Western Norway University of Applied Sciences.
University of Bergen.
J Holist Nurs. 2021 Mar;39(1):16-28. doi: 10.1177/0898010120942965. Epub 2020 Jul 23.
To investigate the association between nurse-patient interaction and sense of coherence among cognitively intact nursing home residents. In a cross-sectional design, data were collected in 2017 and 2018 using the Nurse-Patient Interaction Scale (NPIS) and the 13-item Sense of Coherence Scale (SOC-13). Of the 204 cognitively intact nursing home residents who met the inclusion criteria, 188 (92%) participated, representing 27 nursing homes. Multiple regression in a general linear model estimated the possible effects of the 14 NPIS items on SOC-13 sum score, the possible effects of the NPIS (sum score) on SOC-13 (sum score) as well as on the subdimensions of SOC-13, comprehensibility, meaningfulness, and manageability (both without and with adjusting for sex and age). Four of the 14 NPIS items revealed highly significant correlations with SOC-13 (sum score; unadjusted and adjusted for age and gender). Furthermore, the analysis adjusted for age and gender showed significant associations for NPIS (sum score) with SOC-13 (sum score), manageability, and comprehensibility. The correlation between NPIS and meaningfulness was not statistically significant. Nurse-patient interaction is significantly associated with SOC-13 and its subdimensions of comprehensibility and manageability but not meaningfulness. Nurse-patient interaction might be an important resource in relation to residents' sense of coherence and its subdimensions.
调查护患互动与认知完整的养老院居民的心理一致感之间的关系。采用横断面设计,于 2017 年和 2018 年使用护患互动量表(NPI)和 13 项心理一致感量表(SOC-13)收集数据。在符合纳入标准的 204 名认知完整的养老院居民中,有 188 名(92%)居民参与,代表 27 家养老院。一般线性模型中的多元回归估计了 14 项 NPI 项目对 SOC-13 总分的可能影响、NPI(总分)对 SOC-13(总分)以及对 SOC-13 的子维度(可理解性、意义和可管理性)的可能影响(两者均未调整性别和年龄,也未调整性别和年龄)。14 项 NPI 项目中有 4 项与 SOC-13(总分;未调整和调整年龄和性别)呈高度显著相关。此外,调整年龄和性别后的分析显示,NPI(总分)与 SOC-13(总分)、可管理性和可理解性呈显著相关。NPI 与意义之间的相关性无统计学意义。护患互动与 SOC-13 及其可理解性和可管理性的子维度显著相关,但与意义无关。护患互动可能是居民心理一致感及其子维度的重要资源。