Social Support, Sense of Coherence, and Self-Management among Hemodialysis Patients

2021 ◽  
pp. 019394592199664
Author(s):  
Yuan-yuan Song ◽  
Lin Chen ◽  
Wen-xiu Wang ◽  
Dong-ju Yang ◽  
Xiao-lian Jiang
Keyword(s):  
Social Support ◽  
Health Care Providers ◽  
Sense Of Coherence ◽  
Structural Equation ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Self Management ◽  
Equation Modeling ◽  
Care Providers ◽  
Cross Sectional

Self-management is essential for patients who require regular hemodialysis treatment. This study aimed to explore the relationships between social support, sense of coherence (SOC), and self-management in hemodialysis patients and to examine whether SOC plays a mediating role. In a cross-sectional study, 402 hemodialysis patients from four tertiary hospitals were recruited. Data were analyzed using structural equation modeling. Social support, SOC, and self-management were significantly correlated with each other. The proposed model provided a good fit to the data. Social support had a direct effect on self-management and SOC, partially mediated the effect of social support on self-management (β = 0.248, p = 0.001). Social support and SOC explained 69% of the variance in self-management. Our findings indicate that health care providers can enhance social support with an emphasis on strengthening SOC strategies to better improve self-management in hemodialysis patients.

Correlates of Symptom Burden of Hemodialysis Patients

2020 ◽  
pp. 019394592095722
Author(s):  
Yuan-yuan Song ◽  
Lin Chen ◽  
Wen-wen Yu ◽  
Wen-xiu Wang ◽  
Dong-ju Yang ◽  
...  
Keyword(s):  
Social Support ◽  
Sense Of Coherence ◽  
Symptom Burden ◽  
Cross Sectional Study ◽  
Multiple Regression Model ◽  
Hemodialysis Patients ◽  
Self Management ◽  
Cross Sectional ◽  
Emotional Management ◽  
Daily Urine

This cross-sectional study assessed the overall symptom burden, including the prevalence, frequency, severity, and distress of symptoms among hemodialysis patients, and explored the relationship between demographic characteristics, clinical variables, self-management, sense of coherence, social support, and symptom burden in these patients. Herein, a regression analysis was performed to determine associations with symptom burden. The mean score of symptom burden among the participants (n = 382) was 74.12, with an average number of 12 symptoms. The analysis revealed that self-management, sense of coherence, and social support were negatively associated with the overall symptom burden. The multiple regression model showed that 48.6% of the variance in symptom burden was explained by meaningfulness, emotional management, daily urine output, subjective support, gender, and manageability. These findings contribute to the knowledge of symptom burden among hemodialysis patients and some new predictors (self-management, sense of coherence, and social support) of their symptom burden.

Job crafting and motivation to continue working beyond retirement age

2016 ◽  
Vol 21 (5) ◽  
pp. 477-497 ◽  
Author(s):  
Philipp Wolfgang Lichtenthaler ◽  
Andrea Fischbach
Keyword(s):  
Sense Of Coherence ◽  
Structural Equation ◽  
Job Demands ◽  
Cross Sectional Study ◽  
Job Crafting ◽  
Equation Modeling ◽  
Retirement Age ◽  
Cross Sectional ◽  
Content Type ◽  
Older Employees

Purpose The purpose of this paper is to examine how promotion- and prevention-focussed job crafting impacts the motivation of older employees to continue working beyond retirement age. The authors hypothesized that promotion-focussed job crafting (i.e. increasing social and structural job resources, and challenging job demands) relates positively and prevention-focussed job crafting (i.e. decreasing hindering job demands) relates negatively with motivation to continue working after reaching the official retirement age, and that these relationships are sequential mediated by work sense of coherence and burnout. Design/methodology/approach Data from 229 older employees (mean age=55.77) were analyzed using structural equation modeling. Findings Promotion-focussed job crafting was positively and prevention-focussed job crafting was negatively related with employees’ work sense of coherence, which was predictive of employees’ burnout, which in turn was predictive of motivation to continue working beyond retirement age. Research limitations/implications Despite the cross-sectional study design, the results unfold how promotion- and prevention-focussed job crafting are related with motivation to continue working beyond retirement age through work sense of coherence and burnout. Practical implications Given today’s aging and shrinking workforce, older employees working beyond their official retirement age are a necessity for organizations’ functional capability. The results suggest that organizations should encourage employees’ promotion-focussed job crafting and limit prevention-focussed job crafting. Promotion-focussed job crafting facilitates employees’ work sense of coherence, which keeps them healthy and motivates older employees to continue working beyond retirement age. Originality/value This study adds to the literatures on job crafting and motivation to continue working beyond retirement age and explicates intervening processes in this relationship.

scholarly journals Social and Psychological Factors Associated With Adolescent Physical Activity

2016 ◽  
Vol 13 (9) ◽  
pp. 957-963 ◽  
Author(s):  
Jeanette M. Garcia ◽  
John R. Sirard ◽  
Ross Larsen ◽  
Meg Bruening ◽  
Melanie Wall ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Psychological Factors ◽  
Structural Equation ◽  
Perceived Social Support ◽  
Cross Sectional Study ◽  
Sem Analysis ◽  
Self Report ◽  
Equation Modeling ◽  
Cross Sectional

Objective:The purpose of this study was to examine, using structural equation modeling, the associations between nominated friend physical activity (PA), friend social support with individual PA-related psychological factors, and adolescent PA.Methods:Data were obtained from EAT 2010 (Eating and Activity Among Teens), a large cross-sectional study conducted in 20 middle and high schools. The sample consisted of 1951 adolescents (mean age: 14.25 ± 1.96, 54% female, 68% ethnic minorities). PA, parent and friend social support (perceived social support for PA from parents and friends), and psychological measures (PA enjoyment, PA self-efficacy, and PA barriers) were assessed by self-report questionnaires. The SEM analysis consisted of 1 observed variable: friend PA, and 2 latent constructs: psychological factors, perceived social support.Results:The model was a good fit, indicating that there were significant direct effects of both friend PA (P < .01) and psychological factors (P < .0001) on adolescent PA. In addition, psychological factors mediated the association between friend PA and adolescent PA.Conclusion:The results of this model suggest that psychological factors and friend PA are associated with adolescent PA, and that psychological factors may play an important role. Future studies should further examine the association of both friend PA and psychological variables with adolescent PA.

scholarly journals Social Support Positively Correlated with Dietary Adherence among Patients with Hypertension in Primary Health Center

2021 ◽  
Vol 8 (01) ◽  
pp. 16-21
Author(s):  
Hanifah Hanifah ◽  
Karina Megasari Winahyu ◽  
Muhammad Imam Muttaqin
Keyword(s):  
Social Support ◽  
Health Care Providers ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Dietary Adherence ◽  
Care Providers ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Primary Health ◽  
The Relationship

Dietary adherence is one of the requirements in chronic disease management, which the success of hypertension management may correlate with the social support perceived by the patients. The study aimed to identify the relationship between social support and dietary adherence among patients with hypertension in Primary Health Centre, Tangerang. The study was a descriptive correlational, cross-sectional study, in which 120 respondents were recruited by using purposive sampling. Multidimensional Perceived of Social Support (MSPSS) and Dietary Adherence questionnaire was used based upon validity and reliability to measure social support and adherence. Pearson Product-Moment Correlation Coefficient was used to examine the relationship between social support and dietary adherence. The analysis result indicated that respondents who reported low support were 51 respondents (42.5%), and low dietary adherence was 53 respondents (44.2%). The analysis results showed there was a significant positive relationship between social support and dietary adherence among patients with hypertension, in which the power of correlation was moderate (r = 0.49, p < 0.05). Patients with hypertension who perceived higher social support more likely to adhere to the dietary of hypertension. The result suggests that health care providers need to facilitate support from friends, family, and significant others of the patients to achieve optimum dietary adherence.

Family sense of coherence and its associations with hope, anxiety and symptoms of depression in persons with cancer in palliative phase and their family members: A cross-sectional study

2019 ◽  
Vol 33 (10) ◽  
pp. 1310-1318 ◽  
Author(s):  
Marie-Louise Möllerberg ◽  
Kristofer Årestedt ◽  
Katarina Swahnberg ◽  
Eva Benzein ◽  
Anna Sandgren
Keyword(s):  
Health Care Providers ◽  
Sense Of Coherence ◽  
Family Members ◽  
Well Being ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Quality Of Family Life ◽  
Palliative Phase

Background: There is evidence indicating that family sense of coherence predicts quality of family life and promotes family well-being. In families living with the palliative phase of cancer, low hope, anxiety and symptoms of depression are common in both persons with cancer and their family members. Aim: To determine whether family sense of coherence was associated with hope, anxiety and symptoms of depression, respectively, in persons with cancer in the palliative phase and their family members. Design: An observational, cross-sectional, multicentre study was conducted. Nested linear regression analyses were performed in two blocks to determine whether family sense of coherence was associated with hope, anxiety and symptoms of depression. Setting/participants: Persons with cancer ( n = 179) and their family members ( n = 165) were recruited from two oncology clinics and two palliative centres in three regions in Sweden. Results: The main findings showed that family sense of coherence was significantly and independently associated with hope, anxiety and symptoms of depression. Stronger family sense of coherence was associated with higher hope and lower anxiety and symptoms of depression levels in both persons with cancer and their family members. Conclusion: Health care providers should strive to identify families with weak family sense of coherence, because of its associations with hope, anxiety and symptoms of depression, in order to offer them professional support and thereby achieve increased well-being during the palliative phase of cancer. Future studies should expand our knowledge of family sense of coherence and how to identify families at risk of lower levels of well-being.

scholarly journals The Influence of Health Literacy and Social Support on Loneliness Among Patients With Severe Mental Illness in Rural Southwest China

2021 ◽  
Vol 12 ◽  
Author(s):  
Yan Liu ◽  
Hongdao Meng ◽  
Kyaien O Conner ◽  
Mutian Qiao ◽  
Danping Liu
Keyword(s):  
Social Support ◽  
Health Literacy ◽  
Structural Equation ◽  
Southwest China ◽  
Intervention Development ◽  
Cross Sectional Study ◽  
Mental Illnesses ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Beneficial Effects

Loneliness is an important risk factor for poor health outcomes among adults, especially among those with severe mental illnesses (SMIs). Existing research has shown that adults with SMIs often lack health literacy, which contributes to more restricted social networks and low levels of social support. The objective of this cross-sectional study was to examine the influence of health literacy and social support on the loneliness of patients with SMI in rural Southwest China. We recruited 300 patients with SMI in rural Southwest China between December, 2017 to May, 2018 via a multi-stage stratified random sampling approach. We used structural equation modeling (SEM) test the hypothesized relationships among the variables of the 270 patients who completed the survey. Results of the SEM showed that health literacy was both directly and indirectly associated with loneliness, with social support playing a mediating role. These findings suggest psychoeducation for SMI patients, and their informal caregivers, may offer beneficial effects toward reducing loneliness in this vulnerable population. Further, social support is another potential target for intervention development for improving patient outcomes.

scholarly journals Fortitude in the Face of a Pandemic Mediation Modeling to Characterize Resilience During COVID-19

2021 ◽  
Author(s):  
Carolyn Emily Schwartz ◽  
Roland B. Stark ◽  
Katrina Borowiec ◽  
Bruce D. Rapkin
Keyword(s):  
Social Support ◽  
Structural Equation ◽  
Cross Sectional Study ◽  
Equation Modeling ◽  
Cross Sectional ◽  
The Face ◽  
And Behaviors ◽  
Nationally Representative ◽  
And Coping

Abstract PurposeThis study evaluated the differential impact of stressors and psychosocial resources on quality-of-life (QOL) outcomes, and investigated whether attitudes, perspectives, and behaviors relevant to wellness protect one from the negative and positive aspects of the coronavirus disease 2019 (COVID) pandemic.MethodsThis cross-sectional study done Spring/Summer 2020 recruited patients and caregivers of people with chronic medical conditions, and a nationally representative comparison sample of United States adults. Linear regression investigated the associations between COVID-specific variables and QOL outcomes, after covariate adjustment. Structural Equation Modeling investigated whether the links between Resilience and COVID-specific variables were mediated by attitudes, perspectives, and behaviors relevant to wellness.ResultsThe sample seemed knowledgeable of and adherent to the practices endorsed by public-health experts. COVID-specific Hardship, Interpersonal Conflict, and Worry were associated with worse QOL outcomes, and Growth, Social Support, and Coping were associated with better. Wellness was the most salient predictor of Resilience, functioning both as a main effect and mediator for COVID-specific predictors. People with lower levels of Worry and/or higher levels of Social Support tended to have better-than-expected daily performance in the face of the pandemic. These two predictors acted in large part through the attitudes, perspectives, and behaviors relevant to Wellness.ConclusionOur findings support the idea that cultivating Wellness by dint of one’s perspective, attitudes, and behaviors can be an important buffer to challenging times during a pandemic. Wellness seems to support resilience in its own right in addition to being a mechanism through which other factors can do so.

COVID-19: knowledge, awareness and perceived stress among Jordanian healthcare providers (Preprint)

2020 ◽  
Author(s):  
Emad Aborajooh ◽  
Mohammed Qussay Al-Sabbagh ◽  
Baraa Mafrachi ◽  
Muhammad Yassin ◽  
Rami Dwairi ◽  
...  
Keyword(s):  
Social Media ◽  
Psychological Stress ◽  
Health Care Providers ◽  
Best Practice ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Ordinal Logistic Regression Analysis ◽  
Source Of Information

UNSTRUCTURED We aimed to measure levels of knowledge, awareness, and stress about COVID-19 among health care providers (HCP) in Jordan. This was a cross-sectional study on 397 HCPs that utilized an internet-based questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment (PEE), future perception, and psychological distress. Ordinal logistic regression analysis was used to evaluate factors associated with knowledge and psychological stress. Overall, 24.4% and 21.2% of the participants showed excellent knowledge and poor knowledge, respectively. Social media (61.7%) was the most commonly used source of information. Being female (β= 0.521, 95% CI 0.049 to 0.992), physician (β=1.421, 95% CI 0.849 to 1.992), or using literature to gain knowledge (β= 1.161, 95% CI 0.657 to 1.664) were positive predictors of higher knowledge. While having higher stress (β= -0.854, 95% CI -1.488 to -0.221) and using social media (β= -0.434, 95% CI -0.865 to -0.003) or conventional media (β= -0.884, 95% CI -1.358 to -0.409) for information were negative predictors of knowledge levels. HCPs are advised to use the literature as a source of information about the virus, its transmission, and the best practice. PPEs should be secured for HCPs to the psychological stress associated with treating COVID-19 patients.

Portuguese Patient Dignity Question: A cross-sectional study of palliative patients cared for in primary care

2020 ◽  
Vol 18 (6) ◽  
pp. 658-661
Author(s):  
Mafalda Lemos Caldas ◽  
Miguel Julião ◽  
Ana João Santos ◽  
Harvey Max Chochinov
Keyword(s):  
Primary Care ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Clinical Tool ◽  
Cross Sectional ◽  
Old Patients ◽  
Promising Tool ◽  
Palliative Patients

AbstractIntroductionThe Patient Dignity Question (PDQ) is a clinical tool developed with the aim of reinforcing the sense of personhood and dignity, enabling health care providers (HCPs) to see patients as people and not solely based on their illness.ObjectiveTo study the acceptability and feasibility of the Portuguese version of the PDQ (PDQ-PT) in a sample of palliative care patients cared for in primary care (PC).MethodA cross-sectional study using 20 palliative patients cared for in a PC unit. A post-PDQ satisfaction questionnaire was developed.ResultsTwenty participants were included, 75% were male; average age was 70 years old. Patients found the summary accurate, precise, and complete; all said that they would recommend the PDQ to others and want a copy of the summary placed on their family physician's medical chart. They felt the summary heightened their sense of dignity, considered it important that HCPs have access to the summary and indicated that this information could affect the way HCPs see and care for them. The PDQ-PT's took 7 min on average to answer, and 10 min to complete the summary.Significance of resultsThe PDQ-PT is well accepted and feasible to use with palliative patients in the context of PC and seems to be a promising tool to be implemented. Future trials are now warranted.

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