The effect of salutogenesis‐based care on the sense of coherence in peritoneal dialysis patients

Abstract

Aims: This research is conducted to determine the effect of salutogenesis-based home care on the sense of coherence in patients with peritoneal dialysis.Background: Recent studies on the salutogenesis model have shown that the model is effective in promoting and improving health. It was observed that studies based on the salutogenesis model were carried out in the form of a training programme, and there was no study that shows its effectiveness on patient care by integrating it into the nursing process. Design:The research is conducted as a pre-test-post-test control group experimental study. Methods:The study included 73 patients, including 36 in the intervention group and 37 in the control group. The research data are collected using the Patient Identifier Information Form, Dialysis Symptom Index (DSI), General Self-Efficacy Scale (GSES) and the Sense of Coherence Scale (SIS). The intervention group is provided care based on the salutogenesis model by making home visits 1 time per week for 8 weeks. In this study, the TREND checklist was followed for non-randomised controlled trials.Results: In the study, the pre-test DSI, GSES and SIS (meaningfulness, comprehensibility, manageability sub-dimension) mean scores of the individuals in the intervention and control groups are similar. The third-month and sixth-month intervention group SIS total and sub-dimension scores and GSES scores are found to be statistically significantly higher than the scores of the control group. Conclusions:As a result of the study, it is determined that the care based on the salutogenesis model provided to peritoneal dialysis patients increases the sense of coherence and self-efficacy and provides symptom control and decreases the dialysis symptoms.Relevance to clinical practice: It has been observed that the salutogenesis model can be used as a step of nursing care in providing symptom control by strengthening the self-efficacy of patients in clinical and home care.

The Link between ADHD Symptoms and Antisocial Behavior: The Moderating Role of the Protective Factor Sense of Coherence

“…Our study highlights the SOC as a protective factor that can be influenced by therapeutic intervention, similarly to what has been performed in the context of other disorders [ 57 , 58 , 59 , 60 , 61 ]. In light of the research findings, there is a need to explore the ICF model in the context of ADHD, using longitudinal studies, based on the understanding that functional impairments, such as antisocial behavior, are possible products of a relation between ADHD symptoms and other protective factors.…”

The Link between ADHD and Antisocial Behavior: The Moderating Role of the Protective Factor Sense of Coherence

“…Our study points out the SOC, a protective factor that can be influenced by therapeutic intervention, similarly to what has been done in the context of other disorders (Jensen et al, 2016;Mayer & Boness, 2011;Odajima et al, 2017;Tan et al, 2015;Uzdil et al, 2021). In light of the research findings, there is a need to explore the ICF model further using a longitudinal study.…”

“…For example, it was found that targeted drug therapy for ADHD decreases antisocial behavior by 30-40% (Young & Cocallis, 2021;Retz et al, 2020). Other studies reported an interaction between ADHD and variables such as substance use and past arrest in predicting delinquent behavior (van der Maas et al, 2018;Breuer et al, 2020;García et al, 2021). Notably, these moderating variables are in themselves on the spectrum of antisocial behavior.…”

The association between sense of coherence and quality of life: a cross-sectional study in a sample of patients on hemodialysis

“…It is highly plausible that enhancing SOC would result in a better QOL. Indeed, a recent pre-test–post-test control group experimental study among patients on peritoneal dialysis showed that salutogenesis-based care enhances the SOC and self-efficacy, provides symptom control, and decreases dialysis symptoms [ 26 ]. Specifically, through support therapy, psychologists are encouraged to listen, encourage, validate, and counsel.…”

“…Nevertheless, the independent association between SOC and QOL in patients on hemodialysis was seldom investigated; previous efforts mainly focused on patients in pre-dialysis [ 25 ], or those receiving peritoneal dialysis [ 26 ], in general through correlational studies. Exploring this association is expected to generate knowledge with implications for clinical practice, particularly therapeutic interventions to enhance SOC, ultimately leading to improve QOL.…”