Sense of coherence as a key to improve homebound status among older adults with urinary incontinence. Issue 7 (26th September 2014)

• Record Type: Journal Article
• Authors: Takahashi, Kyo; Kato, Atsushi; Igari, Tomoyuki; Sase, Eriko; Shibanuma, Akira; Kikuchi, Kimiyo; Nanishi, Keiko; Jimba, Masamine; Yasuoka, Junko
• Is Part Of: Geriatrics and gerontology international. Volume 15:Issue 7(2015)
• Page Start: 910
• Page End: 917
• Publication Date: 2014-09-26
• Subjects: Geriatrics -- Periodicals; Gerontology -- Periodicals; Geriatrics -- Japan -- Periodicals; Gerontology -- Japan -- Periodicals; 618.97
• DOI: 10.1111/ggi.12353
• Languages: English
• ISSNs: 1444-1586

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="ggi12353-sec-0001" sec-type="section"> <title>Aim</title> <p>Being homebound is regarded as a negative condition for social participation in Japan. However, little is known about the possibility of psychological resilience to prevent being homebound among older adults with urinary incontinence. The present study aimed to examine the association between sense of coherence as a measure of psychological resilience and being homebound among older adults with urinary incontinence.</p> </sec> <sec id="ggi12353-sec-0002" sec-type="section"> <title>Methods</title> <p>A cross‐sectional study was carried out in Chiba, Japan. We trained 95 care managers as interviewers, and they collected the data from 411 community‐dwelling frail older adults using a pretested structured questionnaire. Logistic regression analysis was run to identify factors associated with being homebound among the participants with urinary incontinence.</p> </sec> <sec id="ggi12353-sec-0003" sec-type="section"> <title>Results</title> <p>Of the participants, 158 (38.4%) had urinary incontinence. Among the participants with urinary incontinence, 52 (32.9%) were homebound. As a result of logistic regression analysis adjusting for age, sex, living status, hobby, types of prevalent diseases, walking ability, perceived social support and subjective social capital, lower meaningfulness in their lives, which is a component of a sense of coherence, remained positively associated with being homebound (adjusted odds ratio 0.79, 95% confidence interval 0.65–0.96).</p> </sec> <sec id="ggi12353-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Being homebound is less prevalent among those who feel challenges, or worthy of investment or engagement in daily life. By improving a sense of meaningfulness, homebound status might be improved among older adults with urinary incontinence. To encourage active social participation of the target population, their psychological resilience (particularly meaningfulness) should be addressed more. <bold>Geriatr Gerontol Int 2015; 15: 910–917.</bold></p> </sec> </abstract>