• Journal of Korean Academy of Nursing
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• v.29 no.5
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• pp.1049-1057
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• 1999

The central concept of the Salutogenic Model is sense of coherence, which is defined as a global orientation that expresses the extent to which one has a feeling of confidence that one's internal and external environments are comprehensible, manageable, and meaningful. Sense of coherence is proposed as a determinant of positive health consequences and successful coping. The purpose of this article is to review Antonovsky's Salutogenic Model, the concept of sense of coherence, and its central components and sources. For conceptual clarity, sense of coherence is compared and contrasted with the concept of hardiness. The empirical research findings are integrated to better understand sense of coherence and to enhance future implications for nursing research and practice.

• Research in Community and Public Health Nursing
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• v.31 no.3
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• pp.269-278
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• 2020

Purpose: The study was conducted to identify the relationship between subjective family class and suicidal ideation and to determine the double mediating effect of social support and sense of coherence on their relationship. Methods: Secondary analysis of data from 2015 Korean Psycho-social Anxiety which was a population-based representative was performed. Double mediating effects of social support and sense of coherence on suicidal ideation were analyzed using the PROCESS macro (model 6) with bootstrapping methods. Results: Subjective family class directly influenced social support (β=.20, p<.001) and sense of coherence (β=.10, p<.001). Subjective family class directly influenced suicide ideation (β=-.08, p<.001). Sense of coherence was directly influenced by social support (β=.28, p<.001). Suicide ideation was indirectly influenced by subjective family class through social support (β=-.22, p<.001) and sense of coherence (β=-.36, p=.001). The size of direct effect of subjective family class on suicide ideation was 0.24 and the total size of indirect effect was 0.12. Conclusion: Intervention to improve social support and sense of coherence is needed to prevent the suicide among adolescents.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.22 no.1
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• pp.5-13
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• 2015

Purpose: The purpose of this study was to identify the relationship between sense of coherence and quality of life in the freshman nursing students. Method: The subjects of this study were 377 freshmen of nursing colleges. Data were collected through structured questionnaires of sense of coherence and quality of life. Data analysis was done using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and canonical correlation analysis. Result: There was static correlation between sense of coherence and quality of life in the freshman nursing students. And high correlation with quality of life were meaningfulness in sense of coherence and psychological domain in quality of life. Conclusion: These results were shown very important to improve meaningfulness in sense of coherence and psychological domain in quality of life to raise the quality of life in the freshman nursing students. Therefore, in order to improve the quality of life, it is necessary to develop a nursing intervention program that focus on stress, and psychological health.

• Journal of Korean Biological Nursing Science
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• v.17 no.1
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• pp.50-59
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• 2015

Purpose: The purpose of this study was to determine the relationship among concepts of the salutogenic model - sense of coherence, occupational stress, and health status in clinical nurses. Methods: Participants were recruited from a hospital in Seoul using a stratified random sampling. A total of 349 nurses participated in the study and data were collected using a self-administered questionnaire. The structural equation model was used to assess the relationships among the variables. Results: The results of the study showed that occupational stress and health behavior were significant factors, directly explaining the health status of nurses. Factors explaining occupational stress were: sense of coherence, and social support. Sense of coherence showed higher effects on occupational stress than those of social support. Sense of coherence and the work conditions (work experience and shift work) of nurses had a significant and direct effect on health behavior. Sense of coherence and social support had a significant and indirect effect on health status through occupational stress and health behavior. Conclusion: Strategies to enhance sense of coherence and social support are necessary for successful health promotion programs for nurses.

• Research in Community and Public Health Nursing
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• v.28 no.4
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• pp.494-503
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• 2017

Purpose: This study is to grasp factors influencing the quality of life in older adults after total knee replacement. Methods: This study was conducted with 165 older adults who had TKR at four orthopedic hospitals in D city. Data were analyzed using one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression with SPSS 19.0 software. Results: Pain and depression were negatively correlated with range of motion, social support, while sense of coherence was positively correlated with quality of life. Sense of coherence (43%, ${\beta}=.40$), pain (8%, ${\beta}=-.30$), and depression (3%, ${\beta}=-.20$) on the Physical Component Summary in the quality of life have significant explanatory power of 54%. Sense of coherence (49%, ${\beta}=.44$), social support (6%, ${\beta}=.25$), and depression (3%, ${\beta}=-.22$) on the Mental Component Summary in the quality of life have significant explanatory power of 58%. Conclusion: This study suggests developing a program to improve the quality of life in older adults who had TKR, considering factors such as sense of coherence.

• Korean Journal of Occupational Health Nursing
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• v.26 no.3
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• pp.125-132
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• 2017

Purpose: This study was performed to identify the impact of aggressiveness of patients and a sense of coherence on posttraumatic stress in psychiatric nurses. Methods: After collecting data from 162 psychiatric nurses, we carried out a t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using IBM SPSS Statistics 19.0. Results: The mean score of posttraumatic stress was $20.75{\pm}16.59$ points. Verbal aggression, aggressiveness about property, aggression toward oneself, and aggression toward others had a positive correlation with posttraumatic stress, while a sense of coherence had a negative correlation with post-traumatic stress. It was concluded that the significant predictors of posttraumatic stress in psychiatric nurses were aggression toward oneself, a sense of coherence, and aggression toward others, all of which accounted for 38.9% of the variability. Conclusion: The results of this study indicate that the factors influencing posttraumatic stress in psychiatric nurses were aggression toward oneself, aggression toward others, and a sense of coherence. Therefore, education programs should be developed in consideration of the fact that aggressive behavior against the patient himself and against others intensify the posttraumatic stress of the psychiatric nurse, but the integration force mitigates it.

• The Journal of the Korea Contents Association
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• v.14 no.12
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• pp.863-872
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• 2014

This study was conducted to identify the relation between sense of coherence and academic stress in nursing students. Data were collected from 248 nursing students using self-report questionnaire. Data were analyzed by SPSS WIN18.0. There was a significant correlation between sense of coherence and academic stress. Major satisfaction, friends relationship and comprehensibility as a subcategory of sense of coherence accounted for 31.3% of the variance in academic stress. In conclusion, these results indicate that we should search strategies for improvement of teaching method to heighten the major satisfaction, enforcement of sense of coherence, and development of counseling program to reduce academic stress among nursing students.

• Journal of dental hygiene science
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• v.16 no.5
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• pp.323-330
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• 2016

The purpose of this study was to understand the comprehensive relationship among sense of coherence, clinical practice stress, and major satisfaction of students in the department of dental hygiene. From four local universities, departments of dental hygiene were selected: two departments represented a three-year curriculum system and two represented a four-year curriculum system. Data from the final questionnaires of 319 students were analyzed. Differences between variables were analyzed using t-tests and ANOVAs, and correlations were checked using Pearson's correlation coefficients. Path analysis was conducted to analyze the relationship among clinical practice stress, sense of coherence, and major satisfaction. The results indicated that clinical practice stress had a negative influential relationship with both sense of coherence, and major satisfaction. In addition, sense of coherence had a positive influential relationship with major satisfaction. The direct and indirect effects among factors displayed significant differences, indicating that clinical practice stress has a partial mediation effect on sense of coherence and major satisfaction. Therefore, major satisfaction can be increased by developing and implementing programs to improve sense of coherence.

• Journal of Korean Academy of Nursing
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• v.36 no.6
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• pp.983-991
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• 2006

Purpose: The purpose of this study was to identify the relationship among quality of life, family coherence, family hardiness, and family resources of the family care-giver caring for a cancer patient. Method: Data was collected by questionnaires from 137 families with a cancer patient at a General Hospital and Government Cancer Hospital. Data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression. Results: The score of quality of life showed a significant positive correlation with the score of the level of family sense of coherence, family hardiness, and family resources. The most powerful predictor of quality of life was sense of coherence and the variance was 30%. A combination of sense of coherence and family resources account for 34 % of the variance in quality of life of the family care-giver caring for a cancer patient. Conclusion: The results showed that family sense of coherence, hardiness, and family resources were significant influencing factors on the quality of life of the family care-giver caring for a cancer patient.

• Research in Community and Public Health Nursing
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• v.31 no.3
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• pp.223-233
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• 2020

Purpose: The purpose of this study was to construct a model that describes the health related quality of life in working women with preschool children and to verify the goodness of fitness of the model. Methods: The data were collected with a structured self-report questionnaire from 483 working women with preschool children. Results: The modified model showed a reasonable fitness to the data. Social support, job satisfaction, parenting stress, sense of coherence and depression accounted for 78% of the health related quality of life in working women with preschool children. Conclusion: This study suggests that the health related quality of life in working women with preschool children can be improved by reducing parenting stress and depression level, and by increasing social support, job satisfaction, and sense of coherence. Depression can also be managed by reducing parenting stress and by increasing job satisfaction and sense of coherence. Based on the results of this study, it is necessary to develop intervention programs to increase the health related quality of life or to decrease depression in working women.