Does sense of coherence affect the relationship between self-rated health and health status in a sample of community-dwelling frail elderly people? (original) (raw)
Related papers
International Journal of Nursing Studies, 2009
Background and objectives: Few studies have examined the association between social support and health-related quality of life (HRQOL) among nursing home residents and whether the sense of coherence (SOC) modifies the effect of social support on health-related quality of life. The main aims of this study were to determine the relationship between social support and HRQOL and to investigate whether the SOC modifies the effect of social support on HRQOL. Design: A cross-sectional, descriptive, correlational design. Settings: All 30 nursing homes in Bergen in western Norway. Participants: Two hundred and twenty-seven mentally intact long-term nursing home residents 65 years and older. Methods: Data were obtained through face-to-face interviews using the SF-36 Health Survey, Social Provisions Scale and Sense of Coherence Scale. Possible relationships between the Social Provisions Scale and the eight SF-36 subdimensions were analysed using multiple linear regression while controlling for age, sex, marital status, education and comorbid illness. Interactions between the Sense of Coherence Scale and Social Provisions Scale were investigated. Results: Attachment affected the mental health subdimension ( p = 0.001), opportunity for nurturance affected social functioning ( p = 0.003) and reassurance of worth affected vitality ( p = 0.001) after adjustment for demographic variables and comorbid illness. After the analysis included the sense of coherence, nurturance still significantly affected social functioning
International Journal of Older People Nursing, 2009
Objectives. This study examined predisposing, enabling and need variables (Andersen's Behavioral Model) influencing the need for nursing home admission (NHA) in older people receiving home nursing care. In particular, the potential role of coping ability, measured as 'sense of coherence' (SOC), was studied. Design, sample, and measurements. A survey with baseline-and follow-up data after a 2-year period was undertaken with 208 patients aged 75+. The measures used were: gender, education, age, social visits, SOC, social provision scale (SPS), self-rated health (SRH), general health questionnaire (GHQ), clinical dementia rating (CDR), Barthel activities of daily living (ADL) index, and registered illnesses (RI). A Cox proportional model was used to examine factors that could explain risk of NHA. Results. Measures with predictive properties were Barthel ADL index, SPS, SRH, and gender. SOC, along with subjective health complaints, general health questionnaire, RI and social visits did not predict NHA. Conclusions. It is concluded that the patients' subjective evaluations of both their health and perceived social support were important predictors of future NHA needs, and should be seriously taken into consideration, along with the more commonly used objective measures of ADL and CDR.
Quality of Life and Sense of Coherence
Ann Langius-Eklöf, Ph.D. Dr. Langius-Eklöf is Associate Professor in nursing care at the Karolinska Institutet and Director of Research at the nursing agency Recepta in Stockholm, Sweden. Her research is based on the Salutogenic Model of Health developed by Aaron Antonovsky. This model is opposed the pathogenic model that have influenced health care fora long time. The pathogenic perspective seeks explanations on why people get sick, the risk factors for developing diseases and how diseases can be cured. The Salutogenic Model focuses on health as a resource and questions about why some people survive when confronting life stress and what factors contribute to health (wellness factors)
Sense of coherence among cognitively intact nursing home residents – a five-year longitudinal study
Aging & Mental Health, 2014
Aim and objectives: To examine how stable the sense of coherence (SOC) is over a five-year period among residents of nursing homes (NH) who are not cognitively impaired and whether components of social support influence SOC. Background: Many studies have investigated the stability of SOC, and the findings have been inconsistent. Social support is a crucial resource in developing SOC. Few researchers have studied the stability of SOC and how various social support dimensions influence changes in SOC among older NH residents who are cognitively intact. Design: The study was prospective and included baseline assessment and five-year follow-up. Methods: The sample comprised 52 cognitively intact NH residents (Clinical Dementia Rating score 0.5). We obtained data through direct interviews using the Social Provisions Scale and Sense of Coherence Scale. Results: SOC increased statistically significantly from baseline to follow-up. The social support subdimension reassurance of worth predicted change in SOC after adjustment for sociodemographic factors. When controlled for baseline SOC, attachment was associated with change in SOC, but reassurance of worth was not. Conclusions: The study indicates that the change in SOC over time during the 5 years of follow-up and the social support dimension attachment appear to be important components of change in SOC. Nursing personnel should be aware of the residents' individual needs for attachment and the importance of emotional support for personal strength and ability to cope.
Healthy Aging & Clinical Care in the Elderly, 2013
Prospective studies of whether sense of coherence (SOC) affects perceived health over time in cognitively intact older adults are rare. In the current study, we aimed to investigate the association between perceived health one year after hospitalization (T2) and SOC at baseline (T1) among persons aged 65 years or more without cognitive impairment. Patients at a public general hospital in Norway were followed up 1 year after inclusion. At T1, SOC, depression and anxiety, physical health and functional status were assessed. Hospitalizations between T1 and T2 were recorded. At T1 and T2 44 (44.0%) and 51 (52.5%), respectively, perceived their health as good. The odds for good perceived health at T2 were reduced in people who had been hospitalized between T1 and T2. Gender and SOC at T1 interacted on perceived health at T2; men with a low SOC and women with a medium high SOC had reduced odds for perceiving their health as good at T2. The SOC had limited importance for perceived health one year after hospitalization in this sample of older people. Thus, the importance of including SOC in rehabilitation programs after hospitalization is questionable.
The Annals of Family Medicine, 2016
PURPOSE We set out to assess whether a high sense of coherence (SOC) protects from adverse health outcomes in patients aged 80 years and older who have multiple chronic diseases. METHODS A population-based prospective cohort study in 29 primary care practices throughout Belgium included 567 individuals aged 80 years and older. We plotted the highest tertile of SOC scores in Kaplan-Meier curves representing 3-year mortality and time to first hospitalization. Using Cox proportional hazard regression analyses and multiple logistic regression analyses adjusted for sociodemographic characteristics, depression, cognition, disability, and multimorbidity we examined the relationship between SOC and mortality, hospitalization, and decline in performance of activities of daily living (ADL). RESULTS Subjects with high SOC scores showed a higher cumulative survival than others (Log rank = 0.004) independent of other prognostic characteristics (adjusted hazard ratio 0.62 (95% CI, 0.38-1.00), P = .049). For ADL decline, a high SOC was shown to be protective, and this effect tended to be independent from the covariates under study (adjusted odds ratio 0.56 (95% CI, 0.31-1.0), P = .05). CONCLUSION Even very elderly persons with high SOC scores were shown to have lower mortality rates and less functional decline. These effects were independent of multimorbidity, depression, cognition, disability, and sociodemographic characteristics.
Journal of Holistic Nursing
Aim: To investigate the association between nurse–patient interaction and sense of coherence among cognitively intact nursing home residents. Method: In a cross-sectional design, data were collected in 2017 and 2018 using the Nurse–Patient Interaction Scale (NPIS) and the 13-item Sense of Coherence Scale (SOC-13). Of the 204 cognitively intact nursing home residents who met the inclusion criteria, 188 (92%) participated, representing 27 nursing homes. Multiple regression in a general linear model estimated the possible effects of the 14 NPIS items on SOC-13 sum score, the possible effects of the NPIS (sum score) on SOC-13 (sum score) as well as on the subdimensions of SOC-13, comprehensibility, meaningfulness, and manageability (both without and with adjusting for sex and age). Results: Four of the 14 NPIS items revealed highly significant correlations with SOC-13 (sum score; unadjusted and adjusted for age and gender). Furthermore, the analysis adjusted for age and gender showed si...