Structural Equation Modeling Relationship of the between Coping Strategies with Quality of Life by mediating Lifestyle in Cardiovascular Patients

Abstract

Background and Objective: Cardiovascular disease, as a chronic and debilitating physical condition, is one of the most common causes of death. The aim of this study was to investigate the mediating role of lifestyle in the relationship between coping strategies and quality of life in cardiovascular patients. Materials and Methods: The present study was descriptive-correlational and cross-sectional studies. The statistical population of the present study includes all cardiovascular patients in Tehran in 2019, of which 303 people were selected as the sample by the purposeful sampling method. Data collection tools included a Ways of Copying Questionnaire, a Health-Promoting Lifestyle Profile, and a Quality-of-Life Scale. Pearson correlation coefficient and path analysis with Amos software were used to analyze the data. Results: The results showed that lifestyle also played a mediating role in relation to quality of life coping strategies (P <0.01). Lifestyle can explain 28% of the variance of physical health, 43% of mental health and 20% of social relationships. The problemfocused strategy was able to explain 11% of the variance of physical health and 24% of social relationships. The emotion-focused strategy was able to explain 90% of the variance of mental health and 26% of the variance of environmental health. Conclusion:According to the results, in cardiovascular patients, coping strategies can change the quality of life by influencing lifestyle. In other words, in these patients, problem-focused coping strategies through healthy lifestyle improvements can lead to improved quality of life.

Review of the effect cultural capital and subjective socioeconomic status on life satisfaction in Iran: the mediating role of health-promoting lifestyle and the moderating role of ethnicity

“…KochaniEsfahani et al, (2018) have emphasized the role of health-promoting lifestyle in the relationship between CC and public health [60]. Kamalinejad et al, (2020) have also shown the role of health-promoting lifestyle in the relationship between coping strategies and quality of life in students [61]. In addition, Seo et al, (2018) in Korean students [62], Hu et al, (2022) in the elderly [63], and Xue et al, (2021) in seniors [64], emphasized the mediating role of health-promoting lifestyle.Although in this study, CC did not have a direct and meaningful effect on LS, but with the presence of health-promoting lifestyle, this effect becomes significant indirectly, which shows that lifestyle is affected by the amount and structure of CC.It can be claimed that the position of health-oriented behaviors in the lifestyle will have more effects on LS, quality of life.According to the findings of this study and regarding the explanation of LS, it can be said that CC in its Bourdieuian meaning has far less explanatory power than Abel's point of view for explaining LS.…”