Health Related Quality of Life and Its Relationship with Hope and Preparation Care among Elderly Patients with myocardial Infarction referring to the cardiology clinic Shaheed Madani Medical Center

Abstract

Abstract Background: As the population ages, the risk of living with chronic diseases such as myocardial infarction increases Having hope and planning for future care needs is one of the important components of healthy aging and continuous independence. Given the importance of hope and planning in the elderly with myocardial infarction, it can be said that hope is one of the most important motivations of the elderly. And in fact, as a driving force, it can lead the elderly with myocardial infarction to improve and promote health and effective lifestyle, the power to plan care needs, the will to achieve goals, pay attention to obstacles and the ability to overcome them and improve And increase their performance. Also, many older people can not plan ahead. The aim of this study was to determine the quality of life related to health and its relationship with hope and planning for future care needs in the elderly with myocardial infarction admitted to Shahid Madani Hospital in Tabriz. Methods: This cross-sectional study was performed in 2019 with the participation of 193 elderly people with myocardial infarction in the specialized heart clinic of Shahid Madani Hospital in Tabriz, Iran. The SF-12 Health Quality of Life Questionnaire and the Hope and Planning Questionnaire for Future Care Needs were used to collect data. Data were analyzed using SPSS-22 software and descriptive statistics, Spearman correlation coefficient and multiple linear regression. Conclusions: Average total score of quality of life related to health, hope and areas of care needs planning (recognizing the risk of care needed, gathering information about future care needs, deciding on care priorities, preparing plans Real for future care needs, Active avoidance of planning for care needs) respectively 32.65 were from the range (8-43), 36.15 from the range (12-60), 9.31, 9.82, 9.17, 8.12, 3.50. There was also a direct and significant correlation between quality of life related to health and hope. (P <0.001, r = 0.562) Also between the quality of life related to health and the four areas of planning for future care needs (recognizing the risk of needed care, gathering information about future care needs, deciding on future care priorities, and avoiding A positive and significant correlation was observed from active planning for future care needs. (P <0.001, r = 0.279, r = 0.197, r = 0.365, r = 0.238) There was a significant negative relationship between quality of life related to health and the development of realistic plans for future care needs. (r=-0/208 , p=0/004) Also between total hope and the areas of care needs planning (recognizing the risk of care needed, gathering information about future care needs, deciding on care priorities, actively avoiding care needs planning) There is a direct and significant relationship ((P <0.05, r=0/280, r=0/281, r=0/445, r=0/309) And in the areas of preparing real plans for future care needs, there is a negative and significant relationship (P <0.05, r=-0/248) Results: The findings of this study showed that the quality of life associated with the health of the elderly with myocardial infarction was low and the status of planning for future care and hope was moderate. The results of the present study also showed that greater participation in data collection and planning decisions is associated with greater awareness of the risk of need for active care and avoidance of less planning and less participation in the preparation of realistic plans for future care needs. According to the results obtained, in order to improve the quality of life related to the health of the above elderly, strategies should be developed by health policy makers to promote hope and plan care needs.