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Sense of Coherence among Older Adult Residents of Long-Term Care Facilities in Taiwan: A Cross-Sectional Analysis

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  • Ruo-Nan Jueng
  • Der-Chong Tsai
  • I-Ju Chen

Abstract

Background: Growing evidence shows that sense of coherence (SOC) is related to health promotion. Knowledge of SOC among older adults in Taiwan is limited. The present study aimed to investigate SOC status and its relationship to personal and environmental factors among older adult residents of long-term care facilities (LTCFs) in northeastern Taiwan. Methods: This cross-sectional study was performed in Yilan, Taiwan. With face-to-face interviews, we obtained data from 104 LTCF residents (aged 65 years and older) using the Chinese version of Antonovsky's short 13-item SOC scale. We also collected the information on personal characteristics, physical and social environmental resources. Multiple linear regression was used to analyze factors potentially influencing SOC. Results: Of the participants, the mean score (±standard deviation) of SOC was 58.3 (±8.8), while scores on SOC subscales (comprehensibility, manageability, and meaningfulness) were 23.4 ±4.5, 17.9 ±3.8, and 17.0 ±3.2, respectively. Education level, activities of daily living and number of LTCF staff were found to be independently associated with SOC status after adjusting for demographic characteristics, health status, and environmental resources. In addition, interactions between personal and environmental factors had a crucial influence on SOC status. Conclusions: Participants in this study had relatively low SOC scores compared to their counterparts in Western countries. In addition to personal factors, environmental factors can play a significant role in SOC status among older adult LTCF residents. Comprehensive evaluation of SOC status should consider person-environment interaction effects.

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  • Ruo-Nan Jueng & Der-Chong Tsai & I-Ju Chen, 2016. "Sense of Coherence among Older Adult Residents of Long-Term Care Facilities in Taiwan: A Cross-Sectional Analysis," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-12, January.
    • Handle: RePEc:plo:pone00:0146912
    DOI: 10.1371/journal.pone.0146912
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    References listed on IDEAS

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    1. Jorunn Drageset & Birgitte Espehaug & Marit Kirkevold, 2012. "The impact of depression and sense of coherence on emotional and social loneliness among nursing home residents without cognitive impairment – a questionnaire survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(7‐8), pages 965-974, April.
    2. Antonovsky, Aaron, 1993. "The structure and properties of the sense of coherence scale," Social Science & Medicine, Elsevier, vol. 36(6), pages 725-733, March.
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    1. Urszula Michalik-Marcinkowska & Aleksandra Kiełtyka & Bartłomiej Buława, 2022. "The Impact of Place of Residence on the Sense of Coherence of Population Aged 60–89: Evidence from Poland," Sustainability, MDPI, vol. 14(1), pages 1-18, January.
    2. Ruo-Nan Jueng & I-Ju Chen, 2022. "The Effects of Horticultural Therapy on Sense of Coherence among Residents of Long-Term Care Facilities: A Quasi Experimental Design," IJERPH, MDPI, vol. 19(9), pages 1-11, April.

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