Designing a structural equation model of marital satisfaction based on aging perception and demographic and clinical variables in Iranian elderly patients with coronary artery disease.

Coronary Artery Disease Elderly Marital Status Perception Satisfaction Structural Equation Modeling

Journal

ARYA atherosclerosis
ISSN: 1735-3955
Titre abrégé: ARYA Atheroscler
Pays: Iran
ID NLM: 101487337

Informations de publication

Date de publication:
Jul 2020
Historique:
entrez: 18 2 2021
pubmed: 19 2 2021
medline: 19 2 2021
Statut: ppublish

Résumé

Marital satisfaction is an important variable in maintaining or promoting elderly health. Therefore, identifying the effective factors can increase life expectancy and quality of life. This study aimed to determine the relationship between aging perception and demographic and clinical characteristics with marital satisfaction in the elderly patients with coronary artery disease (CAD). This was a descriptive-correlational study. The sample size was 480 elderly patients with CAD who were referred to the heart clinics of hospitals in the west of Mazandaran Province, Iran, who were recruited by convenience sampling. Data were collected by a demographic checklist, ENRICH Marital Satisfaction Inventory, and Aging Perceptions Questionnaire (APQ). The data were analyzed by structural equation model (SEM) using Goodness of Fit Index (GFI and chi-square test. P-value less than 0.050 was considered as significant level. The mean and standard deviation (SD) of marital satisfaction was 145.16 ± 12.12, and the mean and SD of aging perception was 113.39 ± 12.74. The results of the Pearson's correlation coefficient indicated that the highest correlation was between aging perception and marital satisfaction (r = 0.68, P < 0.001). The model fit indices of the hypothesized model met the criteria, with the GFI = 0.91, Comparative Fit Index (CFI) = 0.93, Normed Fit Index (NFI) = 0.94, and non-Normed Fit Index (NNFI) = 0.91. Considering the psychological risk factors affecting marital satisfaction such as aging perception and suitable measurement can lead to marital health and improve treatment outcomes by increasing elderly motivation in self-care. Therefore, the elderly patients with CAD need more serious and long-term educational, counseling, and supportive interventions.

Sections du résumé

BACKGROUND BACKGROUND
Marital satisfaction is an important variable in maintaining or promoting elderly health. Therefore, identifying the effective factors can increase life expectancy and quality of life. This study aimed to determine the relationship between aging perception and demographic and clinical characteristics with marital satisfaction in the elderly patients with coronary artery disease (CAD).
METHODS METHODS
This was a descriptive-correlational study. The sample size was 480 elderly patients with CAD who were referred to the heart clinics of hospitals in the west of Mazandaran Province, Iran, who were recruited by convenience sampling. Data were collected by a demographic checklist, ENRICH Marital Satisfaction Inventory, and Aging Perceptions Questionnaire (APQ). The data were analyzed by structural equation model (SEM) using Goodness of Fit Index (GFI and chi-square test. P-value less than 0.050 was considered as significant level.
RESULTS RESULTS
The mean and standard deviation (SD) of marital satisfaction was 145.16 ± 12.12, and the mean and SD of aging perception was 113.39 ± 12.74. The results of the Pearson's correlation coefficient indicated that the highest correlation was between aging perception and marital satisfaction (r = 0.68, P < 0.001). The model fit indices of the hypothesized model met the criteria, with the GFI = 0.91, Comparative Fit Index (CFI) = 0.93, Normed Fit Index (NFI) = 0.94, and non-Normed Fit Index (NNFI) = 0.91.
CONCLUSION CONCLUSIONS
Considering the psychological risk factors affecting marital satisfaction such as aging perception and suitable measurement can lead to marital health and improve treatment outcomes by increasing elderly motivation in self-care. Therefore, the elderly patients with CAD need more serious and long-term educational, counseling, and supportive interventions.

Identifiants

pubmed: 33598036
doi: 10.22122/arya.v16i4.2087
pii: ARYA-16-161
pmc: PMC7867309
doi:

Types de publication

Journal Article

Langues

eng

Pagination

161-169

Informations de copyright

© 2020 Isfahan Cardiovascular Research Center & Isfahan University of Medical Sciences.

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Auteurs

Zahra Fotokian (Z)

Assistant Professor, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Ali Pourhabib (A)

PhD Candidate, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.

Nasrin Navabi (N)

Lecturer, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Fatemeh Ghaffari (F)

Associate Professor, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Classifications MeSH