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Showing 15 results for Coronary Artery Disease
Hussein Karimi-Mooneghi, Mohammad Mojalli,
Volume 1, Issue 4 (3-2013)
Abstract
Abstract Aim. The aim of this review study was to describe psychosocial problems in patients with coronary artery disease and determine strategies to prevent and deal with. Background. The prevalence of cardiovascular diseases is rising in industrial and developing countries. According to the report of World Health Organization, cardiovascular diseases are accounted for a large percentage of mortalities. The most common cardiovascular disease is coronary artery disease that produces problems for people and worries in community. Method. A systematic search was conducted on studies published in the last 20 years by using databases such as OVID, PROQUEST, SCIENCE DIRECT, GOOGLE SCHOLAR, EBSCO, SID, MAGIRAN and IRAN MEDEX with keywords such as problems, patients, coronary artery disease and related keywords. Because the aim of this study was describing the psychosocial problems of patients after coronary artery disease, physical problems was excluded. Findings. About 70 article in English and 20 articles in Persian were found about psychosocial problems after coronary artery disease. Patients' problems were categorized in three categories: educational needs of patients with coronary artery disease, consequences of psychosocial outcomes of coronary artery disease, and different consequences for men and women with coronary artery disease. Conclusion. Because the heart is a sensitive organ, any heart disease can jeopardize patient identity, and psychosocial effects of heart disease is more prominent than physical effects. So, it is necessary to inform patients about the nature of disease and its causes, and how to implement secondary prevention and rehabilitation to return to work and normal life. Accordingly, continuous care for self-care is of great importance. This can be established by community-based clinics for secondary prevention. Especial attention to issues of women with coronary artery disease is essential.
Ali Farhadi, Yazdan Movahedi, Kolsoum Kariminajad, Masume Movahedi,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim. This study examines the effect of mindfulness-based cognitive therapy on depression in male patients with coronary artery disease. Background. After heart events such as acute myocardial infarction, the patient experiences psychological distress. Approximately 65 percent of anxiety symptoms predict poor quality of life reduce return to work and increase risk of mortality. Method.This is an experimental study with two groups and three stages. Forty male patients with coronary artery disease were randomly allocated to either control or trial group after they had been detected as having a "Beck depression inventory" score of one standard deviation higher than the mean score. The mean score of depression was also evaluated in both groups, immediately and two months after the intervention experimental group. The data were analyzed by SPSS Version 19 and covariance analysis. Findings.The results showed a statistically significant difference between groups in terms of depression score, immediately and two months after intervention in experimental group (P<0.0001). Conclusion.Based on the effect of mindfulness-based cognitive therapy on reducing depression in patients with coronary artery disease, it is suggested to implement this method for these patients.
Fatemeh Bahramnezhad, Elham Navab, Mojdeh Navid Hamidi, Nasrin Mehrnezhad,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Aim.This review study was done with the purpose of exploring the role of diabetes role in the development of atherosclerosis. Background.The process of accumulation of fat in the blood vessels is called atherosclerosis. The most important risk factors and aggravating condition of atherosclerosis are the accumulation of carbohydrates and diabetes. Method.In this study, we reviewed the electronic and manual searches of databases such as Medline, Embase, Springer, Blackwell Synergy, Elsevier, Scopus, Cochran Library and the databases SID, Iran Medex and Magiran within the time period of 2005 -2015. Findings.The most common cause of death in patients with diabetes is coronary artery disease. Because nitric oxide production is higher in diabetic patients, the process of atherosclerosis occurs more rapidly and coagulation cascade disorder leads to the platelet adhesion, so, diabetic people, especially women, are more prone to atherosclerosis and coronary artery disease. Conclusion.Nurses can modify several risk factors for atherosclerosis in these patients through education and follow-up, thereby, improving quality of life in these patients.
Reza Zeighami, Zahra Abbas-Ali-Madadi, Jalil Azimian, Mohammad Behnam-Moghadam,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. The purpose of this study was to review the effectiveness of new cardiac biomarkers.
Background. Cardiovascular diseases have been a heavy burden on the health system’s shoulders and caused about 30 percent of human's deaths annually. Irreversible myocardial injury occurs within around 15-20 minutes following the coronary artery occlusion. Therefore, early diagnosis of this problem is very important for the health care professionals to save patients’ lives. Nowadays, thanks to recognition of new biomarkers and using their characteristics, evaluating the short-term and long-term prognosis is possible.
Method. In this study, papers published within the time period 1980 to 2014, were considered. The papers were searched out by the keywords “cardiac biomarker”, “new cardiac markers”, “coronary diseases”, and “cardiovascular diseases” in Elsevier, Google Scholar, JAMA, Science Direct, Wiley, PubMed, and Iran Medex databases.
Findings. The results indicate that characteristic of each biomarker can play an important role to advance the goals of medicine and harm reduction in the cardiovascular patients. However, despite the high efficiency, routine usage of them is still unclear which indicates the need for further research in this field.
Conclusion. New biomarkers provide new insight about recognition of the causes of cardiovascular diseases, also their easy and rapid application with high sensitivity and predictive value will develop a dramatic change in the diagnosis and treatment of patients with cardiovascular diseases.
Mehdi Ghaderi, Amir Maleki, Majid Haghjoo,
Volume 4, Issue 2 (9-2015)
Abstract
Aim. The aim of this study was to investigate the role of social capital in healthy lifestyle promotion among people with Coronary Artery Disease (CAD).
Background. Social capital, one of the social determinants of health, plays an important role in promoting healthy lifestyle among people. Due to increasing incidence of CAD, research is needed about social capital and its relationship with healthy lifestyle among people with CAD.
Method. This cross-sectional study was conducted on 412 patients with CAD, including 239 men and 173 women, in 4 different wards (i.e. men and women internal wards, Diplomat and VIP wards) in Shahid Rajaie Cardiovascular, Medical and Research Center from January 2015 to June 2015. Data were collected by demographic characteristic form, Miyamoto et al. social capital questionnaire and researcher-made questionnaire of healthy lifestyle. Validity and reliability were confirmed by content analysis and Cronbach's alpha methods. The data were analyzed using SPSS with appropriate statistical tests.
Findings. There was a statistically significant difference between social capital in terms of gender (p=0.015). A statistically ssignificant correlation was found between social capital and healthy lifestyle (r=0.418, P<0.01). The highest correlation was observed between social capital and “health responsibility” component (r=0.384, P<0.01) and the lowest correlation was observed between social capital and “abstain from tobacco and alcohol’’ (r=0.107, P<0.01). Among social capital components, “social relationships” had the highest correlation with healthy lifestyle (r=0.511, P<0.01).
Conclusion. Social capital and its components have positive and important effects on healthy lifestyle and its subscales. It is necessary to emphasize community-based programs, such as strengthening social capital in the society to prevent and control chronic diseases, especially heart disease.
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.
Rasoul Heshmati,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of Mindfulness-Based Stress Reduction (MBSR) on depression and anxiety in people with coronary artery disease (CAD) treated with coronary artery bypass graft (CABG) surgery.
Background. Depression and anxiety are common in people with CAD treated with CABG. Therefore, it is important to investigate if effective therapeutic models can influence the negative emotions of these patients.
Method. The research method was single-subject and the statistical population of this study included all people with coronary artery disease who referred to Shahid Madani Hospital in Tabriz, Iran, during the second six months of the year 2016 for rehabilitation after surgery. The study sample consisted of four available people with CAD who received eight sessions of MBSR training by the researcher. The subjects were assessed before and after receiving the MBSR training by Beck Depression Inventory, and Beck anxiety Inventory. The data were analyzed through recovery percentage, percent of non-overlapping data (PND), standardized mean difference (SMD) and visual analysis of the charts.
Findings. The findings showed that MBSR training reduced anxiety and depression in people with CAD following treatment with CABG.
Conclusion. Based on these findings, it be can concluded that MBSR is an effective treatment for management of negative emotions of people with CAD treated with CABG.
Mohammad Ali Besharat, Somayeh Ramesh, Hossein Nogh,
Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. The purpose of the present study was to examine the predicting role of worry, anger rumination and social loneliness in to coronary artery disease.
Background. Adjustment to heart disease, as an stressful experience, is a difficult process and involves the patient in serious issues.
Method. A total of 327 people with coronary artery disease (138 women, 189 men) participated in this descriptive correlational study. Participants were asked to complete the Penn State Worry Questionnaire (PSWQ), Anger Rumination Scale (ARS), Social Loneliness Scale (SLS), and Adjustment to Illness Scale (AIS). Data were analyzed using Pearson correlation and stepwise regression.
Findings. Worry, anger rumination and social loneliness was found to have a statistically significant and negative correlation with adjustment to coronary artery disease; that is, with an increase in worry, anger rumination and social loneliness, the level of adjustment to coronary artery disease is reduced. According to Regression analysis, of the three analyzed variables, worry and social loneliness were predictors of adjustment to coronary artery disease, so that worry and worry with social loneliness predicted 35 and 41 percent of the variance of adjustment to coronary artery disease, respectively (p<0.01) .
Conclusion. Taking worry and social loneliness into consideration when planning preventive programs is a necessity. At an interventional level, together with the routine medical treatments, psychological interventions for worry and social loneliness has a great necessity as well.
Vida Mohamdiheris, Ali Shakerdolag, Ali Khademi, Ali Zeynali, Naser Safai,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of acceptance and commitment therapy on chronic pain, resilience and self-care in women with coronary artery disease.
Background. Women with cardiovascular disease have many problems in the field of physical and mental health and one of the effective methods to manage these problems is treatment based on acceptance and commitment.
Method. The study was conducted based on a quasi-experimental pretest-posttest with a control group design. The statistical population included all women with coronary artery disease who referred to Tabriz Heart Hospital within six months in late 2019 and early 2020. After reviewing the clinical interview, women were selected to enter the study based on inclusion criteria and randomly assigned to experimental (n=15) and control group (n=15). Data were collected using the Van Korf et al. Chronic Pain Scale, the Connor and Davidson Resilience Questionnaire, and the Rigel et al. Self-Care Scale. Data were analyzed by multivariate analysis of covariance in SPSS version 19.
Findings. The results showed that acceptance and commitment therapy had a statistically significant effect on chronic pain, resilience and self-care of women with coronary artery disease. Acceptance and commitment therapy reduces chronic pain and improves and increases resilience and self-care in women with coronary artery disease.
Conclusion. Acceptance and commitment therapy improved resilience and self-care and reduced chronic pain in women with coronary artery disease. It is recommended that therapists and health professionals use acceptance and commitment therapy along with other educational and therapeutic methods to improve health-related characteristics.
Zeinab Ghasemzadeh Kuchi, Masoumeh Zakerimoghadam, Maryam Esmaeili,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The present study was conducted to examine the effect of an empowerment program on the life satisfaction of patients with coronary artery disease.
Background. Because of the chronic and progressive nature of coronary artery disease, patients suffer frequent problems and relapses. Heart disease is considered as one of the debilitating diseases, and as such adversely affects the patient's self-care, quality of life, and health status.
Method. In this randomized clinical trial, 84 people with coronary artery disease, admitted to post-CCU wards in Tehran's Center for Heart diseases, were recruited in 2017. The study subjects were selected based on inclusion criteria. After explaining the study objectives and obtaining written signed consents, patients were assigned to experimental and control groups by blocking random allocation. Both groups completed questionnaires for demographic data and disease history, and Life Engagement Test. The Magic Empowerment Program was performed for experimental group as three workshop sessions for three consecutive days. Intervention continued after patients' discharge from the hospital through phone calls once a week for eight weeks. The Life Engagement Test was completed by the researcher for both groups, data were analyzed in SPSS-16 using descriptive and inferential statistics.
Findings. The results showed no statistically significant difference between groups in terms of demographic variables and disease history. Before intervention, there was no statistically significant difference between the mean scores of life satisfaction of experimental and control group and the two groups were homogeneous. After intervention, a statistically significant difference was observed between the groups in mean score of Life Engagement (P≤0.0001). The mean score of life satisfaction in experimental group, before and after the intervention was statistically significant (P≤0.0001), while in the control group there was no statistically significant difference.
Conclusion. The empowerment program increased life satisfaction of patients with coronary artery disease. Nurses can benefit from the empowerment program to improve life satisfaction, which is one of the dimensions of psychosocial health, in these patients.
Masoumeh Darvishi-Lord, Mohammad -Ali Besharat, Ali Zahed-Mehr, Hojjatollah Farahani,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to determine the moderating role of affective temperament in the relationship between biomarkers (troponin, white blood cell count, and neutrophil to lymphocyte ratio) and the severity of coronary artery disease.
Background. Coronary artery disease is the leading cause of death among adults worldwide and is considered as an inflammatory disease. Recent studies, in addition to biological factors, have focused on the role of psychological factors in the incidence and severity of this disease.
Method. In this study, 200 patients (145 males, 55 females) with coronary artery disease admitted to Shahid Rajaei Hospital in Tehran in 2018-2019 were selected by continuous sampling. Participants were asked to complete the positive and negative affectivity scale (Besharat, 2014). Also, the number of biomarkers was assessed through blood tests and the number of involved vessels was assessed through angiography and diagnosis by a specialist physician.
Findings. The results of hierarchical multiple regression showed that in the first step, 62 percent of the variance of coronary artery disease was predicted by biomarkers, and by entering the interaction between predictor variables (severity of coronary artery disease) and moderating variables (positive affectivity and negative affectivity), explanation of variance of the coronary artery disease increased by 9 percent and reached to 71 percent.
Conclusion. Based on the findings of the study, affective temperament affects the relationship between biomarkers and the severity of coronary artery disease, and therefore, as a psychological factor, could plays an important role in preventing coronary artery disease and decrease the number of deaths and the annual cost of this disease.
Maryam Bagholi Kermani, Mohsen Golparvar, Hamid Athashpour, Masoumeh Sadeghi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of integrative behavioral couple therapy, narrative couple therapy, and couple schema therapy on affective capital and depression among people with coronary artery disease.
Background. Coronary artery disease is one of the heart diseases that can cause problems for couples.
Method. This was a semi-experimental study with a pretest and posttest design and control group. The statistical population consisted of people with coronary artery disease and their spouses out of which 64 couples were selected by purposive sampling method and randomly assigned to three experimental groups and a control group (16 couples in each group). Affective Capital Questionnaire and Depression Inventory of Beck was used to assess dependent variables in two stages. The three intervention groups were each treated for 8 sessions of 90 minutes and the control group did not receive any treatment. The data were analyzed in SPSS by descriptive and inferential statistics.
Findings. In terms of affective capital, there was a statistically significant difference of integrative behavioral couple therapy, narrative couple therapy and couple schema therapy with the control group (p≤0.001), and of integrative behavioral couple therapy with narrative couple therapy and couple schema therapy (p≤0.001). For depression, there was a statistically significant difference of the three intervention groups with the control group, and of integrated behavioral couple therapy and couple schema therapy with couple narrative therapy (p<0.05).
Conclusion. According to the results, integrative behavioral couple therapy, couple schema therapy and narrative couple therapy are effective in increasing affective capital and reducing depression in people with coronary artery disease and their spouses. It is recommended that these three interventions be used for these patients and their spouses in cardiovascular disease centers.
Maryam Bagholi Kermani, Mohsen Golparvar, Masoumeh Sadeghi, Hamid Athashpour,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of narrative couple therapy, couple schema therapy and integrative behavioral couple therapy on hope and perceived stress among patients with coronary artery disease and their spouses.
Background. Coronary artery disease is one of the heart diseases that can make couples face problems and need help.
Methods. This research was a semi-experimental study with a pretest and posttest design and with a control group. The statistical population was people with coronary artery disease and their spouses in the winter of 2021. Sixty four couples were selected by purposive sampling method and randomly assigned to three experimental groups and a control group (16 couples for each group). Hope scale of Snyder and perceived stress of Leung et al. were used to assess dependent variables in two stages. The three intervention groups were each treated for 8 sessions of 90 minutes and the control group did not receive any intervention. The data were analyzed by analysis of covariance and post-hoc Bonferroni test.
Findings. The results showed that there was a statistically significant difference of integrative behavioral couple therapy and couple schema therapy with the control group in terms of hope (P≤0.0001), but there was no statistically significant difference between the narrative couple therapy and control group and between three interventions. About the perceived stress, the results showed that there was a statistically significant difference of integrative behavioral couple therapy, narrative couple therapy and couple schema therapy with the control group (p≥0.05).
Conclusion. Considering the effect of integrative behavioral couple therapy and couple schema therapy in increasing hope and effect of the mentioned two interventions and narrative couple therapy in reducing perceived stress among people with coronary artery disease and their spouses. It is recommended to use these interventions in cardiovascular treatment centers.
Vida Mohamdiheris, Ali Shakerdolag, Ali Khademi, Ali Zeynali, Naser Safai,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of acceptance and commitment-based therapy and emotion regulation education on chronic pain and self-care in women with coronary artery disease.
Background. Research shows that coronary heart disease is one of the leading causes of death and disability in the world, which reduces the useful efficiency of people. Psychological factors can change many aspects of patients' lives and relationships.
Method. The research design was quasi-experimental pre-test-post-test with control group. The statistical population in this study included all women with coronary artery disease referred to Tabriz Heart Hospital in 2020. Women who had inclusion criteria were selected and randomly assigned to the first experimental group (n=15), the second experimental group (n=15) and the control group (n=15). The first experimental group (emotion regulation education) was subjected to 12 sessions of 90-minute duration (three sessions per week), The second experimental group (acceptance and commitment-based therapy) received 8 sessions of 90-minute duration, and the control group did not receive any intervention. The chronic pain scale of Von Korff et al. and the self-care scale of Rigel et al. were used to collect the data. Data were analyzed by multivariate analysis of covariance and LSD post hoc test in SPSS Version 21.
Findings. The results showed that treatment based on acceptance and commitment and emotion regulation education have an effect on chronic pain and self-care of patients with coronary artery occlusion (P ≤0.0001), as they reduced chronic pain and improve patients' self-care. The results also showed that acceptance and commitment therapy has a greater effect on chronic pain and patients' self-care than emotion regulation education.
Conclusion. Attention to acceptance and commitment therapy and emotion regulation education can play a role in reducing the psychological problems of women with coronary artery disease.
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