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Sense of coherence and life satisfaction: patient and spousal adaptation to home dialysis
M E Horsburgh1, V H Rice, L Matuk
1School of Nursing, University of Windsor, Ontario, Canada.
Objective:
This research examined the adaptation of 24 male patients and their spouses to end-stage renal disease and home/self-care dialysis. The research was conceptualized within the T-Double ABCX Model. Selected predictors included sense of coherence (SOC) (the degree to which one feels confident that life's challenges will be comprehensible, manageable, and worthy of a commitment of self), age, and socioeconomic status (SES).
Setting:
Eleven of the 22 dialysis centers in the province of Ontario, Canada were invited to participate. Of these 11, seven agreed to participate.
Sample:
Twenty-eight couples who were using home PD.
Design:
A descriptive, correlational research design was used with data collected by mailed survey.
Method:
Adaptation, the health outcome of interest, was measured using perceived satisfaction with life (SWL).
Results:
There was a large, positive relationship between patients' and spouses' SOC and adaptation. However, further analyses challenged the construct validity of the SOC instrument. A small, positive relationship was found between age and adaptation.
Conclusion:
Further research regarding the SOC is required prior to use in nursing practice.