Development of a Hope Model Based on Emotion Regulation with Spiritual Well-Being as a Mediator in Heart Failure Patients in Kermanshah and Its Effectiveness on Death Anxiety
Keywords:
Hope, emotion regulation, spiritual well-being, death anxietyAbstract
Objective: The purpose of this study was to develop a model of hope based on emotion regulation, with spiritual well-being as a mediator, in heart failure patients in Kermanshah and to evaluate its effectiveness on death anxiety.
Methodology: This research was conducted in two phases. In the first phase, a descriptive correlational method was used to examine the relationship between predictor variables, criteria, and mediators. In the second phase, a semi-experimental research design with a pretest-posttest design and control group was used. The study population consisted of all young heart failure patients visiting Imam Ali (A.S.) Hospital and private clinics in Kermanshah in 2022. In the first phase of the study, 270 participants were selected based on the Cochran formula and the study’s inclusion criteria. In the second phase, 30 participants who scored lower on the hope, spiritual well-being, and emotion regulation scales and higher on the death anxiety questionnaire compared to other patients were selected through purposive sampling and divided into experimental (n=15) and control (n=15) groups. Structural equation modeling and analysis of covariance were used for data analysis. These analyses were performed using SPSS and AMOS software, version 23.
Findings: The results showed that emotion regulation had a significant causal relationship with spiritual well-being and hope. Furthermore, a significant causal relationship was found between spiritual well-being and hope.
Conclusion: The findings of this study confirmed the mediating role of spiritual well-being in the relationship between the mentioned variables. The educational program developed based on hope was effective in reducing death anxiety in heart failure patients.
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References
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