Key result
Greater social safeness linked to higher marital satisfaction, explaining ~43% of variance in hospitalized HF.
Why the study?
Patients with heart failure experience physical, psychological, and social consequences from their debilitating disease that may affect their marital satisfaction and social safeness, motivating an investigation into the relationship between these two factors.
Cross-Sectional (n=170)
Yes
In hospitalized patients with chronic heart failure, marital satisfaction is generally undesirable and strongly correlates with perceived social safeness, suggesting psychosocial support is an important component of holistic heart failure care.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for social factors in heart failure; should not yet change clinical practice or prompt screening.
Background and aim: Patients with heart failure constitute a large population. Due to the recurrence, long treatment process, and debilitating nature of this disease, they experience numerous physical, psychological, and social consequences that may affect their marital satisfaction and social security. Therefore, the present study aimed to investigate the relationship between marital satisfaction and social safeness in patients with heart failure hospitalized in hospitals affiliated with Qom University of Medical Sciences in 2025. Materials and Methods The present study was conducted as a descriptive correlational study on 170 patients with heart failure hospitalized in hospitals of Qom University of Medical Sciences in 2025. Sampling was performed using cluster sampling method. To complete the data, demographic information form, marital satisfaction scale, and social safeness and pleasure scale were used. Data analysis was performed using SPSS23 software. A significance level of less than 0.05 was considered. Results The mean age of the participants was 64.21 ± 9.03 years and the mean length of marriage was 39.67 ± 10.03 years. The mean duration of heart failure was 7.28 ± 5.87 years. The mean scores for marital satisfaction and social safeness were 13.59 ± 2.95 and 34.12 ± 5.62, respectively. Based on the results of Pearson correlation test, marital satisfaction had a significant relationship with social safeness. Conclusion According to the results of the present study, patients with heart failure had undesirable marital satisfaction. Heart failure patients also experienced moderate levels of social safeness and pleasure. The results also showed that improving social safeness improves marital satisfaction in patients with heart failure.
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Zeraatkhah et al. (2026) conducted a cross-sectional in Chronic heart failure (n=170). Social safeness and pleasure (Gilbert Social Safeness and Pleasure Scale) was evaluated on Marital satisfaction (Kansas Marital Satisfaction Scale) (r = 0.611 (univariate B = 0.32), 95% CI 0.25-0.38, p=0.001). Social safeness correlated positively with marital satisfaction (r = 0.611, p = 0.001) and explained 43.0% of its variance (R² = 0.430) in hospitalized patients with heart failure.
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