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The elderly is a final condition in human life which is characterized by physiological and psychosocial changes. The elderly at the Adiyuswo Semarang Nursing Home are elderly people who are categorized as abandoned. One of the health services obtained by the elderly at the Adiyuswo Nursing Home is care that supports spirituality. Spirituality prevents the elderly from committing maladaptive actions. This research is aimed at identifying the relationship between the level of spirituality and quality of life in the elderly in the Adiyuswo Nursing Home. The research sample was 40 elderly respondents over 60 years old, the research design used cross sectional with the Stratified Random Sampling technique. Data analysis using Chi-Squre showed that there was a relationship between the level of spirituality and quality of life in the elderly (p-value = 0.000 < 0.005 and X2 = 21.774). The results of the analysis also showed an OR value of 4,745 which means that a low level of spirituality is 5 times more likely to have alow quality of life. The results of this research are expected to be beneficial for services, institutions of Nursing Homes and the development of social sciences, as well as research related to improving the quality of life by increasing the spirituality of the elderly. The purpose of this study is to find out the relationship between spiritual aspects and the level of quality of life of the elderly in the Adiyuswo Semarang Nursing Home.

According to WHO (2019), in the Southeast Asia region the elderly population is 8% or around 142 million people. In 2050 it is estimated that the elderly population will increase 3 times from 2013. In 2000 the number of elderly is around 5,300,000 (7.4%) of the total population, while in 2010 the number of elderly is 24,000,000 (9.77%) of the total elderly reached 28,800,000 (11.34%) of the total population. Data from the Central Bureau of Statistics shows that the elderly population in Indonesia in 2007 amounted to 18.7 million people, then in 2010 it increased to 23.9 million people (9.77%). In 2020 it is predicted that the number of elderly people will reach 28.8 million (11.34%). Based on data from the Republic of Indonesia Ministry of Health (2019), Indonesia is entering a period of aging population, where there is an increase in life expectancy followed by an increase in the number of elderly people. Indonesia has experienced an increase in the number of elderly people from 18 million people (7.56%) in 2010, to 25.9 million people (9.7%) in 2019, and is expected to continue to increase in 2035 to 48.2 million people (15.77%).