The Modeling of psychosocial-cultural factors the quality of life of patients with coronary heart disease

According to lack of detailed information on the most important factors related to quality of life in patients with coronary heart disease, the aim of this study is the modeling of psycho-social-cultural factors on the quality of life in patiants with coronary heart disease.

The data were collected using hospital scales of anxiety and depression, type D personality, perceived stress , the Mediterranean diet and socioeconomic status, and short forms of Stress coping schemas and individualism of collectivism and the researcher made perceived quality of life scales . 300 patients with coronary heart disease were selected with available sampling, from the February of 2018  to the May of 2018. Analysis based on path analysis was carried out in LISREL software.

Adaptive coping strategies(0.13), self-efficacy (0.028), anxiety and depression(- 0.024), type D personality(- 0.022), and socioeconomic status( 0.014 )had the most direct effects, and individualism(0.13) and Mediterranean diet (0.12 )had the most indirect effect for predicting quality of life.

It is suggested that patients be helped for using situational coping strategies, social support, acceptance and active emotional expression, to increase the level of self-efficacy on this group and take interventions properly to reduce their anxiety and depression. Also, be taught properly on the Mediterranean diet.