The relation of Self-care behaviors with mental vulnerability in cardiovascular patients with mediating role of adherence

The aim of this study was to investigate the relation of Self-care behaviors with mental vulnerability in cardiovascular patients with mediating role of adherence. The method of this research was descriptive correlation based on path analysis. The statistical population of this study included all 354 patients with cardiovascular diseases in Seyed Al-Shohada Specialized Heart Hospital in Urmia in 2021. According to Krejcie and Morgan's table, with the possibility of incomplete questionnaires, 226 patients with cardiovascular disease were selected by available methods after reviewing the inclusion criteria. The mental Vulnerability Questionnaire (SCL-25) by Najarian and Davoodi (2001), the Adherence questionnaire (ADQ) by Seyed Fatemi et al. (2018), and the Self-care behaviors Questionnaire (EHFSB) by Wellen et al. (2013) were taken. Data were analyzed using the Pearson correlation method and path analysis with SPSS18 and Amos23 software. The results showed that there is a significant negative relationship between Self-care behaviors and adherence to mental vulnerability in cardiovascular patients (P<0.01). Self-care behaviors have an effect of -0.55 on psychological vulnerability with the mediating role of adherence. (p≤ 0.01). The research model had a good fit and also, and the value of the general explanation coefficient in direct and indirect paths was equal to R2=0.42. These results emphasize the effect of cognitive-behavioral factors in controlling psychological vulnerability in cardiovascular patients.