Original Article

European Journal of Clinical Nutrition (2008) 62, 96–103; doi:10.1038/sj.ejcn.1602691; published online 28 February 2007

Self-care ability and sense of coherence in older nutritional at-risk patients

Guarantor: U Söderhamn. Contributors:All authors contributed to the study design. US performed the data collection and outlined the first data analyses and the paper drafting. All authors were engaged in the final data analyses and paper writing.

U Söderhamn1,2,3, M Bachrach-Lindström2 and A-C Ek2

  1. 1Department of Medicine, Norra Älvsborgs Länssjukhus, Trollhättan, Sweden
  2. 2Division of Nursing Science, Department of Medicine and Care, Faculty of Health Sciences, Linköping University, Linköping, Sweden
  3. 3Agder University College, Faculty of Health and Sport, Arendal, Norway

Correspondence: Dr U Söderhamn, Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences, Linköping University, Linköping, Sweden. E-mail: soderhamn@online.no

Received 21 April 2006; Revised 11 January 2007; Accepted 11 January 2007; Published online 28 February 2007.

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Abstract

Objective:

 

To investigate self-care ability and sense of coherence in geriatric rehabilitation patients nutritionally screened using the Nutritional Form For the Elderly and to relate the patients' perceived health to self-care ability and sense of coherence.

Design:

 

Cross-sectional study.

Setting:

 

A geriatric rehabilitation ward in a hospital in western Sweden.

Subjects:

 

A sample of 172 consecutively recruited patients (65+ years) fulfilled the inclusion criteria. One hundred forty-four patients were included in the study because 16 patients refused to take part and 12 could not complete the entire data collection procedure.

Methods:

 

Interviews, using one instrument for nutritional screening and other instruments measuring self-care ability and sense of coherence and one question about perceived health, were performed.

Results:

 

Patients at medium or high risk for undernutrition had lower self-care ability (P<0.001) and weaker sense of coherence (P=0.007) than patients at low risk for undernutrition. Lower self-care ability, being single and admitted from another hospital ward was found to be predictors for being at medium or high risk for undernutrition. Patients who perceived good health had higher self-care ability (P<0.001) and stronger sense of coherence (P<0.001) than patients who perceived ill health.

Conclusions:

 

There is an indication that older patients at low risk for undernutrition have a greater capability to care for themselves than patients at medium or high risk for undernutrition. Perceived ill health in older patients is associated with lower self-care ability and weaker sense of coherence.

Sponsorship:

 

Supported by grants from The Research and Development Council Fyrbodal, Trollhättan; The Lions Research Foundation, Linköping, Sweden.

Keywords:

aged, geriatric rehabilitation care, health, nutritional screening, salutogenic perspective

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