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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
121

A Validation study of the sense of coherence scale using two South African samples

Randall, Susan Jane 01 March 2007 (has links)
Student Number : 8609483Y - MA Dissertation - School of Human and Community Development - Faculty of Humanties / This study undertook to investigate the validity of the Sense of Coherence Scale (SOC Scale) for use in South Africa. The scale was developed by Antonovsky (1987) and is widely used in stress and health research. It measures three components: meaningfulness, comprehensibility, and manageability, which Antonovsky posited as being central to a person’s sense of coherence (SOC), which in turn facilitates coping and personal resilience. The current research utilised two samples, namely a group of disabled individuals and a group of undergraduate psychology students. It found that while the SOC Scale is indeed a useful psychometric instrument within a South African context, it would be advisable to develop a modified version of the scale for local use. Factor analysis suggested that a three-factor solution is more appropriate than a one-factor solution, a finding which is congruent with Antonovsky’s theory. Suggestions are made for modifications to some of the original 29 items, as well as the subscales, of the SOC Scale.
122

An exploration of the relationships between posttraumatic growth, sense of coherence and meaningfulness, in the South African context.

Walsh, Samantha 08 February 2012 (has links)
The objective of this study is to undertake research regarding Posttraumatic Growth and its relationship with Sense of Coherence, within the South African context. In addition, the associations between the three domains of SOC, in particular Meaningfulness, and the five domains of PTG, will be investigated. A further aim of this study is to explore whether the relationship between posttraumatic stress symptoms and Posttraumatic Growth is moderated by Meaningfulness. Sample: The sample consisted of tertiary education students, 18 years and older, and who have experienced a traumatic event as defined by the Traumatic Stress Schedule (N=79). Measures: In addition to a demographic questionnaire, the following measures were administered: the Sense of Coherence Scale (SOC), the Posttraumatic Growth Inventory (PTGI), the Impact of Event Scale - Revised (IES-R), and the Traumatic Stress Schedule (TSS). Results: Participants reported moderate scores on overall PTG with lower SOC scores relative to similar samples in the literature. Age was found to be associated with PTG, and PTG was associated with subjective distress as measured by the IES-R. In addition, those reporting PTG, particularly in the areas of Relating to Others, New Possibilities and Appreciation of Life, evidenced lower levels of Comprehensibility, and those low on Comprehensibility tended to report higher levels of subjective distress. High levels of subjective distress also appeared to be associated with lower levels of Manageability. Findings further suggested that participants who had been exposed to multiple traumas, as well as those who reported higher subjective distress, generally evidenced lower SOC. Multiple trauma exposures were strongly associated with increased subjective distress. Implications of the findings and recommendations for future research are discussed.
123

The relationship between work environment, sense of coherence and compassion fatigue amongst employee assistance programme (EAP) practitioners

Hlengani, Lloyd David 16 May 2008 (has links)
ABSTRACT The negative impacts of trauma on clients are well known. However, the negative impact of working with traumatized clients on the counselor or helper has received less attention in the literature. Similarly, the contributions of certain work environments to experiences of compassion fatigue and the role of personality characteristics have gone unnoticed, especially in the South African context. The aim of this research is to examine the relationships between compassion fatigue, sense of coherence and work environment variables (job control, workload and collegial support), and to determine whether sense of coherence moderates the relationship between work environment and compassion fatigue on a sample of Employee Assistance Programme (EAP) practitioners in the South African organisational context (both public and private sectors). The current study adopted a non-experimental research design, categorised as cross-sectional and correlational. A non-probability sampling procedure was utilised. A sample of ninety-nine (99) EAP practitioners was obtained. A 10-items Job Control Scale (Wall, Jackson and Mullarkey, 1995), Workload and Collegial Support Scale by Dewe (1987) 11-items each, a 30- items Compassion Fatigue Self-Test Scale (Figley, 1995), and 13-items Orientation to Life Questionnaire (QLQ-13/SOC-13) by Antonovsky (1987; 1993) were administered. Results indicate that the sample in the current study were at higher risk of experiencing compassion fatigue. There was a positive significant relationship between workload, collegial support and compassion fatigue, a negative insignificant correlation between job control and compassion fatigue, and positive insignificant relationship between sense of coherence and compassion fatigue. The results between sense of coherence and the work environment variables were insignificant. Finally, sense of coherence was only found to moderate the relationship between workload and compassion fatigue and the relationship between collegial support and compassion fatigue.
124

Análise da correlação existente entre Senso de Coerência e adesão ao tratamento em pacientes com diagnóstico de insuficiência cardíaca crônica / Correlation Analysis between Sense of Coherence and Treatment Compliance of patients with a diagnosis of Heart Failure

Moretto, Simone Alvarez 14 June 2013 (has links)
Introdução: a insuficiência cardíaca (IC) caracteriza-se por uma síndrome complexa, que apresenta, como principais sintomas, falta de ar, fadiga e função cardíaca anormal, o que exige, dos pacientes, mudanças no estilo de vida. Observa-se que as orientações de cuidado, muitas vezes, não são incorporados pelo portador de IC, sendo este um importante aspecto para a piora clínica deste paciente. Na perspectiva do enfrentamento, o Senso de Coerência proposto por Aaron Antonovsky, referencial adotado nesta pesquisa, é um construto que, se bem aplicado aos portadores de IC, pode revelar aos profissionais de saúde a percepção que os pacientes apresentam acerca de sua condição de doença. Objetivo: analisar a existência de correlação entre a adesão ao tratamento e o senso de coerência em pacientes ambulatoriais com diagnóstico de IC. Material e Método: estudo exploratório, descritivo, prospectivo e de abordagem quantitativa, realizado no ambulatório especializado em Insuficiência Cardíaca e Transplante do Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, com amostra de 100 pacientes. Os instrumentos utilizados na análise foram o Questionário de Senso de Coerência e o Questionário de Adesão em Pacientes com Insuficiência Cardíaca, além de um roteiro de entrevista semiestruturada para a caracterização da amostra da população de estudo. Os dados clínicos foram coletados do prontuário eletrônico dos pacientes. A regressão linear múltipla foi a estratégia utilizada para identificação dos fatores associados à adesão e ao senso de coerência, enquanto o nível de significância utilizado foi 5%. Resultados: o perfil biossocial da amostra foi predominantemente de homens (70%), com idade superior a 40 anos (89%), casados ou com companheiros (66%), baixa escolaridade (65% ensino fundamental), vinculados à religião católica (66%), aposentados (44%), com antecedentes clínicos de hipertensão (54%), dislipidemias (31%) e diabetes (25%). O principal diagnóstico responsável pelo quadro de IC foram as miocardiopatias (91%). Com relação ao senso de coerência, a distribuição da pontuação na amostra da população estudada variou entre 79 e 196, com média de 147,99 e desvio padrão de 23,101. A pontuação do questionário podia variar entre 29 e 203 pontos. A pontuação no questionário de adesão variou entre 26 e 58 pontos, média de 43,13, desvio padrão em 8,099. Neste questionário, a pontuação poderia variar entre 0 e 60 pontos. A idade foi o único fator preditor de adesão ao tratamento. Gênero e renda familiar apareceram como fatores preditores do domínio compreensão do senso de coerência. O gênero, isoladamente, foi determinado como fator preditor dos domínios Manuseio, Significado e para o senso de coerência. A correlação entre senso de coerência e adesão ao tratamento não foi significativa. Houve correlação significativa e negativa entre idade e adesão ao tratamento. A miocardiopatia mostrou-se como significativa, quando se refere à adesão ao tratamento. Neste caso, dentre os indivíduos que apresentaram valores menores ou iguais à média para o escore adesão (51%), 43% eram miocardiopatas. A hipertensão arterial sistêmica apresentou-se como variável significativa para o domínio compreensão do construto senso de coerência. Dentre os indivíduos que apresentaram valores menores ou iguais à média, para o escore em questão (51%), 22% eram hipertensos. Conclusões: a análise do Senso de Coerência e sua relação com a adesão ao tratamento em doenças crônicas é, em geral, pouco estudada. Não houve correlação entre Senso de Coerência e adesão ao tratamento, porém o instrumento de adesão não apresentou consistência interna relevante para a análise. Os resultados desta pesquisa poderão ser utilizados para a melhoria da prática assistencial de enfermeiros no cuidado a pacientes com IC. / Introduction: heart failure (HF) is characterized by a complex syndrome that has as its main symptoms shortness of breath, fatigue, and abnormal cardiac function. It demands a change of lifestyle in patients, that most of the time, are not adequately adopted, causing problems in treatment Compliance. In the confrontation perspective, the Sense of Coherence proposed by Aaron Antonovsky, used in this research as reference, is a construct that, if well applied to the sufferers of heart failure, it could reveal to the health professional, the perception patients have around their illness. Objective: Analyze the existence of a correlation between compliance to treatment and Sense of Coherence in clinical patients with a diagnosis of heart failure. Materials and Method: This is a exploratory study, descriptive, prospective, of a quantitative approach, which took place in the Heart Failure and Transplant Specialty Clinic at the Instituto do Coração (Heart Institute) of Hospital das Clínicas of the Medical College of the University of São Paulo (InCor-HC FMUSP), with a sample of 100 patients. The means used for analysis were Sense of Coherence and Treatment Compliance Questionnaire, as well as a directed semi-structured interview for the characterization of the sample of the population in the study. The clinical data was collected from the patients electronic medical records. Multiple Linear Regression was the strategy used to identify the factors associated to Treatment Compliance and Sense of Coherence, and the significance level used was 5%. Results: The Biosocial profile of the sample was predominantly of males (70%), over 40 years old (89%), married or with partners (66%), retired (44%), with a history of clinical hypertension (54%), dyslipidemia (31%) and diabetes (25%). The primary diagnosis responsible for the Heart Failure Clinical profile was Cardiomyopathy (91%). As for the Sense of Coherence, the distribution of scoring points in the sample of the population studied varied between 79 and 196, with an average of 147, 99 and standard deviation of 23.101. The scoring in the Questionnaire can vary between 29 and 203 points. The scoring in the Treatment Compliance Questionnaire varied between 26 and 58 points, average of 43,13 and Standard Deviation in 8.099. In this questionnaire the scoring can vary between 0 and 60 points. Age was the only predictor in Treatment Compliance. Gender and family income appear as predicting factors in the domain of Sense of Coherence comprehension. Isolated, gender was a determinant as a predicting factor in the domains of handling, Significance and Sense of Coherence. The correlation between Sense of Coherence and Compliance of Treatment wasnt significant. There was a significant and negative correlation between age and Treatment Compliance. Cardiomyopathy appeared as significant when dealing with Treatment Compliance. In this case, among the individuals that showed lower or equal values to the average score of Treatment Compliance (51%), 43% had Cardiomyopathy. Systemic Arterial Hypertension, appeared as a significant variable for the domain of Comprehension of the Sense of Coherence Construct. Among the individuals that showed lower or equal to the average score in question values (51%), 22% were hypertensive. Conclusion: The Analysis of the Sense of Coherence in relation to Treatment Compliance in chronic diseases is in general, not very well researched. There was no correlation between Sense of Coherence and Treatment Compliance, although the Treatment Compliance instrument did not present internal consistence relevant to the analysis. The conclusions of this research can be employed in the improvement of clinical practice of nurses in the caring of patients with Heart Failure.
125

Att leva med en osynlig sjukdom : En litteraturöversikt om personers upplevelser av att leva med fibromyalgi / To live with an invisible illness : A literature review about people's experiences of living with fibromyalgia

Stenberg Larsson, Louise, Gustafsson, Sofia January 2019 (has links)
Bakgrund: Fibromyalgi är en kronisk sjukdom som påverkar kroppen på olika sätt, och orsaken är fortfarande okänd. Den bryter ut i samband med ett fysiskt eller psykiskt trauma, infektion eller smärta. Syfte: Syftet var att beskriva personers upplevelser av att leva med fibromyalgi. Metod: En litteraturöversikt gjordes med en induktiv ansats, baserad på 13 artiklar med kvalitativ design. Tre kategorier och sex underkategorier skapades utifrån analysen. Resultat: De upplevda fysiska symtomen var smärta i kroppen, trötthet och sömnsvårigheter. Sjukdomen gav även upphov till psykiska symtom där depression, ångest, nedstämdhet och kognitiva problem förekom. Upplevelsen var även att det sociala livet påverkades då familj, vänner, kollegor och vårdpersonal ofta ifrågasatte sjukdomen och inte trodde på personerna. Slutsatser:  Fibromyalgi påverkar livet på många olika sätt, både fysiskt, psykiskt och socialt. Arbetet ger en ökad förståelse och kunskap till vårdpersonal, framförallt sjuksköterskor, för den här patientgruppens situation. Fortsatt forskning behövs för att ta reda på vad som orsakar fibromyalgi, och därmed öka förståelsen. / Background: Fibromyalgia is a chronic illness that affects the body in several ways, and the cause remains unexplained. It emerges from physical or psychological trauma, infection or pain. Aim: The aim was to describe people’s experiences of living with fibromyalgia. Method: This study was made as a literature review with an inductive approach, based on 13 articles with qualitative design. Three categories and six subcategories evolved from analysis. Results: The experienced physical symptoms were pain in the body, fatigue and sleeping problems. The illness also affected the persons psychologically which could occur as depression, anxiety and cognitive issues. The social life was also affected since family, friends, colleagues and health care personnel often questioned the illness and did not believe in their experiences. Conclusion: Fibromyalgia affects the life in several ways, both physically, psychologically and socially. The essay provides an increased understanding and knowledge to health care personnel, especially nurses, for these patients’ situation. Further research is required to determine the cause of fibromyalgia to increase the understanding.
126

Relationen mellan personlighet, känsla av sammanhang, politiskt intresse och politisk inriktning bland högskolestudenter

Hallin, Henning, Stenman, Emil January 2019 (has links)
Personlighet påverkar många livsaspekter. Tidigare forskning har visat att politik är en av dessa aspekter. Forskning inom området har konstaterat ett samband mellan personlighet och riktningen av personers politiska orientering samt mellan personlighet och Känsla av sammanhang (KASAM). Däremot fanns en forskningslucka kring relationen mellan KASAM och politik. Syftet med denna studie var att undersöka relationen som de fem grundläggande personlighetsdimensionerna och KASAM har till Politiskt intresse samt Politisk inriktning, men även relationen mellan personlighetsdimensionerna och KASAM. Hundrafemtiofem studenter deltog varav 37 män. Datainsamling gjordes via enkät, som bestod av BFI-44, SOC-13 samt självrapportering av Politiskt intresse och inriktning. Databearbetningen skedde via korrelationsanalys samt regressionsanalys. Studiens resultat visade att personlighet hade ett samband med politik samt KASAM och att KASAM hade ett samband med en högerorienterad politisk inriktning. Eftersom relationen mellan KASAM och politik var relativt outforskad kan resultatet av denna studie ses som ett intressant ämne för framtida forskning.
127

Effekten av olika preventiva insatser vid kardiovaskulära sjukdomar : En litteraturstudie

Lidberg, Ulrika January 2019 (has links)
Bakgrund: Kardiovaskulär sjukdom är vida spridd över världen. Många riskfaktorer för sjukdomen bör kontrolleras med hjälp av hälsopreventiva insatser och kompletteras med läkemedelsbehandling. Syfte: Syftet var att undersöka vilka preventiva insatser som studerats för patienter med vaskulära sjukdomar, och effekterna av dessa. Metod: Designen var en litteraturstudie. Tillvägagångssättet var att söka artiklar med randomiserad kontrollstudie (RCT) design. 20 artiklar inkluderades och kvalitetsgranskades enligt checklista för RCT, och kvalitetsbedömning av RCT. Artikelsökningen gjordes i universitetets databaser: Pubmed/Medline, SKOPUS och CINAHL. En artikelsyntes skapades med utgångspunkt från PICO-modellen, (Population, Intervention, Comparison, Outcome), där fokus blev att jämföra interventioner och dess eventuella effekter. Som teoretiskt ramverk används Antonovsky’s känsla av sammanhang (KASAM). Begreppen begriplighet, hanterbarhet och meningsfullhet diskuteras. Resultat: De vanligaste sätten att bedriva prevention var via utbildningsinsatser och/eller rådgivande insatser. Dessa kan vara i möte eller via distans. De vanligaste effektmåtten kunde delas in i kategorierna: laboratorieprover, antropometriska mått, levnadsvanor, blodtryckskontroll, förändringar i riskprofil och följsamhet, upplevd livskvalitet, med flera. Bäst effekt enligt denna studie hade prevention inriktad mot utfallsmåtten blodtryck, blodfetter, blodglukos, samt följsamhet rörande vård och läkemedel.  Slutsats: Utbildning och rådgivning var bra preventiva metoder i samband med intervention mot kardiovaskulär sjukdom eller risk för sådan sjukdom. Det gällde oavsett om det gällde primär- eller sekundärprevention. Interventionerna var oftast inriktade mot livsstil. Effekterna var heterogena och varierande. Resultatet visar att blodtrycksreglering och reglering av blodfetter och blodsocker nivåer är möjliga, framförallt om följsamheten ökar. / Background: Cardiovascular disease is widely spread throughout the world. Many risk factors for the disease should be controlled by means of health preventive measures and supplemented with drug treatment. Purpose: The purpose was to investigate which preventive measures were studied for patients with vascular diseases, and the effects of these. Methods: The design was a literature study. The approach was to search for articles with randomized control trial (RCT) design. 20 articles were included and quality checked according to checklist for RCT, and quality assessment of RCT. The article search was done in the university's databases: Pubmed/Medline, SKOPUS and CINAHL. An article synthesis was created from the PICO model, (Population, Intervention, Comparison, Outcome). There, focus was on comparing interventions and its possible effects. As theoretical framework, Antonovsky’s Sense of Coherence (SOC) was used. The concepts of comprehensibility, manageability and meaningfulness are discussed. Results: The most common ways of conducting prevention were through training initiatives and/or advisory initiatives. These can be in personal meetings or remotely. The most common measures of effectiveness could be divided into categories: laboratory samples, anthropometric measures, lifestyle habits, blood pressure control, changes in risk profile and compliance, perceived quality of life, and more. The best effect according to this study was prevention aimed at the outcome measures blood pressure, blood lipids, blood glucose, and adherence to care and medication. Conclusion: Education and counseling were good preventative methods in connection with intervention against cardiovascular disease or the risk of such disease. It applied irrespective of the use of primary or secondary prevention. The interventions were usually focused on lifestyle. The effects were heterogeneous and varied. The result shows that blood pressure regulation and regulation of blood lipids and blood sugar levels are possible, especially if compliance is increasing.
128

Ett gott skratt förlänger livet? Huruvida Resiliens och andra psykologiska faktorer kan förutse hur man skattar sin hälsa

Laurentz Back, Karolina, Solomon, Liv January 2019 (has links)
No description available.
129

Senso de coerência e lócus de controle e sua relação com a qualidade de vida de trabalhadores qualificados

Mazza, Solange de Cassia Maranhão 27 March 2015 (has links)
Made available in DSpace on 2016-04-28T20:39:03Z (GMT). No. of bitstreams: 1 Solange de Cassia Maranhao Mazza.pdf: 1084691 bytes, checksum: 18aab4e2e02c06b0ef4f3c03d6bf5409 (MD5) Previous issue date: 2015-03-27 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study aimed to analyze the relationship among sense of coherence (SOC), locus of control (LOC) and quality of life (QOL) of skilled workers. We used the exploratory method, with a quantitative and qualitative approach. For this research, we selected a convenient sample composed of 80 individuals of both genders, with and without leadership positions. Data collection was conducted through the use of questionnaires previously validated for each analyzed construct. In addition, in depth interviews were conducted to analyze individual cases. The data obtained through the questionnaires were analyzed by multivariate statistical techniques and the interviews were analyzed based on the case study method. The results of the quantitative analysis showed significant correlations between the components of the SOC (understanding, management and meaning) and LOC (internality and externality), being positive with the internality and negative with externality (chance and powerful people). The components of the SOC showed positive correlations with the mental components of QOL (vitality, social functioning, emotional and mental health), but no significant correlations were found with the physical components of QOL (functional capacity, limitations on physical aspects and pain), except with general state of health. The components of the LOC showed no significant correlations with QOL, except for emotional aspects, which was negatively correlated with the component chance. Regarding to position, the results indicated that the leaders have higher averages than the not leaders in relation to SOC, meaning and physical aspects. Regarding to sex, the results indicated that women have higher averages than men in relation to SOC, meaning and physical aspects. The classification of the sample by clustering technique allowed the identification of three clusters associated with different levels of SOC, internality, externality, vitality and mental health. Cluster 1, called "protagonists", characterized by higher levels of SOC, internality, vitality and mental health and the lowest externality. Cluster 2, called "victims", characterized by lower levels of SOC, internality, vitality and mental health, and the greatest of externality. The cluster 3, called "conflicting", was characterized by intermediate levels in all those variables. Interviews with two participants in each cluster revealed the following typical behavior: Participants in the cluster 1 (protagonists) had behaviors that indicated high perception of self-efficacy, self-confidence, optimism and assumption of responsibility. Participants in cluster 2 (victims) had behaviors that indicated lack of perceived self-efficacy, low self-confidence and assignment of another responsibility. Participants in the cluster 3 (conflicting) showed ambiguous behavior, either as protagonists or as victims, and aggressiveness. The results indicated that high levels of SOC, associated with adequate levels of internality and externality, can contribute to improving the mental components of the quality of life / O presente estudo teve como objetivo analisar as relações entre senso de coerência (SOC), lócus de controle (LOC) e qualidade de vida (QV) de trabalhadores qualificados. Utilizou-se o método de pesquisa exploratória, de natureza quantitativa e qualitativa. Para a pesquisa, selecionou-se amostra por conveniência, composta por 80 indivíduos de ambos os sexos, com e sem cargos de liderança. Além da aplicação de questionários validados, foram realizadas entrevistas em profundidade para a análise de casos individuais. Os dados obtidos por meio dos questionários foram analisados por meio de técnica estatística multivariada e as entrevistas foram analisadas com base no método do caso. Os resultados da análise quantitativa evidenciaram correlações significativas entre os componentes do SOC (compreensão, manejo e significado) e do LOC (internalidade e externalidade), sendo positivas com a internalidade e negativas com a externalidade (acaso e pessoas poderosas). Os componentes do SOC apresentaram correlações positivas com os componentes mentais da QV (vitalidade, aspectos sociais, aspectos emocionais e saúde mental), porém não apresentaram correlações significativas com os componentes físicos da QV (capacidade funcional, aspectos físicos e dor), exceto com estado geral de saúde. Os componentes do LOC não apresentaram correlações significativas com a QV, exceto no caso de aspectos emocionais, que apresentou correlação negativa com o componente acaso. Com relação ao cargo, os resultados indicaram que os líderes apresentaram médias superiores aos não líderes em relação às variáveis SOC, significado e aspectos físicos. Quanto ao sexo, os resultados indicaram que as mulheres apresentaram médias superiores aos homens em relação às variáveis SOC, significado e aspectos físicos. A classificação da amostra pela técnica de agrupamento permitiu a identificação de três clusters associados a níveis distintos de SOC, internalidade, externalidade, vitalidade e saúde mental. O cluster 1, denominado protagonistas , caracterizou-se pelos maiores níveis de SOC, internalidade, vitalidade e saúde mental e o menor de externalidade. O cluster 2, denominado vítimas , caracterizou-se pelos menores níveis de SOC, internalidade, vitalidade e saúde mental, e o maior de externalidade. O cluster 3, denominado conflituosos , caracterizou-se por níveis intermediários em todas aquelas variáveis. Entrevistas em profundidade com dois participantes de cada cluster revelaram os seguintes comportamentos típicos: os participantes do cluster 1 (protagonistas) apresentaram comportamentos que indicaram alta percepção de autoeficácia, otimismo e assunção de responsabilidade. Os participantes do cluster 2 (vítimas) apresentaram comportamentos que indicaram baixa percepção de autoeficácia e atribuição de responsabilidade a outrem. Os participantes do cluster 3 (conflituosos), apresentaram comportamentos ambíguos, ora como protagonistas, ora como vítimas, além de agressividade. Os resultados permitiram concluir que níveis elevados de SOC, associados a níveis adequados de internalidade e de externalidade, podem contribuir para a melhoria dos componentes mentais da QV
130

Associação entre senso de coerência e qualidade de vida em indivíduos de 50 a 74 anos / Association between sense of coherence and quality of life in individuals among 50 to 74 years old

Massena, João Ricardo Hass January 2015 (has links)
O Senso de Coerência (SOC) reflete a forma como o indivíduo percebe a sua saúde e enfrenta os agentes estressores. O SOC está associado à qualidade de vida, sendo considerado um importante preditor de saúde. Este estudo têm o objetivo de investigar a associação entre o senso de coerência e os diferentes domínios da qualidade de vida (físico, psicológico, relações sociais e meio ambiente) em indivíduos de 50 a 74 anos residentes em Porto Alegre, Brasil. Trata-se de um estudo transversal com uma amostra de 720 sujeitos, selecionados por processo de amostragem aleatória proporcional em múltiplos-estágios. Foram utilizados dois instrumentos: Sense of Coherence Scala (SOC 13) e o World Health Organization Abbreviated Instrument for Quality Of Life Assessment (qa21’WHOQOL-BREF). As análises univariada e multivariada foram realizadas por meio de regressão linear, observando-se associação significativa do escore senso de coerência com a qualidade de vida, mesmo quando ajustado para as variáveis sóciodemográficas (p<0,001). Para um aumento de 10 pontos no escore do senso de coerência, há um aumento médio de 6,8 pontos nos escores de qualidade de vida no domínio psicológico (b=6,80; IC 95%: 5,94 a 7,67); 6,45 pontos no domínio físico (b=6,45; IC95%: 5,38 a 7,53); 5,51 pontos no domínio de relações sociais (b=5,51; IC 95%: 4,53 a 6,49); e de 4,73 pontos nos escores do domínio meio ambiente (b=4,73; IC 95%: 3,84 a 5,61). O escore global de qualidade de vida aumenta, em média, 6,84 pontos a cada 10 pontos do escore do senso de coerência (b=6,84; IC 95%: 5,70 a 7,98). Os resultados deste estudo demostram que o constructo SOC associa-se positivamente a qualidade de vida; quanto mais elevado o senso de coerência, melhor será a qualidade de vida. / The Sense of Coherence (SOC) reflects how the individual perceives their health and face stressors. The SOC is associated with quality of life and is considered an important predictor of health. This study aims to investigate the association between the sense of coherence and the different domains of quality of life (physical, psychological, social relationships and environment) in subjects 50-74 years of age living in Porto Alegre, Brazil. It is a cross-sectional study with a sample of 720 individuals selected by proportional random sampling process in multiple-stage. Two instruments were used: Sense of Coherence Scale (SOC 13) and the World Health Organization Abbreviated Instrument for Quality Of Life Assessment (WHOQOL-BREF). The univariate and multivariate analyzes were performed by linear regression observing significant association between the sense of coherence score with quality of life, even when adjusted for sociodemographic variables (p <0.001). For a 10-point increase in the score of sense of coherence, there is an average increase of 6.8 points in scores for quality of life in the psychological domain (b = 6.80, 95% CI: 5.94 to 7.67); 6.45 points in the physical domain (b = 6.45, 95% CI: 5.38 to 7.53); 5.51 points in the field of social relations (b = 5.51, 95% CI: 4.53 to 6.49); and 4.73 points in the environment domain scores (b = 4.73, 95% CI: 3.84 to 5.61). The overall score for quality of life increases, on average, 6.84 points for each 10-point score of sense of coherence (b = 6.84, 95% CI: 5.70 to 7.98). The results of this study indicate that the SOC construct positively associates with quality of life, the higher the sense of coherence better the quality of life.

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