Background Patients on hemodialysis universally experience detriments in their general quality of life (QOL). Sense of coherence (SOC) is a long-standing factor that affects QOL. Nevertheless, the association between SOC and QOL in patients on hemodialysis was seldom investigated. Our research aims to study this association in a sample of Lebanese adult patients on hemodialysis. Methods In this cross-sectional study, SOC was measured using the short version of the “Orientation of Life" scale (SOC-13). QOL was assessed using the Kidney Disease Quality of Life- Short Form (KDQOL-SF). The association between SOC and QOL and its submodalities was first explored using Pearson Correlation and multivariate linear regression analyses, controlling for sociodemographic variables and medical variables. Results 157 patients on hemodialysis (mean(SD) age: 62.1(13.81) years; 58.6% males) were included. Mean QOL score was 51.65 and that of SOC was 48.06. SOC was strongly corrected with the total QOL (r = 0.832; p value < 0.001), as well as its physical functioning (r = 0.767; p value < 0.001), emotional functioning (r = 0.757; p value < 0.001), cognitive functioning (r = 0.740; p value < 0.001), and social functioning (r = 0.773; p value < 0.001) submodailties. SOC was moderately correlated with professional functioning submodality of QOL (r = 0.618; p value < 0.001), but not correlated with the satisfaction with the quality of care (r = 0.052; p = 0.520). Within the regression models accounting for sociodemographic and medical variables, SOC was significantly associated with the total QOL (unstandardized B = 0.803; 95% CI 0.714, 0.893), physical functioning (unstandardized B = 0.761; standardized B = 0.763; 95% CI 0.661, 0.861), emotional functioning (unstandardized B = 1.205; standardized B = 0.757; 95% CI 1.037, 1.372), professional functioning (unstandardized B = 1.142; standardized B = 0.498; 95% CI 0.843, 1.442), cognitive functioning (unstandardized B = 1.239; standardized B = 0.739; 95% CI 1.058, 1.420), and social functioning (unstandardized B = 0.912; standardized B = 0.768; 95% CI 0.790, 1.034). Conclusions In a sample of adult patients on hemodialysis, SOC was positively significantly associated with QOL and its submodalities, expect the satisfaction with the quality of care. The confirmation of the general hypothesis that relates the SOC with the QOL encourages more salutogenic research among this patient population.
Objectif : Notre recherche étudie l’influence du style d’attachement sur le processus d’ajustement psychosocial au cancer du sein, dans différents domaines : contexte médical, relation à la médecine et aux soins, vie professionnelle, vie domestique, relations familiales élargies et amicales, vie sociale et récréative ainsi que détresse psychologique actuelle. L’étude porte sur un groupe de patientes libanaises âgées entre 35 et 55 ans. L’objectif est de mieux connaître quelles patientes sont les plus à risque de montrer des difficultés d’ajustement et d’envisager un accompagnement psychologique qui leur soit adéquat ainsi que de souligner les compétences de communication patientes–personnel soignant. Matériel et méthode : Nous avons adopté la méthode comparative. Notre échantillon est constitué de 60 patientes atteintes de cancer du sein, divisées en deux groupes (patientes sécurisées et patientes insécurisées) selon l’échelle « Revised Adult Attachment Scale (RAAS) (Collins, 1996) — Close Relationships Version ». L’ajustement psychosocial au cancer a été déterminé par le « Psychosocial Adjustment to Illness Scale (PAIS) ». Résultats : L’étude a montré que les femmes atteintes de cancer du sein dont l’attachement est sécurisant présentent un meilleur ajustement à la maladie que celles dont l’attachement est insécurisant, et ce dans les différents domaines déjà cités. Conclusion : La compréhension des styles et des besoins d’attachement des patientes atteintes de cancer du sein aide les professionnels de santé à être plus efficaces dans leur réponse et dans leur manière de se comporter avec les patientes, favorisant ainsi leur ajustement à la maladie, surtout pour celles dont l’attachement est insécurisant.
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