Background and Objective: Hope is essential in all aspects of life; it can enrich life and improve patients' recovery. The present study was conducted to determine the relationship between Life Hope Approach, Agency and Pathway Thinking with psychological Self-Care in Patients with COVID-19.
Methods: This descriptive cross-sectional study was conducted on 250 patients with COVID-19 hospitalized in the wards of Shahid Yahya Nejad and Ayatollah Rouhani hospitals in Babol from 2022 to 2023. Demography, psychological self-care, and Snyder Hope Scale questionnaires were provided to the patients to be filled out.
Findings: The mean score of hope was 37.8±9.6 and the mean scores of the subcomponents of agency thinking and pathway thinking were 18.6±5.6 and 19.1±4.9, respectively. The results of the linear regression model indicated the predictive role of the hope variable and its subcomponents on self-care in patients with COVID-19 (p=0.0001). After adjusting for other variables, the total hope score predicted self-care (p=0.0001), communication effectiveness (p=0.002), coping with problems (p=0.004), and physical self-care (p=0.0001). Regarding the demographic variables, age predicted self-care (p=0.028), self-awareness (p=0.028), and personal and religious activities (p=0.003). The gender variable was able to positively predict the maintenance and development of a support system (p=0.009) and negatively predict physical self-care (p=0.022). The education variable (p=0.001) was also able to positively predict individual religious activities. In addition, place of residence was a predictor of self-care performance (p=0.010), self-awareness (p=0.040), communication effectiveness (p=0.008), time effectiveness (p=0.008), and individual and religious activities (p=0.046). Length of hospital stay was only a predictor of the subcomponent of awareness (p=0.044).
Conclusion: The results of the study showed that there was a significant positive relationship between hope approach and subcomponents of agency thinking and pathway thinking with psychological self-care.