Life-purpose orientations of patients with coronary artery disease
https://doi.org/10.15829/1728-8800-2025-4281
EDN: ZAKMES
Abstract
Aim. To study the role of life-purpose orientations in patients with coronary artery disease (CAD) in the context of their clinical characteristics.
Material and methods. The study included 286 people, including 242 patients with an established diagnosis of CAD and 44 healthy volunteers (control group). Patients underwent coronary angiography and echocardiography. In order to determine the axiological and conative orientations of the individual, the Life-Purpose Orientations questionnaire by D. A. Leontiev was used.
Results. No differences in life meaningfulness level were found between CAD patients and healthy respondents (p>0,05). The patients admitted for elective cardiac surgery had lower life-purpose indicators compared to the patients hospitalized for conservative therapy (p<0,05). Lower values were found for the overall life meaningfulness, "goals in life" and "life process" scales in patients with permanent atrial fibrillation (p<0,05), as well as for the "locus of self-control" and "locus of life control" scales in patients with paroxysmal atrial fibrillation (p<0,05) compared to patients with sinus rhythm. In patients with chronic left ventricular aneurysm, lower life meaningfulness values were also noted (p<0,05) than in individuals without it. An inverse correlation was obtained between the age of the subjects and most questionnaire indicators of life-purpose orientations (p<0,05).
Conclusion. Analysis of the obtained data showed the significance of the subjective experience of disease symptoms for patients with CAD.
About the Authors
E. A. Zakharyan
Vernadsky Crimean Federal University
Russian Federation
Russian Federation
Elena A. Zakharyan
Simferopol
I. V. Zyabkina
Vernadsky Crimean Federal University. Simferopol
Russian Federation
Russian Federation
Irina V. Zyabkina
Simferopol
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Supplementary files
What is already known about the subject?
- The presence of life purpose is a factor that influences a person's survival in crisis situations and a part of rehabilitation potential. The patient's response to stress in the form of selected coping strategies directly depends on how the patient perceives the reality and what purpose he fills his life with.
- A person's attitude to the disease depends on his life-purpose orientations. The nature of the internal disease performance is determined by the characteristics of the patient's system of personal meanings.
What might this study add?
- In patients with coronary artery disease and arrhythmias, clinical manifestations of heart failure, upcoming surgery, and post-infarction complications, the time perspective is reduced, and personal resources for overcoming the disease situation are depleted.
Review
For citations:
Zakharyan E.A., Zyabkina I.V. Life-purpose orientations of patients with coronary artery disease. Cardiovascular Therapy and Prevention. 2025;24(3):4281. (In Russ.) https://doi.org/10.15829/1728-8800-2025-4281. EDN: ZAKMES
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