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Health and Quality of Life Outcomes

, 6:85

First Online: 21 October 2008Received: 30 May 2008Accepted: 21 October 2008


BackgroundSense of coherence SOC is a strong determinant of positive health and successful coping. For older people living in the community or staying in a hospital, SOC has been shown to be associated with health-related quality of life HRQOL. Studies focusing on this aspect among nursing home NH residents have been limited. This study investigated the relationship between SOC and HRQOL among older people living in NHs in Bergen, Norway.

MethodsBased on the salutogenic theoretical framework, we used a descriptive correlation design using personal interviews. We collected data from 227 mentally intact NH residents for 14 months in 2004–2005. The residents- HRQOL and coping ability were measured using the SF-36 Health Survey and the Sense of Coherence Scale SOC-13, respectively. We analyzed possible relationships between the SOC-13 variables and SF-36 subdimensions, controlling for age, sex, marital status, education and comorbidity, and investigated interactions between the SOC and demographic variables by using multiple regression.

ResultsSOC scores were significantly correlated with all SF-36 subscales: the strongest with mental health r = 0.61 and the weakest with bodily pain r = 0.28. These did not change substantially after adjusting for the associations with demographic variables and comorbidity. SOC-13 did not interact significantly with the other covariates.

ConclusionThese findings suggest that more coping resources improve HRQOL. This may indicate the importance of strengthening the residents- SOC to improve the perceived HRQOL. Such knowledge may help the international community in developing nursing regimens to improve HRQOL for older people living in NHs.

AbbreviationsSOCSense of coherence

HRQOLHealth-related quality of life

NHNursing home

SOC-13Sense of Coherence Scale

SF-36SF-36 Health Survey

NHsNursing homes

CDRClinical Dementia Rating

FCIFunctional Comorbidity Index.

Electronic supplementary materialThe online version of this article doi:10.1186-1477-7525-6-85 contains supplementary material, which is available to authorized users.

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Autor: Jorunn Drageset - Harald A Nygaard - Geir Egil Eide - Margareth Bondevik - Monica W Nortvedt - Gerd Karin Natvig


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