Fotokian Zahra, Pourhabib Ali, Navabi Nasrin, Ghaffari Fatemeh
Assistant Professor, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
PhD Candidate, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
ARYA Atheroscler. 2020 Jul;16(4):161-169. doi: 10.22122/arya.v16i4.2087.
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.
婚姻满意度是维持或促进老年人健康的一个重要变量。因此，确定有效因素可以提高预期寿命和生活质量。本研究旨在确定老年冠心病（CAD）患者的衰老认知与人口统计学和临床特征与婚姻满意度之间的关系。
这是一项描述性相关性研究。样本量为480名老年CAD患者，他们被转介到伊朗马赞德兰省西部医院的心脏科诊所，通过便利抽样招募。数据通过人口统计清单、ENRICH婚姻满意度量表和衰老认知问卷（APQ）收集。数据采用结构方程模型（SEM）进行分析，使用拟合优度指数（GFI）和卡方检验。P值小于0.050被视为显著水平。
婚姻满意度的均值和标准差（SD）为145.16±12.12，衰老认知的均值和SD为113.39±12.74。Pearson相关系数结果表明，衰老认知与婚姻满意度之间的相关性最高（r = 0.68，P < 0.001）。假设模型的模型拟合指数符合标准，GFI = 0.91，比较拟合指数（CFI） = 0.93，规范拟合指数（NFI） = 0.94，非规范拟合指数（NNFI） = 0.91）。
考虑到影响婚姻满意度的心理风险因素，如衰老认知，并进行适当的测量，可以通过提高老年人自我护理的积极性来实现婚姻健康并改善治疗效果。因此，老年CAD患者需要更认真和长期的教育、咨询和支持性干预措施。
