Sense of Coherence as a Predictor of Quality of Life in Persons With Coronary Heart Disease Surviving Cardiac Arrest

Res Nurs Health. 1996 Aug;19(4):287-98. doi: 10.1002/(SICI)1098-240X(199608)19:4<287::AID-NUR3>3.0.CO;2-E.


The unique contribution of sense of coherence to explained variance in quality of life was studied in 149 persons with coronary heart disease who survived cardiac arrest. Using hierarchical multiple regression, 16 predictors, including 5 social status variables related to poor health vulnerability, perceived social support, self-esteem, and 9 variables reflecting instability and work of the chronic illness trajectory, accounted for 50% of variance in quality of life. The addition of sense of coherence resulted in a 15% increment to the explained variance (total R2 = .64). As a strong independent predictor of quality of life, sense of coherence has promise as a variable that might be strengthened by nursing interventions and merits continued study.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Chronic Disease
  • Coronary Disease / complications
  • Coronary Disease / psychology*
  • Female
  • Heart Arrest / etiology*
  • Humans
  • Internal-External Control*
  • Male
  • Middle Aged
  • Nursing Methodology Research
  • Predictive Value of Tests
  • Quality of Life*
  • Regression Analysis
  • Self Concept
  • Social Support
  • Surveys and Questionnaires
  • Survivors / psychology*