases: Lifestyle medicine. Mersin Univ J Health Sci. 2019;12(2):341-50.
  • Ramezankhani A, Ghaedi M, Hatami H, Taghdisi MH, Golmirzai J, Behzad A. Association between spiritual health and quality of life in patients with type 2 diabetes in Bandar Abbas, Iran. Hormozgan Med J. 2013;18(3):210-8.
  • Nasution LA, Afiyanti Y, Kurniawati W. Effectiveness of spiritual intervention toward coping and spiritual well-being on patients with gynecological cancer. Asia Pac J Oncol Nurs. 2020;7(3):273-9.
  • Tsoho MA, Soylar P. Investigation of the relationship between spiritual well-being and quality of life in breast cancer patients. J Public Health. 2024;32(9):1683-90.
  • Kim S. World Health Organization Quality of Life (WHOQOL) Assessment. In: Maggino F, editor. Encyclopedia of quality of life and well-being research. Cham: Springer International Publishing; 2023. p. 7866-7.
  • Yaşar H, Alay S, Kendirli T, Tekeli H, Şenol MG, Türker T, et al. Quality of life and sleep in young male epilepsy patients. J Epilepsy. 2014;20(1):17-22.
  • Megari K. Quality of life in chronic disease patients. Health Psychol Res. 2013;1(3).
  • Wang H-M, Beyer M, Gensichen J, Gerlach FM. Health-related quality of life among general practice patients with differing chronic diseases in Germany: Cross sectional survey. BMC Public Health. 2008;8(1):1-12.
  • Özkan S, Yılmaz E. Healthy lifestyle behaviors of nurses working in the hospital. J Fırat Health Serv. 2008;3(7):89-105.
  • Behice E, Tortumluoğlu G, Aydın İ. The relationship between the healthy lifestyle behaviors of midwives working in preventive services and the care services provided during pregnant and postpartum follow-ups. Ataturk Univ J Sch Nurs. 2000;3(1):16-22.
  • Bor NA, Taylan ŞB. Evaluation of the effect of the public health course given to vocational school of health services students on healthy living awareness and health-promoting and protective behaviors. Euroasia J Math Eng Nat Med Sci. 2021;8(19):103-13.
  • Temkin SM, Noursi S, Regensteiner JG, Stratton P, Clayton JA. Perspectives from advancing National Institutes of Health research to inform and improve the health of women: A conference summary. Obstet Gynecol. 2022;140(1):10-9.
  • Yurtçiçek Eren S. Hemşirelik ve ebelik öğrencileri için kadın sağlığı ve hastalıkları. In: Beydağ KD, Pekcan N, editors. Kadın sağlığına genel bakış. 1st ed. Ankara: Ankara Nobel Tıp Kitabevleri; 2022.
  • Harris ML, Egan N, Forder PM, Loxton D. Increased chronic disease prevalence among the younger generation: Findings from a population-based data linkage study to inform chronic disease ascertainment among reproductive-aged Australian women. PLoS One. 2021;16(8).
  • Cohen J. Statistical power analysis for the behavioral sciences. 3rd ed. New Jersey: Lawrence Erlbaum Associates; 1988.
  • Vandenbrouckel JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and elaboration. PLoS Med. 2007;4(10):1628-55.
  • World Health Organization. A healthy lifestyle-WHO recommendations [Internet]. 2024 [cited 2024 Dec]. Available from: https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations
  • Peterman AH, Fitchett G, Brady MJ, Hernandez L, Cella D. Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy-Spiritual Well-being Scale (FACIT-Sp). Ann Behav Med. 2002;24(1):49-58.
  • Aktürk Ü, Erci B, Araz M. Functional evaluation of treatment of chronic disease: Validity and reliability of the Turkish version of the Spiritual Well-Being Scale. Palliat Support Care. 2017;15(6):684-92.
  • Ware JE, Kosinski M, Keller SD. SF-12: how to score the SF-12 Physical and Mental Health Summary Scales. Boston: The Health Institute, New England Medical Center; 1995.
  • Soylu C, Kütük B. Reliability and validity study of the Turkish form of the SF-12 quality of life scale. Turk J Psychiatry. 2021:1-9.
  • Ping W, Cao W, Tan H, Guo C, Dou Z, Yang J. Health protective behavior scale: Development and psychometric evaluation. PLoS One. 2018;13(1).
  • Ödek Ö, Savaş M, Zincir H. Validity and reliability of the Turkish version of Health Protective Behavior Scale. J Basic Clin Health Sci. 2022;6(1):95-104.
  • Ural A, Kılıç İ. Scientific research process and data analysis with SPSS. Ankara: Detay Publishing; 2013.
  • Albusoul RM, Hasanien AA, Abdel Razeq NM, Al-Maharma DY. Symptom clusters and their impact on spiritual well-being among women with breast cancer. Int J Womens Health. 2024;16:961-70.
  • Durmuş M, Çiftci N, Gerçek A, Durmuş Y. The effect of COVID-19 crisis on hopelessness, loneliness and spiritual well-being of patients with type 1 and type 2 diabetes in Turkey. J Relig Health. 2022;61(2):1703-18.
  • Tirgari B, Khaksari M, Soltani Z, Mirzaee M, Saberi S, Bashiri H. Spiritual well-being in patients with chronic diseases: A systematic review and meta-analysis. J Relig Health. 2022:1-19.
  • Dural G, Sarıtaş SÇ. Quality of life and factors affecting quality of life in patients with acute coronary syndrome. J Cardiovasc Nurs. 2017;8(17):131-41.
  • Durmuş M, Durar E. The relationship between spiritual well-being and fear of COVID-19 in individuals with chronic disease during COVID-19 outbreak. Spirit Psychol Couns. 2022;7(1):37-53.
  • Toygar İ, Hançerlioğlu S, Şimşir IY, Çetinkalp Ş. Quality of life of diabetic foot patients and affecting factors. Aegean J Med. 2020;59(4):272-9.
  • Kalsoom U. Gender role in anxiety, depression and quality of life in chronic kidney disease patients. Pak J Med Sci. 2020;36(2):251-4.
  • Ograczyk-Piotrowska A, Gerlicz-Kowalczuk Z, Pietrzak A, Zalewska-Janowska AM. Stress, itch and quality of life in chronic urticaria females. Adv Dermatol Allergol. 2018;35(2):156-60.
  • Oliveira APD, Maia EG, Silva FM, Martins APB, Claro RM. Peer reviewed: Needed improvements in diabetes prevention and management in Brazil. Prev Chronic Dis. 2018;15.
  • Kohler LN, Garcia DO, Harris RB, Oren E, Roe DJ, Jacobs ET. Adherence to diet and physical activity cancer prevention guidelines and cancer outcomes: A systematic review. Cancer Epidemiol Biomarkers Prev. 2016;25(7):1018-28.
  • Topçu B, Gülcivan G. Evaluation of quality of life and healthy lifestyle behaviors of breast cancer patients. Namık Kemal Med J. 2017;5(2):63-74.
  • Küçükberber N, Özdilli K, Yorulmaz H. Evaluation of factors affecting healthy lifestyle behaviors and quality of life in heart patients. Anadolu Kardiyol Derg. 2011;11:619-26.
  • Albayrak A, Kurt E. The relationship between pain and limb loss (mastectomy)-related depression levels and quality of life and religiosity in breast cancer patients. DEUIFD. 2016:41-81.
  • Jafari N, Farajzadegan Z, Zamani A, Bahrami F, Emami H, Loghmani A. Spiritual well-being and quality of life in Iranian women with breast cancer undergoing radiation therapy. Support Care Cancer. 2013;21(5):1219-25.
  • Gülnar E, Özveren H, Yuvanç E. Correlation between spiritual well-being and quality of life in patients with urinary incontinence: A cross-sectional descriptive study. Wound Manag Prev. 2020;66(12):23-8.
  • Nouri L, Ahmadi I, Ghiasi G, Abdi A, Borji M, Tarjoman A, et al. The relationship between spiritual well-being and quality of life in patients with diabetes: A systematic review and meta-analysis. Med Sci. 2020;24(104):2351-61.
  • Jafari N, Farajzadegan Z, Loghmani A, Majlesi M, Jafari N. Spiritual well-being and quality of life of Iranian adults with type 2 diabetes. Evid Based Complement Alternat Med. 2014;2014:1-9.
  • Rosiek A, Kornatowski T, Frąckowiak-Maciejewska N, Rosiek-Kryszewska A, Wyżgowski P, Leksowski K. Health behaviors of patients diagnosed with type 2 diabetes mellitus and their influence on the patients' satisfaction with life. Ther Clin Risk Manag. 2016;12:1783-92.
  • Annaç S. Examining healthy lifestyle behaviors and quality of life in individuals with coronary artery disease [dissertation]. [Gaziantep]: Hasan Kalyoncu University; 2018.
There are 48 citations in total.

Details

Primary Language English
Subjects Public Health Nursing
Journal Section Research Article
Authors

Necmettin Çiftci 0000-0002-4713-4212

Saliha Yurtçiçek Eren 0000-0002-3303-7526

Early Pub Date April 30, 2025
Publication Date April 30, 2025
Submission Date July 20, 2024
Acceptance Date April 10, 2025
Published in Issue Year 2025 Volume: 8 Issue: 1

Cite

APA Çiftci, N., & Yurtçiçek Eren, S. (2025). The Relationship Between Spiritual Well-Being, Quality of Life and Health Protective Behaviors in Women with Chronic Diseases. Sakarya University Journal of Holistic Health, 8(1), 22-33. https://doi.org/10.54803/sauhsd.1519513
AMA Çiftci N, Yurtçiçek Eren S. The Relationship Between Spiritual Well-Being, Quality of Life and Health Protective Behaviors in Women with Chronic Diseases. SAUSHD. April 2025;8(1):22-33. doi:10.54803/sauhsd.1519513
Chicago Çiftci, Necmettin, and Saliha Yurtçiçek Eren. “The Relationship Between Spiritual Well-Being, Quality of Life and Health Protective Behaviors in Women With Chronic Diseases”. Sakarya University Journal of Holistic Health 8, no. 1 (April 2025): 22-33. https://doi.org/10.54803/sauhsd.1519513.
EndNote Çiftci N, Yurtçiçek Eren S (April 1, 2025) The Relationship Between Spiritual Well-Being, Quality of Life and Health Protective Behaviors in Women with Chronic Diseases. Sakarya University Journal of Holistic Health 8 1 22–33.
IEEE N. Çiftci and S. Yurtçiçek Eren, “The Relationship Between Spiritual Well-Being, Quality of Life and Health Protective Behaviors in Women with Chronic Diseases”, SAUSHD, vol. 8, no. 1, pp. 22–33, 2025, doi: 10.54803/sauhsd.1519513.
ISNAD Çiftci, Necmettin - Yurtçiçek Eren, Saliha. “The Relationship Between Spiritual Well-Being, Quality of Life and Health Protective Behaviors in Women With Chronic Diseases”. Sakarya University Journal of Holistic Health 8/1 (April 2025), 22-33. https://doi.org/10.54803/sauhsd.1519513.
JAMA Çiftci N, Yurtçiçek Eren S. The Relationship Between Spiritual Well-Being, Quality of Life and Health Protective Behaviors in Women with Chronic Diseases. SAUSHD. 2025;8:22–33.
MLA Çiftci, Necmettin and Saliha Yurtçiçek Eren. “The Relationship Between Spiritual Well-Being, Quality of Life and Health Protective Behaviors in Women With Chronic Diseases”. Sakarya University Journal of Holistic Health, vol. 8, no. 1, 2025, pp. 22-33, doi:10.54803/sauhsd.1519513.
Vancouver Çiftci N, Yurtçiçek Eren S. The Relationship Between Spiritual Well-Being, Quality of Life and Health Protective Behaviors in Women with Chronic Diseases. SAUSHD. 2025;8(1):22-33.
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