Perceived social support (β = -0.52, p < 0.001), illness perception, and hope were significant predictors of loneliness in ACS patients, explaining 56.5% of its variance.
Cross-Sectional (n=213)
Yes
What is the predictive role of illness perception, hope, and perceived social support on loneliness among patients with Acute Coronary Syndrome?
Perceived social support and illness perception are strong predictors of loneliness in patients hospitalized with acute coronary syndrome.
Effect estimate: β = -0.52
p-value: p=<0.001
ABSTRACT Background and Aims Loneliness is a well‐known factor associated with increased mortality risk in cardiovascular patients, and hospitalization in Coronary Care Units (CCU) can exacerbate feelings of loneliness. This study aimed to examine the predictive role of illness perception, hope, and perceived social support on loneliness among patients with Acute Coronary Syndrome (ACS). Methods In this descriptive cross‐sectional study, 213 ACS patients admitted to CCUs of university hospitals in southern Iran were enrolled through convenience sampling from October 2021 to March 2022. Data were collected using a demographic characteristics form, illness perception scale, Snyder's Hope Scale, perceived social support questionnaire, and loneliness Scale. Data analysis involved Pearson correlation coefficients and hierarchical linear regression. Results Loneliness was most strongly associated with perceived social support (r = − 0.717, p < 0.001, r² = 0.52), followed by illness perception (r = 0.591, p < 0.001, r² = 0.35) and hope (r = − 0.546, p < 0.001, r² = 0.30). Hierarchical regression analysis indicated that illness perception (Step 2: ΔR² = 0.332, β = 0.58, p < 0.001, f² = 0.50) and hope (Step 3: β = − 0.32, p < 0.001, f² = 0.13) were significant predictors; in the final model, perceived social support emerged as the strongest predictor (β = − 0.52, p < 0.001), with the model explaining 56.5% of the variance in loneliness (R² = 0.565). Conclusion This study underscores the pivotal role of illness perception and perceived social support in shaping loneliness among ACS patients. Targeted interventions to improve illness perception and enhance social support systems may effectively alleviate loneliness, potentially improving clinical outcomes in this vulnerable population.
Tehranineshat et al. (Thu,) conducted a cross-sectional in Acute Coronary Syndrome (n=213). Illness perception, hope, and perceived social support was evaluated on Loneliness (β = -0.52, p=<0.001). Perceived social support (β = -0.52, p < 0.001), illness perception, and hope were significant predictors of loneliness in ACS patients, explaining 56.5% of its variance.