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Showing 29 results for Anxiety
Sima Hashemy, Masoomeh Zakerimoghadam,
Volume 1, Issue 4 (3-2013)
Abstract
Abstract Aim. The aim of this study was to examine the effect of muscle relaxation and music therapy on anxiety level in patients waiting for cardiac catheterization. Background. Anxiety is one of the most common human emotions from positive or negative experiences of life. High levels of anxiety have many unwanted effects on the body systems. In stressful situations such as invasive diagnostic techniques, the person experiences high level of anxiety. One of the main responsibilities of nurses is to control anxiety in patients with pharmacological and non-pharmacological methods. Method. This quasi-experimental study was conducted in one hospital affiliated to Tehran University of Medical Science. After obtaining approval and written consent, 150 patients, waiting for cardiac catheterization, were randomly divided into three groups of muscle relaxation, music therapy and control. Data were collected by demographic form and self-report form of anxiety through interview. One hour before cardiac catheterization, the level of anxiety was measured in all groups, then, muscle relaxation group was asked to perform Benson muscle relaxation for 20 minutes based on listening to a recorded tape of guidance by headphone. At the same time, the music therapy group listened to music tape by headphone. Control group received no intervention but standard nursing care. Immediately before cardiac catheterization, the level of anxiety was measured again in all groups. Data were analyzed by SPSS using Fisher exact test, Mann-Whitney and Kruskal-Wallis tests. Findings. Immediately before catheterization, patients' anxiety level was significantly reduced (p<0.001) in muscle relaxation and music therapy groups, while it increased in the control group. Immediately before catheterization, a statistical significant difference was found between levels of anxiety in groups (p<0.001). Conclusion. Both Benson muscle relaxation and music therapy significantly reduced anxiety level of patients and music therapy had more effect on the anxiety level of patients waiting for cardiac catheterization.
Masoumeh Zakerimoghadam, Shahrzad Ghiasvandian, Pegah Salahshoor, Anooshirvan Kazemnezhad,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim. This study was conducted to examine the effect of supportive nursing program on depression, anxiety and stress of family members of patients during coronary artery bypass graft surgery. Background. patient’s family members experience high levels of depression, anxiety and stress during coronary artery bypass graft surgery. Informational and emotional support of family members during surgery may have significant effect on reducing their psychological distress and enabling them to better support of the patient. Method. This semi-experimental study was conducted on 104 relatives of patients. They were recruited in the study with regard to the inclusion criteria and assigned to either experimental (n=52) or control (n=52) group. The experimental group received supportive nursing program including informational and emotional support. The control group only received routine interventions. Data were collected by demographic form and modified Depression Anxiety and Stress Scale (DASS). The data were analyzed by Chi-squire and T-test using SPSS software, version 21. Findings. There were no statistically significant differences between control and intervention group regarding the mean scores of depression, anxiety and stress before surgery. After intervention (at the end of surgery) experimental group reported significantly lower levels of depression, anxiety and stress (P<0.0001). Conclusion. According to the finding, supportive nursing program could reduce depression, anxiety and stress of family members of patients during coronary artery bypass graft surgery so, we suggest this program as an effective intervention to support family members during coronary artery bypass graft surgery.
Pouya Farokhnezhad-Afshar, Zahra Khajali, Rasoul Azarfarin, Azam Mahmoudi,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Aim.The purpose of this study was to examine the effect of white noise on the anxiety of patients in the Cardiac Care Unit (CCU). Background. Many patients with cardiovascular disease suffer from some degree of anxiety after admission to CCU. Anxiety adversely affects patients' recovery. Method.This was a quasi-experimental study conducted in ShaheedRajaei Cardiovascular Center, Tehran in 2014. Ninety patients admittedto the cardiac care unit were recruited in the study based on convenience sampling and divided into experimental and control group (45 patients in each group). Anxiety was measured in both groups for 2 consecutive days by DASS-21 questionnaire. In the experimental group, white noise with an intensity of 50 to 60 decibels was played for 30 minutes. Data were analyzed by SPSS , version 17, using independent t-test, paired t-test and chi-square test. Findings. In control group, the difference between mean scores of anxiety, before and after intervention was not statistically significant (5.17±3.90 and 4.73±3.77, respectively p=0.08). In the experimental group, the difference between mean scores of anxiety, before and after intervention was statistically significant (5.38±3.87 and 4.58±3.71, respectively p=0.01). Conclusion.The white noise can reduce the anxiety of patients admitted to CCU. This method can be used as a simple and low-cost non-pharmacological intervention for these patients.
Tahereh Najafi Ghezeljeh1, Hossein Salehzadeh, Forough Rafii, Hamid Haghani,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract
Aim. This study aimed to examine the effect of music intervention on anxiety in patients with heart failure.
Background. Anxiety as a psychological problem can increase heart rate, respiration rate and blood pressure all of which have an advert effect on heart in patients with cardiovascular disease, particularly patients with heart failure.
Method. This controlled clinical trial study was conducted in Doctor Shariati Hospital affiliated to Tehran University of Medical Sciences. In this study, in each group (control, and music intervention), 25 hospitalized patients with heart failure were recruited through convenience sampling. Then, patients were allocated to groups by simple randomization. Data were collected by demographic characteristic form and Spiel Berger anxiety assessment questionnaire. In music group, music including two of the three types of classical, gentle and Iranian traditional music was played for 20 minutes after meeting for 3 sequential days by a tape recorder and headphone. Before and 15 minutes after intervention, patients' anxiety was measured and compared. Data was analyzed by using independent t-test, Paired t-test, Fisher’s exact test through SPSS.
Findings. There was a statistically significant difference between control and music intervention groups regarding anxiety score. Also, there was a statistically significant difference, before and after music intervention in anxiety score of patients with heart failure (p<0.0001). Conclusion. The findings indicated that music intervention significantly reduces anxiety in patients with heart failure. Because of the importance of anxiety reduction in patients with heart failure, it is proposed that music intervention be used in the care of these patients.
Nasim Mehranfard, Jaleh Mohammad Aliha, Mojdeh Navidhamidi, Anushirvan Kazemnejad, Kiarash Saatchi,
Volume 3, Issue 3 (12-2014)
Abstract
Aim. The purpose of this study was to examine the effect of acupressure on anxiety in patients under mechanical ventilation.
Background. Mechanical ventilation is a frequently used technological modality for patients in Intensive Care Unit (ICU), and this treatment has potential to produce a variety of unpleasant stress and physiological and psychological complications. Anxiety is one of the most common mental reactions in patients under mechanical ventilation. Acupressure as a non-pharmacological approach may improve anxiety in these patients without side effects.
Method. This was a randomized block experimental study in which 164 ventilated patients with stable hemodynamics and GCS≥9 who had study criteria were randomly allocated into experimental or control group. Patients in the experimental group received two sessions/day of acupressure along with routine care for two consecutive days, but patients in the control group received only routine care. The anxiety was measured with Faces Anxiety Scale (FAS), before, right after, and one hour following every acupressure session. The data were analyzed by SPSS software using descriptive and inferential statistics.
Findings. Baseline anxiety level was high in most of patients. Anxiety in the experimental group decreased significantly (p=0.032) when compared with control group, over time. Anxiety was significantly different between groups, right after intervention in every session of acupressure (p<0.0001). In the experimental group, time-dependent changes of anxiety was statistically significant (p<0.0001) and anxiety was significantly different before and right after intervention in every session of acupressure (p<0.0001). The amount of change in anxiety was not significantly different between sessions.
Conclusion. Acupressure therapy could reduce anxiety significantly in patients with mechanical ventilation. Critical care nurses can use this non-pharmacological approach to reduce anxiety in patients under mechanical ventilation.
Sahar Najafi, Hamid Peyrovi, Hamid Haghani,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. This study aimed to examine the effect of intraoperative progress report on anxiety of family members of patients under cardiac catheterization.
Background. Diagnostic and therapeutic procedures for CAD produce considerable anxiety in family members of the patient. Simple and clear explanations about physical and emotional status of the patient may decrease family members’ anxiety.
Method. This quasi-experimental study was conducted on 90 family members (45 in control and 45 in experimental group) of patients referred to angiography department of Imam Khomeini Hospital, Tehran. Intraoperative progress report was implemented for experimental group. Data collection tools were demographic form and Spielberger questionnaire. The data were analyzed in SPSS version 17, using descriptive and inferential statistics.
Findings. Before intervention, there was no statistically significant difference between anxiety scores for experimental (57.64±6.52) and group (50.11±8.32). After intervention, anxiety score in experimental group (46.22±5.18) was significantly lower than that of control group (57.48±7.20) (P<0.0001). Within-group comparisons showed that changes in anxiety score was statistically significant in both groups, it is to be noted that changes in anxiety score in experimental group was decreasing, while for the control group was increasing.
Conclusion. According to the findings, intraoperative progress report during angiography in a simple and clear manner that is understandable for family members may decrease their anxiety. It is suggested to include this supportive intervention as part of nursing care delivered by nurses in angiography departments.
Mohammad-Ziae Totonchi, Rasoul Azarfarin, Hoda Jorfi,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. This study aimed to evaluate the effect of preoperative cardiac surgery nursing care education on anx-iety, quality of sleep, fasting time and cardiac medication usage in cardiac surgery patients.
Background. Cardiac surgery is one of the most important therapeutic approaches in patients with heart diseases. According to previous studies it is necessary to reduce the anxiety level and improve the quality of sleep the night before surgery, fasting according to standard protocols and continuing usage of cardiac medications.
Method. This study was a quasi-experimental trial in which patients were studied in two groups (before-training group and after-training group). One hundred cardiac surgery patients were selected based on in-clusion criteria as before-training group and evaluated in terms of anxiety level, quality of sleep, fasting time and cardiac medication usage in the night before surgery. Sampling lasted for 42 days. Then, all of the surgical nurses were trained individually for a week, and given pamphlets. Their educational content in-cluded the latest fasting protocols, non-pharmacological methods of reducing anxiety and improving quality of sleep and emphasizing on the importance of cardiac medication usage in the night before surgery. Then, another 100 patients were evaluated as the after-training group. Sampling from this group lasted for 38 days. The tools included demographic sheet and Spielberger anxiety questionnaire. Data were analyzed with SPSS software.
Findings. The findings of this study showed a statistically significant difference in anxiety level between before-training group and after-training group (P<0.0001). Also, there was a significant statistical differ-ence in quality of sleep between two groups (P=0.004). But, there was not a statistically significant differ-ence in fasting hours and cardiac medication usage between two groups.
Conclusion. According to the findings, educating preoperative cardiac surgery nursing care decreased anxi-ety level and improved quality of sleep in after-training group. But this intervention neither decreased fast-ing hours nor increased continuing cardiac medication usage in after-training group.
Dr Tahereh Najafi Ghezeljeh, Dr Hossein Salehzadeh, Dr Forough Rafii,
Volume 5, Issue 1 (6-2016)
Abstract
Aim. This study aimed to
compare the effects of Swedish massage and preferredmusic intervention on
anxiety in patients with chronic heart failure. Background. Anxiety can affect the
comfort and health of patients.One of the goals of nursing care is providing comfort
for patients. Use of complementary therapies including Swedish massage and
preferred music can be effective in improving anxiety. Method. This quasi-experimental
study with pre-test post-test design with control group was conducted in Doctor
Shariati Hospital of Tehran University of Medical Sciences. In this study, in
each group (control, Swedish massage and music intervention), 30 hospitalized
patients with chronic heart failure were recruitedthrough convenience sampling.
Then, patients were allocated to groups by simple randomization. Data were
collected by Spielberger anxiety assessment questionnaire. Swedish massage was
conducted daily for 20 minutes at evening for three consecutive days by using
almond oil. In music group, patient’s' preferred music including two of the
three types of classical, gentle and Iranian traditional music was played for
20 minutes at evening for 3 sequential days by a tape recorder and headphone.
Before and 15 minutes after intervention, patients' anxiety was measured and
compared. Data were analyzed in SPSS version 21 using ANOVA, Paired t test, Fisher’s exact test. Findings. The results showed
that patients' preferred music and Swedish massage significantly reduced
anxiety in patients with chronic heart failure, although Swedish massage
reduced anxiety of patients' with chronic heart failure more than music
intervention (p<0.0001) Conclusion. The findings indicated
that patients who received Swedish massage experienced lower levels of anxiety.
Regarding the importance of anxiety control in patients with heart disease, it
is proposed that Swedish massage can be used in the care of these patients and
it is preferred to the music intervention.
Faezeh Soltani, Seyed Fakhraldin Hosseini, Mansoor Arab,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim.
This
study aimed to determine the relationship of spiritual experiences with the
life expectancy and death anxiety in patients undergoing coronary artery bypass
grafting (CABG).
Background.
The
patients undergoing CABG experience a critical situation that requires taking
into account such factors as life expectancy, spiritual experience, and death
anxiety. During taking care of these patients, nurses must consider these
experiences and their relationship.
Method.
In this descriptive-analytic study, 150 patients undergoing coronary artery
bypass surgery in hospitals located in Kerman city, Iran, were recruited within
an 8 months period in 2015. Data were collected using a questionnaire including
demographic data, Templer Death Anxiety Scale, Adult Hope Scale and the Scale
of Daily Spiritual Experiences (DSES). Data were analyzed in SPSS version 20
using Pearson correlation test, Independent T-test, ANOVA and multiple linear
regression.
Findings.
There
was a statistically significant negative correlation of daily spiritual
experiences with death anxiety (p=0.004) and death anxiety with life expectancy
(p≤0.0001). There was also a statistically significant positive correlation
between spiritual experiences and life expectancy (p≤0.0001). Multiple linear
regression analysis showed that age and life expectancy predicted 61 percent of
changes related to spiritual experiences.
Conclusion. The
findings suggest that paying attention to spiritual experiences of patients may
increase life expectancy and reduce the death anxiety. It is suggested to
include supporting, facilitating and attending to the spiritual needs of
patients in nursing care plans for these patients.
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Tahereh Najafi Ghezeljeh, Hojatollah Sedghian, Fatemeh Mohades Ardabili,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of Benson relaxation technique on anxiety of critical care nurses.
Background. Anxiety is one of the important factors affecting nursing profession and the quality of care. Some complementary interventions such as Benson relaxation techniques may affects anxiety.
Method. This was an experimental study (pretest-posttest with control group design) in which 63 critical care nurses of Shahid Rajaie Cardiovascular, Medical and Research Center, Tehran in 2015. Stratified samples were selected based on ward and randomly allocated to to experimental and control group. Benson relaxation technique was implemented by experimental group for 20 minutes, twice a day, with at least six hours interval, and for a two weeks period. Data were collected through demographic questionnaire and Spielberger questionnaire. Data were analyzed in SPSS version 21 using Chi-square test, t-test, Fisher's exact test and repeated measures ANOVA.
Findings. In experimental group, the mean and standard deviation of anxiety, before the intervention and one and two weeks after intervention were 42.19±4.85, 43.67±7.55 and 42.12±6.12, respectively. A week after the intervention, the two groups had significant difference in terms of anxiety. The mean score of anxiety in the control group was more than nurses in the intervention group (P=0.011). Also, following application of Benson relaxation, anxiety intensity decreased in the intervention group as compared to baseline. In the control group, the mean score of anxiety increased overtime.
Conclusion. Implementation of Benson relaxation can reduce the anxiety of critical care nurses. This method is proposed as part of the nurses' anxiety reduction programs by managers and officials in medical centers.
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.
Samira Rezvanirad, Ali Shaker Dioulagh,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study was conducted to compare self-efficacy, life expectancy and death anxiety in people with and without heart disease.
Background. Cardiovascular diseases are the most common cause of mortality in many countries including Iran. This chronic disease may affects self-efficacy, life expectancy and death anxiety.
Method. The present study was a comparative study in which 75 people with heart admitted to Seyyed Al-Shohada hospitals, Urmia, Iran were compared with 75 individuals without heart disease in terms of self-efficacy, life expectancy and death anxiety. To collect the data, the Snyder Life Expectancy Questionnaire, General Sherer's Manual, and Thompson's Death Fear was used. Data were analyzed in SPSS software using descriptive and inferential statistics.
Findings. This study showed a statistically significant difference between people with and without heart disease in self-efficacy (51.36±9.11 against 66.30±10/60) (P≤0.0001) and life expectancy (39.66±8.78 against 46.12±6.87) (P≤0.0001). No statistical significant difference was found between the groups in terms of death anxiety.
Conclusion. It is recommended to take actions for improving self-efficacy and life expectancy in people with heart disease.
Mohamad Oraki, Masud Janbozorgi, Ahmad Alipor , Fateme Nequee,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. This study was conducted to determine the effect of cognitive-behavioral rehabilitation based on stress immunization training on anxiety, stress and depression in patients with coronary artery bypass graft surgery.
Background. Stress, anxiety and depression that play an important role in coronary artery disorders, are being considered as a hindrance to recovery after CABG. Providing the patient with correct coping strategies with stress seems to be helpful in preventing the recurrence.
Method. The study was a quasi-experimental with control group with pretest-posttest design. The statistical population of this study included patients who had coronary artery bypass graft surgery and referred to the Rehabilitation center of Tehran Heart Hospital, Tehran, Iran. Thirty subjects were selected by continuous sampling method and randomly assigned into experimental and control group. The instruments for data collection were “Depression, Anxiety and Stress Scale” (DASS-21), which completed before and after the intervention. The experimental group was exposed to stress immunization training in 10 sessions of 90 minutes. To analyze the data, multivariate covariance analysis, and one-variable covariance analysis were used in SPSS software.
Findings. Stress immunization training significantly influenced the anxiety (p≤0.0001; F=0.39), stress (p≤0.0001; F=0.35), and depression (p≤0.0001; F=0.68) scores of the experimental group compared to the control group.
Conclusion. Stress immunization training plays an important role in reducing negative emotions (anxiety, stress and depression) in patients with coronary artery bypass graft surgery. It is recommended to use this intervention for patients undergoing CABG.
Mis Shirin Sheikhi, Mis Narges Sadeghi,
Volume 7, Issue 3 (12-2018)
Abstract
Absrtact
Aim. The aim of this study was to determine the relationship between critical care nurses’ occupational stress and their child anxiety in Shahid Rahimi Hospital in Khoramabad City, Iran, in 2017.
Background. Work-family conflict is the source of stress that most people, especially nurses experience and its consequences can also affect family members.
Method. This study is a cross-sectional analytical study in which all critical care nurses (n=150) in Shahid Rahimi Hospital in Khoramabad City, Iran, were recruited using census sampling method and based on inclusion criteria. To collect data, a demographic form, Spence Children’s Anxiety Scale (SCAS)-Parent Version, and Nurses Stress Scale were used. Data analysis was conducted SPSS 19 using descriptive and inferential statistics.
Findings. The average scores of nurses’ stress and child anxiety were 75.61±14.98 and 77.04±11.14, respectively. Pearson Correlation Coefficient showed the relationship between critical care nurses job stress and child anxiety (p=0.008, r=0.214).
Conclusion. Critical care nurses' job stress increases the anxiety of their children. Therefore, providing some programs for reducing nurses’ job stress is recommended.
Shiva Khaleghparast, Sadegh Heydarpoor, Mahmud Salesi, Mohamadziae Totonchi, ,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of peer education on the anxiety - of post Coronary Artery Bypass Graft patients and caregivers
Background. Patients undergoing coronary artery bypass surgery experience moderate to high anxiety, which has also been reported among their family members. Studies have shown that educating patients and their family caregivers has in many cases reduced their anxiety. Peer education and research on the effect of peers is of great importance in promoting therapeutic and caring goals.
Method. This randomized clinical trial study was performed in year 2018 in surgery wards of Rajaee Cardiovascular Medical and Research center. In this study, 60 family caregivers of patients undergoing coronary artery bypass graft surgery and their respective patients were recruited at the time of discharge from intensive care unit and entering into the surgical ward. The subjects were randomly assigned to experimental and control group. Data collection tools included demographic information questionnaire and Spielberger's "State and trait anxiety" form. Initially, patients' family caregivers who were selected as peers were trained by the researcher in three stages. Before visiting the patients by family caregivers, their anxiety and also, patients' anxiety was measured in both groups. Thereafter, the patients’ family caregivers in the control group received routine training, and the patients' family caregivers in the experimental group received peer training in two sessions by their peers. In the third step, the anxiety of patients and their family caregivers in both groups were measured on the second and fifth days after intervention. The data were analyzed in SPSS 20 software.
Findings. Before intervention, the mean scores of anxiety in the experimental and control groups were not statistically different in both patients and their family caregivers, and the mean anxiety scores in both groups were moderate to high. After intervention, the mean score of anxiety in the experimental group was significantly lower than the control group (P≤0.0001). Also, in the second and fifth days after the intervention, there was a significant difference between the experimental and control groups in the mean score of anxiety of the patients and their family caregivers (P≤0.0001).
Conclusion. Peer education seems to reduce anxiety in patients and their family caregivers after discharge from ICU. It is suggested that peer education be used as effective and low cost education to reduce patient and family caregiver anxiety.
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.
Shirin Shirali, Zahra Dashtbozorgi,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study aimed to determine the effect of existential group therapy on distress tolerance, existential anxiety, meta-worry and health worry in elderly women with cardiovascular disease.
Background. Elderly women with cardiovascular disease have major problems in psychological health and one of the intervention methods for reducing psychological problems is existential group therapy.
Method. This study was a semi-experimental study with pre-test and post-test design with control group. In this study, 40 elderly women with cardiovascular disease referred to Mehr hospital of Ahvaz city in 2018, were selected by convenience sampling method and randomly divided into experimental and control group. Experimental group experienced 10 sessions of 60 minutes duration existential group therapy and the control group was placed on the waiting list for training. Research tools were the questionnaires distress tolerance, existential anxiety, meta-worry and health worry. Data were analyzed in SPSS software version 21 with using independent t-tests and multivariate analysis of covariance.
Findings. Before intervention, there was no statistically significant difference between the groups in distress tolerance, existential anxiety, meta-worry and health worry, but after intervention, a statistically significant difference was observed between groups in terms of all four variables (P≤0.0001). In the other words, the method of existential group therapy increased distress tolerance (F=52.158, P≤0.0001), and decreased existential anxiety (F=67.813, P≤0.0001), meta-worry (F=59.766, P≤0.0001) and health worry (F=60.475, P≤0.0001) in elderly women with cardiovascular disease.
Conclusion. The results indicated the effect of existential group therapy on increasing distress tolerance and decreasing existential anxiety, meta-worry and health worry in elderly women with cardiovascular disease. It is recommended that clinical psychologists and therapists use the method of existential group therapy along with other therapeutics methods for improving psychological health of elderly women with cardiovascular disease.
Akram Ebrahimi Jaberi, Mehrdad Azarbarzin, Maryam Moghimian Boroujeni,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study aimed to compare the effect of spaced and mass education on stress and anxiety in candidates for angiography.
Background. Regarding the role of education in reducing stress and anxiety before angiography, comparison of the effect of spaced and mass education seems to be important in managing stress and anxiety in people experiencing this procedure.
Method. In this interventional study, statistical population consisted of candidates for angiography referred to selected hospitals of Isfahan in 2018. Sixty candidates for non-emergency angiography were selected by convenience sampling and were randomly divided into two groups of 30. The data collection instruments were the questionnaires demographic information, Cohen`s Perceived Stress (PSS14) and Spielberger`s Anxiety Inventory. Initially, all three questionnaires were completed by the participants. Then the education was provided by the researcher to the participants of the mass education group individually and face to face for 25 to 45 minutes (according to the participants tolerance) and in the end of the session, a 5 to 10 minutes time were given for answering participants’ questions. In the spaced education group, the educational content was provided by the researcher in three stages of 10 to 15 minutes and in groups of 3 to 6 participants. After the training of both groups, stress and anxiety were measured again by the questionnaires. Data were analyzed in SPSS version 16 using descriptive and inferential statistics.
Findings. Before and after intervention, there was no statistically significant difference between two groups in terms of mean scores of stress, state anxiety and trait anxiety. After intervention, a statistically significant decrease in mean scores of stress, state anxiety and trait anxiety were found in each group compared with before intervention.
Conclusion. Regarding the similar effect of spaced and mass education on stress and anxiety in candidates for angiography, it is recommended to use mass education method for candidates before angiography, since it is more cost effective and time saving than spaced education method.
Shahrzad Baratpour, Zahra Dasht Bozorgi,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study aimed to examine the effect of well-being therapy on hope, distress tolerance and death anxiety in people with cardiovascular disease after getting a coronavirus disease 2019 (COVID-19).
Background. Cardiovascular patients rescued from COVID-19 face go through many psychological health issues regarding hope, distress tolerance and death anxiety. Well-being therapy has been known as one of the methods based on positive psychological approach that may have a positive effect on psychological health of these patients.
Method. This study was a semi-experimental study with pretest-posttest design with control group. The statistical population was cardiovascular patients rescued from COVID-19 living in Ahvaz city, Iran, in year 2020, from which 40 people were recruited by convenience sampling method and randomly allocated two experimental and control group. The experimental group received well-being therapy for 10 sessions of 90 minutes duration (two sessions per week) and the control group was placed on the waiting list for training. Research tools were the hope scale, distress tolerance questionnaire and death anxiety scale. Data were analyzed in SPSS-19 using Chi-square test, independent t-test and multivariate analysis of covariance.
Findings. The groups did not differ significantly in terms of gender, marital status, age, education and duration of illness. Also, before intervention, there was no statistically significant difference between the groups in terms of mean scores of hope, distress tolerance and death anxiety. After intervention, statistically significant difference was found between experimental and control group in the mean scores of all three dependent variables, meaning that well-being therapy improved hope (F=114.497, P≤0.0001) and distress tolerance (F=165.032, P≤0.0001), and decreased death anxiety (F=101.408, P≤0.0001) in people with cardiovascular disease after getting a COVID-19.
Conclusion. Regarding the effect of well-being therapy on improving hope and distress tolerance and decreasing death anxiety people with cardiovascular disease after getting a COVID-19, it is recommended that therapists and health professionals apply well-being therapy to improve hope and distress tolerance and decrease death anxiety in people with cardiovascular disease after getting a COVID-19.
Ensieh Ghatee, Narges Sadeghi, Mehrdad Azarbarzin,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to compare hope and anxiety between adolescents with a parent with chronic heart disease and adolescents with a parent with type 2 diabetes.
Background. Chronic illness in parents is associated with developing problems such as decreased hope and anxiety for children.
Method. The present study was a descriptive cross-sectional comparative study in which 120 adolescents either with a parent with chronic heart failure or with a parent with diabetes type 2 were recruited by convenience sampling. Schneider's hope scale and Beck anxiety questionnaire were used to collect the data. Data were analyzed using descriptive and inferential statistics in SPSS software version 24.
Findings. The total hope score in adolescents with parents with chronic heart failure and adolescents with parents with type 2 diabetes was respectively 28.70±5.01 and 31.40±4.20. Sixty percent of adolescents with a parent with chronic heart disease had the lowest anxiety level, 25 percent experience mild anxiety, 10 percent reported moderate anxiety, and 5 percent experience severe anxiety. Ninety and five percent of adolescents with parents with diabetes showed the lowest anxiety, 3.3 percent experienced mild anxiety and 1.7 percent reported moderate anxiety.
Conclusion. Adolescents with a parent with chronic heart disease have significantly higher levels of anxiety than adolescents with a parent with diabetes type 2, and there is a significant difference between their overall hope score. Because anxiety and hope can affect all aspects of a person's life, therefore, the implementation of educational and behavioral interventions to improve anxiety and hope is recommended.
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