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Showing 44 results for Quality
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.
Behnam Yari-Bajelani, Shiva Khaleghparast, Mohammad Imanipour, Ziae Totonchi, Ali Gholami, Sana Shahrabadi,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study aimed to examine the effect of open visiting hours on sleep quality, anxiety, and satisfaction of patients undergoing coronary artery bypass graft surgery (CABG).
Background. The importance of visiting patients after CABG has been emphasized in various studies, but there is insufficient evidence to confirm whether restricted /open visits may have more positive or negative effects than each other.
Method. In this clinical trial study, 60 post-CABG patients, admitted to Shahid Rajaei Cardiovascular, Medical and Research center, were randomly selected and divided into experimental (n=30) and control group (n=30). Patients in experimental group received an open visiting schedule (free visiting) and those in control group experienced a regular visiting schedule (restricted visiting). Anxiety was measured on the second and fourth days of hospitalization by the Spielberger Anxiety Inventory (STAI), sleep quality was measured by Richard Campbell and satisfaction was assessed through researcher-made questionnaire on the fourth day of hospitalization. Data were analyzed using independent t-test in SPSS-20 software.
Findings. There was a statistically significant difference between control and experimental groups in terms of anxiety mean score (43.97±6.76 against 35.90±4.31, respectively) (p≤0.0001). There was also a statistically significant difference between control and experimental groups in terms of mean score of patient satisfaction (46.13±7.15 vs 32.23±4.67, respectively) (p≤0.0001). A statistically significant difference was found between control and experimental groups in terms of sleep quality mean score (2.33±0.8 vs 3.33±0.75, respectively) (p≤0.0001).
Conclusion. Open visiting can reduces anxiety, and improves sleep quality and patients' satisfaction after CABG.
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.
Fatemeh Mohaddes-Ardebili, Naeimeh Seyedfatemi, Fatemeh Maroofkhani, Mohammad Reza Zarei, Leila Mamashli, Mehri Bozorgnezhad,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to investigate the relationship between spiritual health and sleep quality in people with heart failure.
Background. The quality of sleep in patients with heart failure is unfavorable compared to healthy individuals. It is stated that in some societies, spirituality is related to mental health and sleep quality.
Method. In this descriptive correlational study, 207 people with heart failure, who were recruited in the study through convenience sampling method, were given demographic questionnaires, Pittsburgh sleep quality and Alison and Palutzian spiritual health questionnaires. Data were analyzed using descriptive and inferential statistics in SPSS V24.
Findings. The mean total score of sleep quality was 8.90±3.16; indicating that the sleep quality of people with heart failure was at an unfavorable level. The mean total score of spiritual health was 93.36±9.20; demonstrating that the level of spiritual health of the people with heart failure was moderately high. There was a statistically significant positive relationship between sleep quality and spiritual health (r=0.175, p=0.026).
Conclusion. People with heart failure who have higher spiritual health experience better sleep quality. It is recommended to pay attention to spiritual health as well as to the physical health of patients when planning caring programs for these people.
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).
Narges Shojaei Kalatebali, Aliakbar Samari, Mahdi Akbarzadeh,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study was conducted to examine the effect of couple therapy with well-being therapy method on depression, marital life quality, optimism and social well-being in patients with cardiovascular disease.
Background. Patients with cardiovascular disease experience many problems in their marital life and health, and one of the effective methods for improving the characteristics of marital life and their health is possibly the couple therapy with well-being therapy method.
Method. This study was a semi-experimental pretest- posttest study with control group. The study population was patients with cardiovascular disease referred to Javad Al-Aeme Cardiovascular Hospital in Mashhad city, Iran, in 2021. Thirty patients and their couples were recruited by purposive sampling method based on inclusion criteria and allocated to experimental (n=15 couples) and control (n=15 couples) group by simple random sampling. The experimental group received 8 sessions of 90-minute duration (two sessions per week) couple therapy with well-being therapy method and during this period the control group did not receive any intervention. Data were collected through the self-reported questionnaires of depression, marital life quality, optimism and social well-being and analyzed by Chi-square, independent t-test and multivariate analysis of covariance in SPSS-19 software.
Findings. The findings showed that the experimental and control groups were not significantly different in terms of education, gender, age and duration of cardiovascular disease. Before intervention, there was no statistically significant difference between groups in terms of the mean scores of depression, marital life quality, optimism and social well-being, but after intervention, a statistically significant difference was groups between experimental and control group in the mean scores of all four variables (P≤0.0001). The couple therapy with well-being therapy method led to reduced depression (F=192.046, P≤0.0001) and increased marital life quality (F=329.770, P≤0.0001), optimism (F=230.267, P≤0.0001) and social well-being (F=359.558, P≤0.0001) in patients with cardiovascular disease.
Conclusion. The results of this study indicated the effect of couple therapy with well-being therapy method on reducing depression and increasing marital life quality, optimism and social well-being in patients with cardiovascular disease. Health professionals and therapists can use this method to improve the characteristics of marital life and those related to health.
Sayed Ehsan Kazemeini, Tahereh Ranjbaripour, Atefeh Nezhadmohammad Nameghi, Sheida Sodagar, Parisa Peyvandi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of mindfulness-based cognitive therapy and acceptance and commitment therapy on sleep quality and health promoting lifestyle behaviors in patients with heart failure.
Background. Consequences of heart failure create problems with sleep quality and lifestyle that affect the course of the disease. Mindfulness-based cognitive therapy and acceptance and commitment therapy are some of the potential effective interventions on those.
Method. The present study was a quasi-experimental with a pretest-posttest design and a control group with quarterly follow-up. The sample size was 45 people which were purposefully selected and then randomly assigned to two experimental groups (n=30) and one control group (n=15). Data were collected in three stages using the Sleep Quality Index Pittsburgh of Boyce et al. (1989) and the Health-Promoting Lifestyle Questionnaire of Walker et al. (1987). Mindfulness-based cognitive therapy and acceptance and commitment therapy for experimental groups were performed and data analysis was performed in SPSS-25 software through analysis of covariance.
Findings. Both acceptance and commitment therapy and mindfulness-based cognitive therapy in post-test and follow-up (F=181.224, P≤0.0001) and (F=62.315, P≤0.0001), improved sleep quality and health-promoting lifestyle behaviors when compared to the control group. Despite the effect of both interventions, the superiority of acceptance and commitment therapy (P< 0.001) on health promoting lifestyle was found. There was no statistically significant difference between two interventions (P=0.967) in terms of improving sleep quality.
Conclusion. According to the results, both interventions were effective on sleep quality and health-promoting lifestyle behaviors, especially acceptance and commitment therapy was more effective on health-promoting lifestyle behaviors, so, in medical settings it can be used along with medical treatments for patients with heart failure.
Soheila Salmanian, Sheida Jabalameli, Maryam Moghimian, Fariba Arjmandi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study was conducted to examine the effect of mentalization-based therapy and emotion-regulated therapy based on the Gross process model on psychological well-being and quality of work-life of nurses in intensive care units.
Background. Improving nurses' well-being and satisfaction with their quality of work-life improves the nurse-patient relationship and hospitals' performance from an organizational point of view. It is necessary to provide psychological therapeutic interventions to this crucial group of health care providers.
Method. This study was an experimental study (pre-test post-test with control group) in which 45 nurses working in intensive care units of selected Tehran hospitals, Iran, were selected by the convenience sampling method, and assigned to two intervention groups and one control group (15 nurses in each group). Reef's short-term psychological well-being and Walton's 32-item quality of work-life were used to measure dependent variables of the study. Then, mentalization-based therapy group received intervention in 8 sessions of 90 minutes as one session per week; and the treatment group based on emotion regulated therapy based on the Gross process model received the intervention in 8 sessions of 90 minutes, one session per week based on the protocol. No intervention was implemented for the control group. Data were analyzed using descriptive and inferential statistics in SPSS software.
Findings. Before the intervention, there were the highest scores for quality of work-life in the control group. At the end of the study and after the intervention, the scores of quality of work-life increased in all three groups, and no statistical significant difference was found between the groups. Before the intervention, the highest scores for psychological well-being was observed in the mentalization-based therapy group. (85.86±6.56), and after the intervention, although the psychological well-being scores of both interventions groups were higher than that of control group, but this diferrence was not statistically significant.
Conclusion. Based on the findings of this study, it seems that training sessions of mentalization-based therapy and emotion-regulated therapy based on the Gross process model improve the quality of work-life in nurses working in intensive care units, but the improvement was not statistically significant.
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.
Nasim Sedighian, Elham Nomiri, Ali Ghorbani, Shadieh Sadegh Sheykhi,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The aim of the present study was to investigate the relationship of sleep quality and perceived stress with depression in women with acute myocardial infarction and anxiety symptoms.
Background. Depression is a common disorder with a lifetime prevalence of about 15 percent, and today it is considered the main cause of disability worldwide and ranks fourth among the ten main causes of the global burden of disease, which is characterized by long-term periods, a variety of symptoms. It is accompanied by a high rate of recurrence and many physical and mental disorders.
Method. Descriptive-correlational research design was selected for conducting the study. Statistical population included the women with acute heart attack living in Tehran in year 2022. Seventy people who scored higher than average in the anxiety questionnaire were selected as the research sample. The tools of data collection in this research were anxiety, depression, sleep quality and perceived stress questionnaires.
Findings. The results showed that there was a positive and statistically significant relationship between sleep quality and negative perceived stress and depression, and also a negative and statistically significant relationship was found between positive perceived stress and depression. Sleep quality, negative perceived stress, and positive perceived stress could predict respectively 0.18, 0.20, and 0.08 of changes in depression score.
Conclusions. Sleep problems can cause psychological distress and decrease concentration in people, so it can be expected that an increase in sleep problems can reduce a person's energy, and by increasing anxiety, it can cause an increase in psychological problems such as depression. Therefore, people who suffer from heart disease often endure a high level of anxiety due to the risk of the disease, which can be associated with increased sleep problems, thus leading to depression in them.
Soroosh Golestanifar, Zahra Dashtbozorgi, Parviz Asgari, Alireza Heidari,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. This study was conducted with the aim of determining the effect of emotion-focused couple therapy on marital life quality, covert relational aggression and psychological health of couples with cardiovascular disease.
Background. Patients with cardiovascular disease face many problems in their marital life and psychological health, and the use of couple therapy methods is necessary to improve them.
Method. This study was a semi-experimental pretest-posttest design with control group. The study population was patients with cardiovascular disease (including hypertension, acute coronary syndrome, infarction, angina pectoris and constrictive pericarditis) referred to Razi Hospital in Ahvaz city, Iran in 2023. The sample size for each group was considered to be 13 couples, and these couples were selected by purposive sampling method based on inclusion criteria. The experimental group received 8 sessions of 90 minutes duration (two sessions per week) in the form of emotion-focused couple therapy and during this time, the control group did not receive any intervention. Data were collected with the scales marital life quality (Zhang et al., 2013), covert relational aggression (Nelsno & Carroll, 2006) and psychological health (Najarian & Davoodi, 2001) and were analyzed with Chi-square test, independent t-test and multivariate analysis of covariance in SPSS-26 software.
Findings. There was no statistically significant difference between the experimental and control groups in terms of age, education, illness duration and type of couple illness. In the pre-test stage, the groups did not differ significantly in terms of the mean score of marital life quality, covert relational aggression and psychological health, but in the post-test stage, there was a statistically significant difference in the mean score of all three variables (P≤0.0001). In this way, the emotion-focused couple therapy improved married life quality (F=125.366, P≤0.0001), reduced covert relational aggression (F=206.601, P≤0.0001) and improved psychological health (F=175.052, P≤0.0001) in couples with cardiovascular disease.
Conclusion. The results of this study showed the effect of emotion-focused couple therapy on improving the marital life quality, reducing the covert relational aggression, and improving the psychological health of couples with cardiovascular disease. Therefore, counselors and therapists can use emotion-focused couple therapy along with other effective treatment methods to improve variables related to marital life and psychological health.
Niloofar Ahmadi, Masood Rezaei, Mohammadreza Zarei, Shima Haghani , Fatemeh Rashidi, Mohammad Abbasi,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. This study aims to assess the impact of education based on the Pender’s health promotion model on quality of life and medication adherence in patients with implantable cardioverter defibrillator (ICD).
Background. Heart failure is a chronic condition in which the heart is unable to provide adequate circulation to meet the metabolic needs. One of the common complications of this disease is sudden cardiac death due to
arrhythmias. Implantable cardioverter defibrillators (ICDs) are recognized as an effective treatment for this issue, as they detect life-threatening arrhythmias and deliver electrical shocks to restore the heart's rhythm to a normal sinus rhythm. Despite the life-saving benefits of these devices, ICD shocks may have negative effects on patients' quality of life. Additionally, poor medication adherence remains a major challenge, leading to treatment failure, increased complications, and higher healthcare costs. Through the implementation of various educational models and health strategies, nurses can effectively influence patients' awareness, attitudes, and health behaviors. The Pender’s Health Promotion Model (HPM) is a framework that leverages individuals' experiences, emotions, perceptions, and
behaviors to improve health outcomes.
Method. This is a study protocol for a randomized clinical trial that will be conducted at Shahid Rajaei Cardiovascular Institute in Tehran. Patients with heart failure who undergo ICD implantation will be randomly assigned to the intervention and control group. Both groups will complete a demographic information form, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the Morisky Medication Adherence Scale (MMAS-8). The intervention group, in addition to receiving the standard hospital educational program, will
participate in a 45-minute in-person session at discharge. This session will introduce the number and content of the educational sessions and emphasize the importance of continuous participation. Subsequently, five 30-minute virtual educational sessions will be conducted twice weekly, based on the Pender’s Health Promotion Model. Additionally,
weekly telephone follow-ups will be conducted for one month to monitor adherence to recommendations and address potential issues. The control group will receive only the standard hospital education program at discharge. At the end of the study, both groups will complete the MLHFQ and MMAS-8 questionnaires again to assess outcomes.
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