首页> 外文期刊>International journal of nursing studies >The impact of social support and sense of coherence on health-related quality of life among nursing home residents-A questionnaire survey in Bergen, Norway.
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The impact of social support and sense of coherence on health-related quality of life among nursing home residents-A questionnaire survey in Bergen, Norway.

机译:社会支持和连贯性对疗养院居民健康相关生活质量的影响-挪威卑尔根的问卷调查。

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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 and reassurance of worth still significantly affected vitality. No interaction with sense of coherence was found, and sense of coherence significantly affected all SF-36 subdimensions. CONCLUSIONS: The opportunity to provide nurturance for others appears to be important for social functioning, and sense of competence and sense of self-esteem appear to be important for vitality. Further, the residents' relationships with significant others comprise an important component of mental health. Finally, independent of the level of sense of coherence, social support is an important resource for better health-related quality of life. Clinical nurses should recognize that social support is associated with health-related quality of life and pay attention to the importance of social support for the residents in daily practice.
机译:背景与目的:很少有研究检查社会支持与疗养院居民之间与健康相关的生活质量(HRQOL)之间的关联以及一致性感(SOC)是否改变了社会支持对与健康相关的生活质量的影响。这项研究的主要目的是确定社会支持与HRQOL之间的关系,并调查SOC是否修改了社会支持对HRQOL的影响。设计:横断面,描述性,相关设计。地点:挪威西部卑尔根的所有30家疗养院。参与者:247名65岁及以上的精神完好的长期疗养院居民。方法:采用SF-36健康调查,社会规定量表和连贯感量表,通过面对面访谈获得数据。在控制年龄,性别,婚姻状况,教育程度和合并症的同时,使用多元线性回归分析了社会供给量表与SF-36八个子维度之间的可能关系。研究了连贯感量表和社会规定量表之间的相互作用。结果:依依调整了人口统计学变量和合并症后,依恋影响了心理健康维度(p = 0.001),哺育机会影响了社会功能(p = 0.003)并保证了值得影响的生命力(p = 0.001)。在进行了连贯性分析之后,养育仍然显着影响了社会功能,而放心购买价值仍然显着影响了活力。没有发现具有连贯感的相互作用,并且连贯感显着影响了所有SF-36维度。结论:提供养育他人的机会似乎对社会功能很重要,能力意识和自尊心对活力至关重要。此外,居民与重要他人的关系是心理健康的重要组成部分。最后,独立于凝聚力的程度,社会支持是改善与健康相关的生活质量的重要资源。临床护士应认识到社会支持与健康相关的生活质量有关,并应注意在日常实践中社会支持对居民的重要性。

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