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Coping mediates the relationship between sense of coherence and mental quality of life in patients with chronic illness: a cross-sectional study
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID-id: 0000-0002-1864-5777
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Nursing Department, Medicine and Health College, Lishui University, Lishui, China.ORCID-id: 0000-0002-9912-5350
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
2018 (Engelska)Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 27, nr 7, s. 1855-1863Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose

The aim of the present study was to investigate relationships between sense of coherence, emotion-focused coping, problem-focused coping, coping efficiency, and mental quality of life (QoL) in patients with chronic illness. A model based on Lazarus’ and Folkman’s stress and coping theory tested the specific hypothesis: Sense of coherence has a direct and indirect effect on mental QoL mediated by emotion-focused coping, problem-focused coping, and coping efficiency in serial adjusted for age, gender, educational level, comorbidity, and economic status.

Methods

The study used a cross-sectional and correlational design. Patients (n = 292) with chronic diseases (chronic heart failure, end-stage renal disease, multiple sclerosis, stroke, and Parkinson) completed three questionnaires and provided background data. Data were collected in 2012, and a serial multiple mediator model was tested using PROCESS macro for SPSS.

Results

The test of the conceptual model confirmed the hypothesis. There was a significant direct and indirect effect of sense of coherence on mental QoL through the three mediators. The model explained 39% of the variance in mental QoL.

Conclusions

Self-perceived effective coping strategies are the most important mediating factors between sense of coherence and QoL in patients with chronic illness, which supports Lazarus’ and Folkman’s stress and coping theory.

Ort, förlag, år, upplaga, sidor
2018. Vol. 27, nr 7, s. 1855-1863
Nyckelord [en]
Coping, Chronic illness, Quality of life, Sense of coherence, Coping effectiveness
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsofrämjande arbete
Identifikatorer
URN: urn:nbn:se:hig:diva-26408DOI: 10.1007/s11136-018-1845-0ISI: 000435128700017PubMedID: 29623597Scopus ID: 2-s2.0-85045041173OAI: oai:DiVA.org:hig-26408DiVA, id: diva2:1195877
Projekt
LVO-CopQoLTillgänglig från: 2018-04-06 Skapad: 2018-04-06 Senast uppdaterad: 2020-01-29Bibliografiskt granskad

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Kristofferzon, Marja-LeenaEngström, MariaNilsson, Annika

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