IMPACT OF SPIRITUAL WELLBEING ON HEALTH PROMOTING LIFESTYLES IN CORONARY HEART DISEASE PATIENTS: MEDIATING ROLE OF PERCEIVED HEALTH STATUS

Objectives: To find out the role spiritual and existential wellbeing in health promoting lifestyles that are mediated through perceived health status in Coronary Heart Disease (CHD) Patients. Methodology: After obtaining approval (reference #331) from Institutional Review Board of the affiliated university as sample of 257 males and 228 females consecutive CHD patients (age range 18-65 years; M = 47.56, SD = 2.30) meeting the inclusion criteria were recruited in the study. Patients who suffered from strokes or other chronic diseases like hypothyroidism, cancer, liver or renal malfunctioning were excluded from the study. Participants were requested to complete three scales (and a demographic form) that included Spiritual Wellbeing Scale (SWBS), Short Form 12 Health Survey (SF-12HS), and Health Promoting Lifestyle Profile-II (HPLP-II). Data was collected from outdoor patients at a public hospital in Lahore, Pakistan between November 5 and March 31, 2021-22, and correlations were run across constructs using a macro-process (version 3.3) in SPSS (version 26.0). Results: Results indicated that spiritual (religious and existential) wellbeing had a significant direct effect on health promoting lifestyles significant at p < 0.001. Further, results showed a significant direct and indirect path coefficients of physical and mental health components of perceived health status with spiritual, religious, existential wellbeing, and health promoting lifestyles but not for physical functioning and bodily pain, p >0.05. Conclusion: Spirituality and positive health perceptions for cardiac patients can maintain their health through engaging in healthy lifestyles. Study highlighted the importance of adopting such perceptions to relieve cardiac symptoms to avoid further complications.