The role of meaning in life and time perspective in predicting adherence to treatment of cardiovascular patients with a history of angiography

Authors
Maryam habibpour dehkordi
Azra Zebardast
sajjad rezaei
university of Guilan
Abstract


The present study was conducted to investigate the role of meaning in life and time perspective in predicting treatment adherence of cardiovascular patients with a history of angiography. The research design is descriptive. The population included all cardiovascular patients with a history of angiography referred to Shahid Chamran Cardiac Hospital of Isfahan in 1402. The sample included 169 patients with a history of angiography who were selected purposefully. For collecting data, questionnaires about treatment adherence Seyed Fatemi et al (2017), time perspective Zimbardo and Boyd's (1999), meaning in life Steger et al (2006) were used. The results showed that dimensions of meaning in life and dimensions of time perspective have a significant relationship with adherence. The results of the hierarchical multiple regression analysis showed that the dimensions of meaning in life explain 46% of the variance of treatment adherence. These findings show that treatment adherence is influenced by meaning in life and time perspective. Therefore, it is possible to develop educational programs based on meaning in life and to adjust the time perspective to increase treatment adherence of cardiovascular patients who have been diagnosed at risk using an angiography diagnostic test to prevent the worsening of the disease through secondary prevention.
Keywords
meaning in life
time perspective
treatment adherence
cardiovascular patients
angiography
Abbaszadeh, M., Rejeh, N., Tadrisi, SD., Jafari, F. (1400). Medication Adherence in Patients Undergoing Repeat Angioplasty: A Cross-sectional Study, Journal of Critical Care Nursing, 14(4): 41-50. Magiran.com/p2383957. [Persian].

Alipour, A., Aliakbari, M., Amini, F., Hashemi jashni., A. (2016). Relationship between perceived social support and adherence of treatment in Diabetes mellitus type 2: mediating role of resillency and hope; Journal of Reasearch in Psychological Health; 10 (2) :53-67. [Persian].

American Heart Association Center for Heart Disease and Stroke Statistics. 2023.
Alvarez, J S., Goodrich, L A., Nunes, A H., Zandavalli, M C B., Zandavalli, R B., Belli, K C., & Clausell, N. (2016). Association between spirituality and adherence to management in outpatients with heart failure. Arquivos brasileiros de cardio logia. 106(6), 491 -501.

Alizadeh Fard, S., Mohammad Nia, M., Zimbardo, Philip George. )1395(. The relationship model of time perspective dimensions and marital satisfaction with regard to the mediating effects of psychological well-being. Family Research, 12(2): 197-214. [Persian].

Audet, C.M., Wagner, L.J., Wallston, KA. (2015). finding meaning in life while living with HIV: validation of a novel HIV meaningfulness scale among HIV-infected participants living in Tennessee. BMC Psychol. 3(1), 15.

Chew, H.S.J., Sim, K.L.D., Choi, K.C., Chair, S.Y. (2020). Relationship between self-care adherence, time perspective, readiness to change and executive function in patients with heart failure. J Behave Med. 43(4):1-11.

Emamian, MH., Hashemi, H., Fotouhi, A. (1399). Predicted 10-year risk of cardiovascular disease in the Islamic Republic of Iran and the body mass index paradox. East Mediterr j, 26(12): 1465-1472. [Persian].

Fahimfar, N., Khalili, D., Sepanlou, SG., Malekzadeh, R., Azizi, F., Mansournia, MA., et al. (1397). Cardiovascular mortality in a Western Asian country: results from the Iran Cohort Consortium. BMG Open. 8(7): e020303. [Persian].

Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior research methods, 41(4), 1149-1160.

Fang, Y., GAO, X., Sun, C. et al. (2023). The mediating role of health consciousness in the relation between time-related personality and health-promoting behavior. https://doi.org/10.1007/s12144-023-04617-x.

Fernandez-Lazaro, C.I., García-González, J.M., Adams, D.P. et al. (2019). Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study. BMC FAM Pact 20, 132.

Gary, T. (2005). Meaning in life of young, age, and gender invariance of the personal Meaning Index (PMI). Personality and Individual Differences, 38, 71-85.

Golestaneh, SM., Afshin, SA., Dehghani, Y. (1395). The Relationship between the Time Perspective and Achievement Goal, the Academic Procrastination and Academic Achievement of Students in Various Colleges of the University of the Gulf. Social Cognition Journal. 5(2): 52-71. [Persian].

Hall, P., Fong, G., Sansone, G. (2015). Time Perspective as a Predictor of Healthy Behaviors and Disease-Mediating States. 10.1007/978-3-319-07368-2_22.

Janjani, P., Majzoobi, M., Sanjabi, A., vahed, M., Rai, A., Momeni, KH, Heidari Moghadam, R., Rouzbahani, M., Saidi, M., and Salehi, N. (1400). Assessing the adherence to treatment among patients with cardiovascular diseases in Kermanshah, Iran. Health Promote Perspect, v.11 (1). [Persian].

Kvarnstrom, K., Airaksinen, M., Lira, H. (2018). Barriers and facilitators to medication adherence: a qualitative study with general practitioners BMJ Open 8: e015332. Dui: 10.1136/bmjopen-2016-015332.

Liang, L.X., Liu, Y., Shi, Y.J., Jiang, T.T., Zhang, HR., Liu, BH & et al. (2021). Family care and subjective well-being of coronary heart disease patients after percutaneous coronary intervention: Mediating effects of coping strategies. International Journal of Nursing Sciences, 9(1), 79-85.
McKay, MT., Andretta, JR., Magee, J., Worrell, FC. (2014). what do temporal profiles tell us about adolescent alcohol use? Results from a large sample in the United Kingdom. Journal of Adolescence. 37(8):1319-28.
Mesrabadi, J., Jafariyan, S., Ostovar, N. (1392). Discriminative and construct validity of meaning in life questionnaire for Iranian students. Journal of Behavioral Sciences. 7 (1), 23 -24. [Persian].
Mello, ZR., Walker, EB., Finan, LJ., Stiasny, A., Wiggers, IC., McBroom, KA., Worrell, FC. (2018). Time perspective, psychological outcomes, and risky behavior among runaway adolescents. Applied Developmental Science. 22(3): 233-43. https://doi.org/10.1080/10888691.2016.1276455.
Park, CL. (2010). Making sense of the meaning literature: an integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin. 136 (2), 257.

Pourshahbazi, M., Imani, M., Sarafraz, M R. (2018). Relationship between Sprituality and Practice of Religious Beliefs with Pain Acceptance in Rheumatoid Arthritis Patients; Journal of Reasearch in Psychological Health; 11 (4) :43-54. [Persian]. URL: http://rph.khu.ac.ir/article-1-3048-fa.html
Ribeiro, I., Ramos, I., Lencastre, L., & Guerra, M P. (2019). Meaning in life and therapeutic adherence as determinants of quality of life in HIV patients. In EHPS 2019: 33rd Annual Conference of the European Health Psychology Society: conference abstracts

Peyman Far, A., Ali Akbari, M., Mohtashmi, T. (1391). Comparison of loneliness and sense of meaning in the lives of the elderly with different levels of religious attitude. Journal of Psychology and Religion 5(4), 52-41. [Persian].

Rosyad, Y.S., Malini, H., Sarfika, R. (2019). The association between meaning in life and adherence to antiretroviral therapy (ART) of HIV-seropositive within men who have sex with men (MSM); mixed method Indian J Public Health Res Dev. 10(10):1333–7.

Sansbury, B., Dasgupta, A., Guthrie, L., Ward, M. (2014). Time perspective and medication adherence among individuals with hypertension or diabetes mellitus. Patient Educ Couns. 5(1):104-110.

Seid, M.A., Abdela, O.A., Zeleke, EG. (2019). Adherence to self-care recommendations and associated factors among adult heart failure patients. From the patients' point of view, 14(2): e0211768.

Seyed Fatemi, N., Rafii, F., Hajizadeh, E., Modanloo, M. (1397). Psychometric properties of the adherence questionnaire in patients with chronic disease: A mix method study. Koomesh Journal, 20(2), 179-191. [Persian].

Shafikhani, M., Bagherian, F., Shokri, O. (1395). On the Relationship of Time Perspective with Tendency to Substance Abuse in Female Adolescents; Journal of research on addiction, 10(38): 11-24. [Persian].
Simon, ST., Kini, V., Levy, AE., Ho, PM. (2021). Medication adherence in cardiovascular Medicine. BMG, 374: n1493.

Steger, MF., Frazier, P., Oishi, S., Kaler, M. (2006). The Meaning in Life Questionnaire: assessing the presence of and search for meaning in life. J Couns Psychol, 53(1):80–93.

Uchmanowicz, B., Chudiak, A., Uchmanowicz, I., Rosińczuk, J., & Froelicher, E. S. (2018). Factors influencing adherence to treatment in older adults with hypertension. Clinical interventions in aging, 13, 2425–2441. https://doi.org/10.2147/CIA.S182881

Valldeoriola, F., Coronell, C., Pont, C., Buongiorno, M. T., Cámara, A., Gaig, C., Compta, Y., & ADHESON Study Group. (2011). Socio-demographic and clinical factors influencing the adherence to treatment in Parkinson's disease: the ADHESON study. European journal of neurology, 18(7), 980–987. https://doi.org/10.1111/j.1468-1331.2010.03320.x

World Health organization. (2021). Cardiovascular Disease Fact sheet. Detail. The top 10 of death.

Zentsova, NI., Leonov, SV. (2013). Comparative characteristics of time perspective of professional athletes and drug addicted people. Procedia-Social and Behavioral Sciences, 78: 340-4.
Zimbardo, P.G., & Boyed, J.N. (1999). Putting Time in Perspective: A valid, reliable individual-differences metric. Journal of Personality and Social Psychology, 77, 1271- 1278.

Zimbardo, P., & Boyd, J. (2008). The time paradox: The new psychology of time that will change your life. Simon and Schuster.