Sense of coherence in cardiac patients
Journal Title: Annales Academiae Medicae Silesiensis - Year 2014, Vol 68, Issue 6
Abstract
INTRODUCTION According to the salutogenic model of health, the global orientation of life (SOC): coherence of comprehensibility, meaningfulness and manageability allows one to balance the body's needs and resources in confrontation with stressors. A sense of coherence may be a key factor in the prevention of civilization diseases, including cardiac diseases. The aim of the study was to assess the sense of coherence in cardiac patients. The dependence between selected variables: the age and level of anxiety and depression with a sense of coherence and its compo-nents was also examined. MATERIALS AND METHODS 115 patients were examined: 50 females (age: x = 63.46 ± 11.19 years) and 65 males (age: x = 64.65 ± 10.59). The Sense of Coherence (SOC-29) and Hospital Anxiety and Depression (HADS) questionnaires were used. The questionnaires were supplemented by the author's own metrics. The statistical analysis included performing descriptive statistics (mean, SD), calculating Spearman's rank correlation and the level of differences (ANOVA). RESULTS The patients presented a reduced level of sense of coherence in general, as well as in all the components. In men, weak, negative correlations between age with a sense of manageability and sense of meaningfulness were noted, as well as a strong, negative correlation between depression and all SOC components. In the case of females, the correlations were weaker, but statistically significant. Cardiosurgery interventions do not determine the sense of coherence, either in the case of females or men. CONCLUSIONS 1. A reduced level of sense of coherence may predispose one to cardiac diseases and contribute to the failure of health treatment. 2. The presence of concomitant diseases is associated with a low sense of coherence, both in females and males
Authors and Affiliations
Janusz Kocjan, Andrzej Knapik
Keywords
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