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Showing 28 results for Quality of Life
Alireza Ghavidel, Pouya Farokhnezhad-Afshar, Hooman Bakhshandeh, Fatemeh Ghorbanpour, Volume 4, Issue 2 (9-2015)
Abstract
Aim. This study was conducted to examine the effect of family-centered education on the quality of life patients after coronary artery bypass graft surgery.
Background. Following coronary artery bypass graft surgery, the patients face many physical, mental and social problems, which reduce their quality of life. Teaching the patient's family provides an opportunity for family members to cooperate actively in taking care and supporting patient, thereby, improve patients' quality of life.
Method. This was an experimental study in which 96 patients with their active family members were recruited according to inclusion criteria and randomly allocated to experimental (n=48) and control group (n=48). Before intervention, SF-12 Quality of Life Questionnaire (QOL) was completed by participants in both groups. Then, experimental group received family-centered education in three sessions and control group received only hospital routine educational program. Quality of life was again measured one month later. The data were analyzed by SPSS version 22.
Findings. There were no statistically significant differences between the two groups regarding demographic characteristics. Based on Mann-Whitney test, a statistically significant increase was observed in scores of QOL dimensions after intervention in the experimental group as compared with control group (P<0.0001).
Conclusion: Family-centered education in patients under coronary artery bypass graft can improve quality of life in these patients.
Fatemeh Jahanshahi, Noshin Abbasi-Abyaneh, Ebrahim Ebrahimi-Abyaneh, Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. This study was conducted with the aim of
determining the effect of peer education on quality of life in people with
heart failure.
Background. Heart failure is one of the most common
chronic diseases and is associated with decreased quality of the patients'
life. Considering the positive role of education in improving the quality of
life, it is important to find a suitable learning method to improve the quality
of life of these patients.
Method. In this quasi-experimental study, 60 heart
failure patients were selected using convenience sampling method during 2016.
Four peer to peer training sessions were conducted during one month. A Persian
translation of the Ferrans and Powers’ quality of life questionnaire was used for evaluating
the quality of life of the patients, before and one month after the
intervention. Descriptive and inferential statistics were used to analyze the
data.
Findings. The mean score of the quality of life in heart
failure patients was 134.5±2.4 before the intervention and 163.2±8.7, one month
after intervention. Paired t-test showed that peer education had a
statistically significant effect on quality of life in people with heart
failure patients (P≤00001).
Conclusion. Peer education can improve and enhance the
quality of life of heart failure patients.
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Korshid Mobasseri, Rahim Khodayari-Zarnaq, Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. The aim of this study was to compare quality of life (QoL) before and after angioplasty in people with coronary artery disease.
Background. The quality of life among people with CAD who undergo angioplasty treatment is of great interest because of the increasing number of patients receiving this treatment modality.
Method. In this descriptive analytical study, 473 patients with CAD admitted to all teaching hospitals of medical sciences universities located in Tehran were recruited through stratified random sampling over the years 2015-16.Quality of life in patients was measured before angioplasty, and one month and three months after angioplasty using SF-36 questionnaire. Reliability of this questionnaire has been reported in previous studies as 0.77-0.90 (Cronbach's alpha coefficient). Data were analyzed by Wilcoxon, Mann-Whitney and Kruskal-Wallis tests in SPSS version 23.
Findings. The results showed that angioplasty has increased the mean score of quality of life in total and also, in all dimensions, one and three months after surgery (P≤0.0001). The relationship of quality of life with all demographic variables (age, marital status, occupation, education level, place of residence, conditions of residence and type of insurance) was statistically significant except for gender.
Conclusion. The angioplasty is well able to improve the quality of life in different dimensions in the short term.Angioplasty can be recommended as a procedure with strong and positive effect on the health conditions and quality of life in people with CAD.
Rasool Heshmati, Fereshteh Ghorbani, Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of Mindfulness Based Stress Reduction (MBSR) on physical functioning and Health Related Quality Of Life in people with Coronary Artery Disease (CAD).
Background. According to the studies, CAD can affects physical functioning and HRQOL. Developing and examining psychological therapeutic models for improving quality of life and physical functioning would be appropriate.
Method. In this randomized clinical trial study with control group, 30 people with CAD were selected from coronary care unit of Abbasi Hospital of Mian-E-doab city, Iran, by convenience sampling and assigned randomly to experimental and control group. Data were collected by Seattle Angina Questionnaire (SAQ) for measuring for assessing health related quality of life and SF-36 for measuring physical functioning. The experimental group received mindfulness-based stress reduction program in eight 2.5 hours sessions, weekly. The control group did not receive any intervention.
Findings. The results showed that after controlling the pre-test effect, mindfulness-based stress reduction had a statistically significant effect on physical functioning and health related quality of life and their dimensions.
Conclusion. It can be concluded that mindfulness-based stress reduction influences physical functioning and health related quality of life by modulating biological and psychological processes.
Mohammadreza Jani, Mohammadreza Razm-Ara, Mojgan Safapoor, Soheila Miralijani, Fatemeh Miri, Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim. This study was conducted to determine the effect of education on quality of life in people with unstable angina in Qa'en, Iran.
Background. Cardiovascular diseases are the most prevalent and important cause of death all over the world, which affect the patients' quality of life. These diseases create many problems for patients and a lot of cost for the society.
Methods. This study was an experimental study with pretest-posttest design and control group which was conducted on 60 patients in the cardiac care unit Shohada hospital located in the city Qaen, Iran in 2015. The recruited patients were divided randomly into control and intervention group. During 3-6 sessions of face-to-face training (1-2 sessions per day) lasting between 15-20 minutes, screenshots (in PowerPoint software) were used and the participants questions were abswered. The quality of life of the patients in both groups were measured at two stages, before education (for intervention group) and one month later. The instruments were demographic and quality of life questionnaires (SF36). Data were analyzed in SPSS, version 20.
Findings. There were a statistically significant difference between the groups in terms of the mean scores of quality of life in the following dimensions: general health (p=0.02), physical function (p=0.003), role limitation due to physical health (p=0.05), energy fatigue (p=0.01), emotional well-being (0.004), pain (p=0.007), and total quality of life (p=0.02) .
Conclusion. Education can be a useful method for improving quality of life in people with unstable angina patients.
Nahid Mohamadi, Narges Kheirollahi, Somayeh Haghighat, Ghodratoallah Roshanaie, Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim.This study aimed to examine the relationship between adaptability and quality of life in people whit heart failure.
Background.Heart failure has a chronic debilitating process that can be very influential on quality of life. The main outcome of heart failure is disability and limitation in doing family, social and occupational roles. One of the determinants of health and prevention of exacerbations in heart failure patients is adaptability with the disease.
Method.This Correlationalstudy was conducted on 200 people referring to Ekbatan Hospital located in Hamadan, Iran. Data were collected by demographic questionnaire, Bell Adjustment inventory, and Mac New Quality of Life Questionnaire. Data were analyzed in SPSS version 19 using descriptive and analytical statistics.
Findings.The mean age of the sample was 63.68±12.07 years. The meanscore ofadaptabilityand quality of life were76.16±6.81 and 126.85±20.45, respectively. There wasno statisticallysignificant relationshipofadaptabilityscore anddomains of quality of life ,except for the sexual domain of quality of life.
Conclusion. In people with chronic heart failure, an increase in adaptability may enhance the sexual quality of life.
Abbas Ebadi, Afzal Shamsi, Fariborz Mehrani, Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. The aim of this study was to compare the quality of life in military and non-military people with and without hypertension.
Background. Hypertension is one of the most important causes of chronic disability in the world that its progressive course may affects various aspects of quality of life.
Method. This was a cross-sectional study with a descriptive comparative design in which 200 men with hypertension (100 military and 100 non-military) and 200 men without hypertension (100 military and 100 non-military) were recruited to the study by convenience sampling method in Tehran. Data were collected by short form (SF36) quality of life questionnaire and demographic form.
Findings. The mean score of quality of life in the group of people without hypertension (military people, 82.20±12.72; non-military people, 84.83±8.01) were significantly higher than the group with hypertension (military people, 76.72±16.60; non-military people, 68.58±17.77)
Conclusions. Quality of life in military and non-military men with hypertension is lower than the military and non-military men without hypertension. It is necessary to pay more attention to people with hypertension for promoting their quality of life.
Gheisar Salageghe, Mansoor Arab, Mohammadreza Aflatoniana, Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. The aim of this study was to examine the relationship of quality of life with general self-efficacy and perceived social support among people with Acute Coronary Syndrome (ACS) hospitalized in cardiac care unit of teaching hospitals in Kerman, Iran.
Background. Quality of life is considered as one of the important health indicators and components that is influenced by several variables.
Method. The present study is a descriptive correlational research in which 150 people with ACS who admitted to cardiac care unit of teaching hospitals in Kerman, Iran, were recruited by convenience sampling method. The instruments for data collection included Perceived Social Support questionnaire, Quality of Life questionnaire and General Self-efficacy questionnaire. Data were analyzed using SPSS version 18.
Findings. The mean age of the participants was 56.74±11.63. The mean score of quality of life, self-efficacy and perceived social support were 84.82±12.32, 27.19±6.89, and 63.58±13.1, respectively. There was a statistically significant direct association of general self-efficacy and perceived social support with dimensions of quality of life.
Conclusion. General self-efficacy and perceived social support have great impact on quality of life in people with ACS. It is recommended to consider these concepts in taking care of these people.
Mohammadreza Jani, Mohammadreza Razmara, Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. The aim of this study was to determine the relationship between quality of life and demographic characteristics of people with angina pectoris in Shohada Hospital in Qaen city, Iran in 2014.
Backgrounds. Cardiovascular disease is the most common cause of death in most countries around the world, including Iran, and also, it is the most important cause of disability. Cardiovascular disease is one of the most preventable non-communicable diseases. Quality of life in heart disease is associated with inappropriate changes, as several factors contribute to improving the quality of life of these patients..
Method. This cross-sectional correlational study was conducted on 240 individuals with angina pectoris in the CCU and Post-CCU wards of Shohada Qaen Hospital, Qaen, Iran, from April to December 2014. The sample were recruites by census method and the SF-36 tool was used to assess the quality of life. The questionnaire was completed by interviewing patients. Data were analyzed in SPSS-20, using Mann-Whitney and Kruskal-Wallis tests.
Findings. The mean score of total quality of life was 61.74±22.49, indicating good quality of life. The findings showed that the age was significantly related to the role disorder due to emotional health (P=0.034), energy/ fatigue (P=0.001) and general health (P=0.004) domains of quality of life. The gender was significantly related to the role disorder due to emotional health (P=0.008), energy/ fatigue (P=0.01), social function (P=0.003) and general health (P=0.04). The marital status was significantly related to the physical function (P=0.032), and energy/ fatigue (P=0.04). Finally, a statistically significant relationship was found of education level with energy/ fatigue (P=0.007) and general health (P=0.001).
Conclusion. The use of appropriate care approaches, including educational programs is suggested for people with angina pectoris in order to improve their quality of life.
Nasim Naderi, Yasaman Khalili, Ali Ansarifar, Behshid Ghadrdost, Afsaneh Bakhshi, Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of supportive interventions on resiliency components and quality of life among family caregivers of people with advanced heart failure.
Background. Advanced heart failure is a costly, progressive and chronic disease that reduces resilience and quality of life among family caregivers.
Method. In a randomized clinical trial study that was conducted as a before-after design with control group and follow-up one month after intervention. One hundred family caregivers of people with advanced heart failure, admitted to Shahid Rajaie Cardiovascular and Medical Research Center, were randomly assigned into experimental and control group. The family support interventions package included participation in group training workshops for 6 sessions (2 sessions/week in three consecutive weeks) for the experimental group. Resilience Scale (Connor-Davidson) and Quality of Life (SF-36) questionnaire were used to collect the data, before, after and one month after intervention. Data were analyzed in statistical software SPSS 23 using statistical tests related to the distribution of variables including Chi-square, Fisher, Wilcoxon and Mann-Whitney test, and independent and paired t-test.
Findings. At baseline, the mean score of resilience and the overall score of quality of life showed no statistically significant difference between the groups. After intervention, there was a statistically significant difference in terms of the mean score of resilience between the experimental (64.06±11) and control (48.34±16.23) group (P<0.05). Also, the overall score of quality of life after intervention was statistically significant between the experimental (70±12.91) and control (50.82±17.73) group (P<0.05). The results of paired t-test showed that one month after the end of the intervention, in the experimental group, the mean score of resilience (63.08 ± 10.15) and the overall score of quality of life (69.82±12.70) remained constant, indicating the sustainability of the effect of interventions after one month (P>0.05).
Conclusion. As part of a holistic program, the results of this study can be a guide to setting up a centralized unit for the education and support of family caregivers of people with chronic heart disease, a unit in which, in addition to social support and mental health education, their needs in terms of knowledge of the disease and participation in the care of their patients would be met.
Ali Hosseinzadeh, Alireza Shameli, Somayyeh Esmailian, Esmaeil Mohammadnejad, Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study was conducted with the aim of determining the effect of peer education on outcome in people with heart failure.
Background. Heart failure is a complex clinical syndrome that is considered as a public health problem due to its chronic, progressive and irreversible nature.
Method. In this review study, a comprehensive search of scientific databases and search engines such as Science Direct, Scopus, PubMed, Google Scholar, and Medline using the keywords heart failure and peer education in both Persian and English language was done to find literature published between 2000 and 2018.
Findings. Studies about the effect of peer education on outcomes of heart failure patients in the country showed that these trainings have examined three outcomes of self-care, quality of life and self-efficacy in people with heart failure, and that this method has had a positive effect on all three components.
Conclusion. Peer education improves self-care, self-efficacy, and quality of life in people with heart failure. It is recommended to use this training program as an effective, cost-effective method without the need for specialized equipment.
Hedieh Salehpour, Samaneh Parchebafieh, Mohammad Saheb Al-Zamani, Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to evaluate the effect of cardiac rehabilitation training on patients' quality of life after coronary artery bypass grafting at Dr. Lavasani Hospital in Tehran.
Background. Coronary artery disease is the most common and serious chronic life-threatening disease. This disease affects many aspects of people's lives and reduces the quality of life. In many cases, coronary artery bypass graft surgery is needed to treat cardiac problems. Improving the quality of life is one of the important goals of participating in a cardiac rehabilitation program.
Method. In this one-group quasi-experimental study, 45 patients under coronary artery bypass graft surgery, hospitalized in Dr Lavasani Heart Hospital in Tehran, Iran, were selected by simple random sampling and were studied in a before-after design. Data collection tools included demographic questionnaire and Macnew Heart Disease Health-Related Quality of Life questionnaire. Cardiac rehabilitation training program was implemented in two sessions of 30 to 45 minutes with an interval of at least 24 hours at the time of hospitalization. Quality of life was measured in two stages, before the intervention and one month after the second training session. Data were analyzed in SPSS software version 25 using descriptive and inferential statistics.
Findings. The highest percentage of samples was male (57.8 percent), married (95.7 percent) and had primary education (47.8 percent). The mean age of women was 60.32±9.73 years, and the mean age of men was 60.50±12.60 years. After intervention, the mean quality of life score (128.71±4.95) increased significantly compared to the mean quality of life score before intervention (96.66±9.30) (p≤0.0001).
Conclusion. Cardiac rehabilitation in patients undergoing coronary artery bypass graft surgery can increase their quality of life. Nurses can play an important role in improving the quality of life of these patients through implementing cardiac rehabilitation training.
Fariba Nasiri Ziba, Farideh Mehrabani, Doctor Hamid Haqqani, Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to examine the relationship between quality of life and hope in people with ischemic heart disease.
Background. The increase in the number of patients with ischemic heart disease in recent years and its psychological and physical consequences and complications necessitates investigating their quality of life and hope.
Method. In this descriptive-correlational study, 150 people with ischemic heart disease hospitalized in Shahid Rajaie Cardiovascular Medical and Research Center in Tehran, Iran, were investigated. Data collection tools were demographic information questionnaire, France and Powers quality of life questionnaire (1999) and Snyder hope scale (1991). Data were analyzed in SPSS using descriptive and inferential statistical.
Finding. The results of the present study showed that the quality of life in people with ischemic heart disease was at a good level (mean score 20.64±3). The level of hope in these patients was high (the mean score 40.33±5). There was a statistically significant relationship between hope and quality of life score (P≤0.0001, r=0.48).
Conclusion. Regarding the positive relationship of quality of life with hope in ischemic heart patients, nurses can be advised to pay attention to these aspects of life in this group of patients and incorporate into their routine care.
Somayeh Esmaeilian, Shahab Papi, Soroor Sohrabi, Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present review study was conducted to investigate the effect of family-centered care education on outcomes of heart failure in Iranian patients.
Background. Heart failure is a complex clinical syndrome that poses a health problem due to its chronic, progressive, and irreversible nature.
Method. A comprehensive searching out scientific databases and search engines including Science Direct, Scopus, PubMed, Google Scholar, and Medline with the keywords heart failure and family-centered care education in both Persian and English language was done to find published studies between 2000 to 2020. Six articles were found based on inclusion criteria and reviewed to report their dominant findings.
Findings. Studies on the effect of family-centered care education on outcomes of heart failure in Iranian patients showed that this educational method has yield in effective results.
Conclusion. Family-centered care training improves and promotes self-care and quality of life in people with heart failure. Using this training program is recommended as an effective, cost-effective training method without the need for special equipment.
Monir Javer, Amin Rafiepoor, Mehrdad Sabet, Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to investigate the mediating role of perceived stress in the relationship between self-efficacy and quality of life in people with cardiovascular patients.
Background. Cardiovascular disease as a chronic and debilitating physical condition is one of the most common causes of death and can affect the quality of life. In this regard, it is necessary to identify variables related to quality of life in these patients.
Method. The present study was a descriptive-correlational study using structural equation modeling. The statistical population of the present study included all patients with cardiovascular disease referring to hospitals for cardiology and heart surgery, and cardiac rehabilitation centers in Tehran, Iran in 2019, of which 151 people were recruited based on inclusion criteria. Data collection tools included the Sullivan Cardiac Self-Efficacy Questionnaire, Cohen's Perceived Stress Questionnaire, and Quality of Life Scale (SF-36).
Findings. The results showed that negative perception of stress and positive perception of stress had a statistically significant negative and positive relationship with dimensions of quality of life, respectively. Self-efficacy had a statistically significant positive relationship with dimensions of quality of life. Perceived stress also mediated the relationship between self-efficacy and quality of life dimensions.
Conclusion. In planning necessary measures to improve the quality of life in people with cardiovascular patients, it would be helpful to develop programs to strengthen self-efficacy and reduce stress.
Behnaz Barbod, yasser yasser Rezapour Mirsaleh, Azadeh Choobfroushzadeh, Jalil Mirhosseini, Fahimeh Koohestani, Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The present study aimed to investigate the effect of spousal support and companionship intervention on quality of life, marital intimacy and stress of cardiovascular patients.
Background. Supportive care and attention to the psychological factors along with medical care in people with heart disease can help therapies to be more effective. Providing an appropriate emotional atmosphere in the family, along with attention to medical care such as medication and diet control, is one of the supports that people with heart disease can receive after coronary artery bypass graft surgery (CABG).
Method. This study was a semi-experimental research which was based on multiple baseline single-case study. The sample included 2 married male patients who had CABG and their wives which were selected among those referred to cardiac rehabilitation centers of Yazd City, Iran. The participants received 8 sessions of spousal support and companionship intervention. The participants answered to the questionnaires quality of life; stress, anxiety and depression; and marital intimacy, before, during, at the end and one month after intervention. The data were analyzed using visual analysis, improvement percentage and reliable change index.
Findings. Spousal support and companionship intervention increased the quality of life and decreased stress of patients, after intervention and in follow-up phases, but the patients’ marital intimacy did not change significantly after intervention.
Conclusion. The quality of life and stress of patients may be improved if the wives appropriately support and accompany their husbands after CABG.
Sara Adimi, Dr Mohammad Ali Azarbayj Ani, Nasim Naderi, Azin Alizadehasl, Volume 9, Issue 1 (3-2020)
Abstract
Aim. The present study was conducted to compare the effect of high-intensity interval training (HIIT) and moderate-intensity continuous training (MIT) (with and without blood flow restriction) on quality of life in cardiotoxic women after breast cancer treatment.
Background. Today, breast cancer is very common and cardiotoxicity is one of the most important non-avoidable complications after chemotherapy, which has a significant impact on patients’ quality of life. Using aerobic exercise training, with and without blood flow restriction, may improve quality of life of cancer survivors experiencing symptoms of cardiotoxicity. Restricting blood flow is already one of the methods used to enhance the effects of exercise training. On the other hand, previous studies show that different types of physical exercise have different physiological and psychological effects.
Methods. In this randomized clinical trial, 20 patients with cardiotoxicity after treatment for breast cancer were randomly divided into four groups including High-Intensity Interval Training (HIIT), Moderate Intensity Continuous Training (MIT), HIIT with Restricted Blood Flow (HIIT+BFR), and MIT with BFR (MIT+BFR). Interventions were applied for 12 weeks and three sessions per week. Patients in all groups completed the IHF-QoL quality of life questionnaire before and after 12 weeks of intervention.
Findings. The results of the present study showed that HIIT as well as the aerobic exercise with limited blood flow affects the quality of life of cardiotoxic patients. Quality of life scores in the HIIT+BFR group was significantly higher than that of the other groups. According to the scoring method in the questionnaire, increasing the individual score in each of the four areas of the questionnaire indicates a decrease in symptoms that disrupt the quality of life.
Conclusion. It seems that HIIT with BFR is a better way to deal with the symptoms that disrupt the quality of life, compared to HIIT without BFR, and also MIT (with and without restricting blood flow).
Helia Saremi, Sedigheh Khanjari, Shima Haghani, Seyed Mohammad Mahdavi, Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The present study was conducted with the aim of determining the quality of life (QoL) and spiritual health of parents of children after heart transplant in Iran.
Background. The child and his family enter a new phase of life after a heart transplant. Assessing the QoL and spiritual health of parents can determine the psychological and health consequences for children and their families.
Method. This was a descriptive cross-sectional study on 102 pairs of parents of children after heart transplantation in the hospitals Rajaie Cardiovascular Medical and Research Center in Tehran, Imam Khomeini Hospital in Tehran, and Razavi Hospital in Mashhad, using the consensus sampling method from November 2020 to June 2021. The questionnaires used in this study included the World Health Organization Quality of Life– BREF (WHOQOL-BREF) and Spiritual Well-being Scale. Data were collected in the forms of face-to-face and network communication (WhatsApp and Telegram). Data were analyzed using SPSS version 22 using descriptive and inferential statistics.
Findings. The mean score of QoL for mothers and fathers was 57.35±12.42 and 57.93±12.22, respectively. Also, the mean score of spiritual health for mothers and fathers was 90.68 ± 07.13 and 88.76 ± 12.78, respectively, which were considered as the average level. In general, these results may have been affected by the Covid-19 pandemic. Parents' QoL had no statistically significant relationship with demographic variables of them and their children. Mothers' spiritual health had a statistically significant relationship with their education (P=0.034), employment status (P=0.002) and age (P=0.024). Regarding fathers, the spiritual health showed a statistically significant relationship with the child's gender (P=0.016) and the waiting time for transplantation (P=0.023).
Conclusion. No difference was observed between fathers and mothers of the children after heart transplant in terms of the variables of QoL and spiritual health. This can indicate the same pressure on both mother and father to take care of the child, especially in critical situations such as the Covid-19 pandemic. In this situation, the support of these families by nurses and health workers to follow up their child's treatment, making an appointment to visit or to better understand their conditions in case of problems is of particular importance. More studies are needed to clarify the situation of these children and their families.
Safoora Asefmehr, Abdolmajid Bahranian, Fatima Shahabizadeh, Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The present study was conducted with the aim of comparing the effect of the cognitive behavioral group therapy based on mindful walking with the dialectical behavior therapy on psychological symptoms, quality of life and blood pressure in people with hypertension.
Background. High blood pressure can cause kidney failure and eye problems. High blood pressure is a health problem in industrialized and developing countries due to its high prevalence and association with cardiovascular diseases.
Method. The present study was conducted based on a semi-experimental pre-test post-test design with two experimental groups and one control group. Out of 87 volunteers, 45 patients were allocated to three groups based on random sampling. Data collection tools were the Beck Depression Questionnaires (1960), the Beck Anxiety Questionnaire (1990), and the World Health Organization Quality of Life Questionnaire. Cognitive-behavioral group therapy based on the Leahy Group Conscious Mind Walk (2011) and Dialectical Behavior therapy (Linehan, 1993) were implemented as interventions. Data were collected and analyzed in SPSS version 22 using descriptive and inferential statistics.
Findings. The results indicated a statistically significant difference of the effects of the two interventions with control group in terms of depression, anxiety, quality of life, and blood pressure (P≤0.0001). Also, the cognitive behavioral group therapy based on mindful walking had a greater effect on the quality of life and blood pressure of hypertensive patients compared with the dialectical behavior therapy.
Conclusion. To improve the quality of life and reduce the blood pressure of hypertensive patients, it is better to benefit from the cognitive behavioral group therapy based on mindful walking and to reduce the cognitive symptoms (depression and anxiety) of hypertensive patients, dialectical behavior therapy is beneficial.
Sayed Ehsan Kazemeini, Tahereh Ranjbaripour, Atefeh Nezhad Mohammad Nameghi, Sheida Sodagar, Dr Parisa Peyvandi, Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This study was conducted to compare the effect of “mindfulness-based cognitive therapy” and “acceptance and commitment therapy” on fatigue and quality of life in men with heart failure.
Background. Fatigue, as one of the important symptoms and complications of heart failure, affects the quality of life of the patients, their self-care and daily task performance. Mindfulness-based cognitive therapy and acceptance and commitment therapy may have an effect on these problems.
Method. This research was semi-experimental with a pre-test post-test design and control group within a three-month follow-up period. Forty five men with heart failure were purposefully selected and randomly allocated to two experimental groups and one control group (15 people in each group). Data were collected in three stages using the Iowa Fatigue Scale, and Minnesota Living with Heart Failure Questionnaire. Data analysis was done in SPSS-25 software with mixed analysis of variance test.
Findings. After intervention and in follow-up stages, both mindfulness-based cognitive therapy and acceptance and commitment therapy were effective on fatigue and quality of life in men with heart failure. The follow-up test showed a greater effect of acceptance and commitment therapy on quality of life and no statistically significant difference was found between the experimental groups in terms of effect on fatigue.
Conclusion. Both interventions, especially acceptance and commitment therapy, can be used as effective interventions on fatigue and quality of life along with medical treatments for men with heart failure in medical centers.
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