Abstract
Aim. This study aimed to determine the effect of health promoting lifestyle training on vitality, psychological well-being and blood pressure of women with cardiovascular disease.
Background. Women with cardiovascular disease have many problems in physical and mental health and one of the effective methods in this field is health promoting lifestyle training method.
Method. This was a quasi-experimental study with pretest-posttest and follow-up design with control group. The study population consisted of women with cardiovascular disease referred to Rajaie Cardiovascular Medical and Research Center in Tehran, Iran, in 2019. The sample consisted of 40 women who were selected by purposeful sampling method and randomly allocated into experimental and control group. The experimental group received eight 75-minute educational session (one session per week) on health promoting lifestyle and the control group placed on the waiting list for training. Data were collected using questionnaires vitality and psychological well-being and sphygmomanometer and were analyzed by Chi-square test, independent t-test, repeated measures and Bonferroni post-hoc test in SPSS Version 19.
Findings. In the pretest stage, there was no statically significant difference between the experimental and control group in terms of vitality, psychological well-being and blood pressure, but in the posttest and follow-up stages, there was found a statically significant difference in terms of all three variables of vitality, psychological well-being and blood pressure, meaning that health promoting lifestyle training method led to increase vitality and psychological well-being and decrease blood pressure of women with cardiovascular disease. This effect continued in follow-up stage.
Conclusion. The method of health promoting lifestyle training led to improve the vitality, psychological well-being and blood pressure of women with cardiovascular disease. It is recommended that health care providers use health promoting lifestyle training method along with other educational and therapeutic modalities to improve the health-related components.

Abstract
Aim. This study was conducted to compare the effect of positivism education and health promoting lifestyle education on psychological well-being and health anxiety in people with cardiovascular disease.
Background. People with cardiovascular disease have problems in the terms of psychological well-being and health anxiety and positivism education and health promoting lifestyle education are likely to be effective in improving psychological well-being and health anxiety.
Method: The present study was a semi-experimental study with pre-test and post-test design with a control group. The study population consisted of people with cardiovascular disease who referred to Golestan Hospital of Ahvaz city, Iran, in 2021. Sixty people were recruited by purposive sampling method based on inclusion criteria and randomly assigned to three equal groups. Experimental groups separately underwent 8 sessions of 90-minute duration by positivism education and health promoting lifestyle education, respectively, and during this time the control group did not receive any intervention. Data were collected by the demographic information form, short form health anxiety inventory and psychological well-being revisited questionnaire, and were analyzed by Chi-square, univariate analysis of variance, multivariate analysis of covariance and Bonferroni post-hoc test in SPSS-19 software.
Findings. The findings showed that the experimental and control groups did not significantly differ in terms of gender, education level, age and duration of cardiovascular disease. Both methods of positivism education and health promoting lifestyle education were effective in improving psychological well-being and health anxiety in people with cardiovascular disease (P≤0.0001), but there was no statistically significant difference between the intervention methods in improving psychological well-being and health anxiety.
Conclusion. The effect of both methods of positivism education and health promoting lifestyle education on improving psychological well-being and health anxiety was confirmed and there was no significant difference between these methods in improving psychological well-being and health anxiety. Therefore, health professionals and therapists can use both methods to improve health-related characteristics.