Sense of coherence as a predictor of health-related behaviours among patients with coronary heart disease

Aims: A high sense of coherence (SOC) has been found to be associated with favourable health-related behaviours. However, evidence is for the most part lacking on the influence of SOC on health-related behaviours among coronary heart disease patients. The aim of this study was to explore the associa...

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Published in:European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 2014-08, Vol.13 (4), p.345-356
Main Authors: Silarova, Barbora, Nagyova, Iveta, Rosenberger, Jaroslav, Studencan, Martin, Ondusova, Daniela, Reijneveld, Sijmen A, van Dijk, Jitse P
Format: Article
Language:English
Subjects:
Adult
Aged
Alcohol Drinking
Biological and medical sciences
Cardiology. Vascular system
Coronary Disease - psychology
Coronary heart disease
Female
Health Behavior
Health Promotion
Heart
Humans
Male
Medical sciences
Middle Aged
Sense of Coherence
Smoking - epidemiology
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Summary:Aims: A high sense of coherence (SOC) has been found to be associated with favourable health-related behaviours. However, evidence is for the most part lacking on the influence of SOC on health-related behaviours among coronary heart disease patients. The aim of this study was to explore the association between SOC at baseline and smoking status, nutrition behaviour, physical exercise and alcohol consumption of coronary heart disease patients 12–28 months after they had undergone different cardiac treatments. Methods: A total of 179 coronary heart disease patients (mean age 58.32±6.54 years, 19% female) were interviewed before coronary angiography and 12–28 months after. Self-report data about health-related behaviours were obtained via a structured interview. SOC was measured using the 13-item Orientation to Life Questionnaire. The relationship between SOC and health-related behaviours was examined using regression and cross-lagged path analyses. Results: SOC at baseline predicted non-smoking and quitting smoking: odds ratio (OR) (95% confidence interval (CI)) per unit increase (over range 38–91) was 1.11 (1.03–1.19) and 1.09 (1.01–1.17), respectively. Moreover, baseline SOC predicted healthy nutrition behaviour among percutaneous coronary intervention patients: the OR per unit increase was 1.08 (95% CI: 1.01–1.15). Lastly, SOC at baseline predicted improvement in alcohol consumption at follow-up among coronary artery bypass grafting patients (standard score result: –0.15, p
ISSN:1474-5151
1873-1953
DOI:10.1177/1474515113497136