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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.
Int J Nurs Stud. 2009 Jan; 46(1):65-75.IJ

Abstract

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.

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Authors+Show Affiliations

Drageset J
Faculty of Health and Social Sciences, Bergen University College, Haugeveien 28, N-5005 Bergen, Norway.
Eide GE
No affiliation info available
Nygaard HA
No affiliation info available
Bondevik M
No affiliation info available
Nortvedt MW
No affiliation info available
Natvig GK
No affiliation info available

MeSH

Adaptation, PsychologicalAgedAged, 80 and overAttitude to HealthCross-Sectional StudiesFactor Analysis, StatisticalFemaleGeriatric AssessmentHealth StatusHumansInpatientsInternal-External ControlLinear ModelsMaleNorwayNursing AssessmentNursing HomesNursing Methodology ResearchQuality of LifeSelf EfficacySocial SupportSurveys and Questionnaires

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18721922

Citation

Drageset, Jorunn, et al. "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." International Journal of Nursing Studies, vol. 46, no. 1, 2009, pp. 65-75.
Drageset J, Eide GE, Nygaard HA, et al. 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. Int J Nurs Stud. 2009;46(1):65-75.
Drageset, J., Eide, G. E., Nygaard, H. A., Bondevik, M., Nortvedt, M. W., & Natvig, G. K. (2009). 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. International Journal of Nursing Studies, 46(1), 65-75. https://doi.org/10.1016/j.ijnurstu.2008.07.005
Drageset J, et al. 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. Int J Nurs Stud. 2009;46(1):65-75. PubMed PMID: 18721922.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Drageset,Jorunn, AU - Eide,Geir Egil, AU - Nygaard,Harald A, AU - Bondevik,Margareth, AU - Nortvedt,Monica W, AU - Natvig,Gerd Karin, Y1 - 2008/08/21/ PY - 2008/01/03/received PY - 2008/07/09/revised PY - 2008/07/10/accepted PY - 2008/8/30/pubmed PY - 2009/8/4/medline PY - 2008/8/30/entrez SP - 65 EP - 75 JF - International journal of nursing studies JO - Int J Nurs Stud VL - 46 IS - 1 N2 - 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. SN - 1873-491X UR - https://www.unboundmedicine.com/medline/citation/18721922/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_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(08)00181-8 DB - PRIME DP - Unbound Medicine ER -