Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Sep;26(3):e13151.
doi: 10.1111/nhs.13151.

Sense of coherence in stroke: A concept analysis with Rodger's evolutionary approach

Yaqian Liu  1   2 , Angela Y M Leung  1   2 , Terence Lau  1 , Jed Montayre  1 , Wenru Wang  3 , Shanshan Wang  1 , Yaqi Huang  1
Affiliations
Review

Sense of coherence in stroke: A concept analysis with Rodger's evolutionary approach

Yaqian Liu et al. Nurs Health Sci. 2024 Sep.

Abstract

Sense of coherence (SoC) refers to how individuals cope with stress and maintain health, yet its concept remains no consensus about how it is defined and applied in the context of stroke care. This study aims to clarify the concept of SoC by reviewing its applications in various stroke populations and its changes across different stages of stroke. The adapted steps of Rodger's evolutionary approach of concept analysis were used to explore the attributes, surrogate or related terms, antecedents, and consequences of SoC in stroke. Twenty-five articles were included after evaluating 1065 records and 80 full-text articles. The SoC's attributes, characterized with dynamicity of comprehensibility, manageability, and meaningfulness in stroke, lie within the different stroke phases (acute, sub-acute and chronic). There is no surrogate term to SoC. Related terms included coping, resistance resources, resilience, hardiness, and readiness. Antecedents related to stroke survivors and informal caregivers included sociodemographic factors, body functioning factors, social factors, stroke-related factors, and caring factors. Consequences for stroke survivors, informal caregivers, and dyads included psychological status, health behavior, marital satisfaction, care provision, and perception of rehabilitation needs. The findings of the concept analysis of SoC in stroke reveal that this concept extends beyond survivors experienced stroke, and its comprehensive understanding needs considering various aspects including the SoC of informal caregivers, dyads, and family. This paper serves as a novel perspective for future stroke care, focusing on the needs for dynamic monitoring and adaptations to changes of SoC at different stages of stroke care. A proper understanding of SoC can also contribute to developing assessment tools and theoretical models in stroke care with some emphasis on the phases of strokes (attributes), demographic and functional characteristics (antecedents), and both stroke survivor-caregiver-related outcomes sensitive to SoC.

Keywords: concept analysis; nursing; sense of coherence; stroke.

PubMed Disclaimer

References

REFERENCES

    1. Andreassen, S., & Wyller, T. B. (2005). Patients' experiences with self‐referral to in‐patient rehabilitation: A qualitative interview study. Disability and Rehabilitation, 27(21), 1307–1313.
    1. Antonovsky, A., 1979. Health, stress, and coping. New perspectives on mental and physical well‐being. 12–37.
    1. Antonovsky, A., 1987. Health promoting factors at work: The sense of coherence. Psychosocial factors at work and their relation to health. 153–167.
    1. Antonovsky, A., & Sourani, T. (1988). Family sense of coherence and family adaptation. Journal of Marriage and the Family, 50, 79–92.
    1. Bachem, R., & Maercker, A. (2018). Development and psychometric evaluation of a revised sense of coherence scale. European Journal of Psychological Assessment, 34(3), 206–215.

LinkOut - more resources