Journal of Education and Health Promotion

Abstract BACKGROUND: Coronary artery disease (CAD) is a life‑threatening condition that causes physical
and psychological disorders and decreases patients’ quality of life (QoL). Performing proper
educational self‑care program may lead to higher QoL in these patients. This study was performed
to investigate the effectiveness of a self‑care educational program on QoL in patients with CAD.
MATERIALS AND METHODS: This semi‑experimental study was performed on 60 patients with
CAD referred to the cardiac rehabilitation (CR) center of Vali Asr hospital in Qom, Iran, in 2018–2019.
Patients were divided into control and intervention groups by randomized sampling. The self‑care
educational program was provided through lectures and booklet. Data collection was done using the
“demographic and clinical data questionnaire,” and “Seattle Angina questionnaire.” Questionnaires
were completed in both groups, before and at least 1 month after education. Analysis of the obtained
data was performed using SPSS software (version 25), central indexes, Mann–Whitney test, and
Wilcoxon test.
RESULTS: No significant differences were observed between the two groups for demographics
characteristics and quality of life before the intervention. Before the self‑care program, the mean score
of the QoL in the intervention and control group were 56.14 ± 9.75 and 58.46 ± 11.71, respectively.
After that, the mean score of the QoL in the intervention and control group were 59.25 ± 10.56 and
59.7 ± 13.33, respectively. The statistical analysis showed significant differences in the mean scores
of QoL in the intervention group before and after the intervention (P < 0.05). However, no statistically
significant differences were seen in the control group before and after the study (P > 0.05).
CONCLUSIONS: The self‑care educational program improved the QoL in patients with CAD.
Therefore, lectures and educational booklets should be considered by CR nurses.

Abstract BACKGROUND: Cardiovascular disease accounts for 40% of the world’s fatality and after
accidents and traumas, is the second leading cause of death in Iran. Given the role of psychological
characteristics such as hostility and anger in the development of certain behaviors and habits affecting
heart problems, this study aimed to investigate the relationship between hostility and anger with
coronary artery disease.
METHODOLOGY: In this cross‑sectional study, 320 patients referring to the hospital with coronary
artery stenosis enrolled in the study and were available for angiography. Data collection tools
included demographic and disease status questionnaires and aggression questionnaire. The data
were analyzed by SPSS software version 16, and Spearman’s correlation coefficient, Student’s t‑,
and one‑way analysis of variance tests was used for the statistical analysis.
RESULTS: In this case, we have the following. Out of 302 cases, 183 were males and 119 were
females. One hundred and ninety‑seven patients with coronary artery disease and 105 patients with
angiography had no coronary artery disease.
CONCLUSION: People with coronary artery disease and healthy controls had no significant
differences in demographic characteristics, history of illness, and education. Furthermore, there was
no statistically significant relationship between hostility and anger with vasoconstriction. Since there is
no relationship between hostility and anger with coronary artery disease, further studies are needed
to investigate the presence of mediating variables to design appropriate and preventive interventions.

Abstract INTRODUCTION: Cardiovascular disease is one of the most important causes of mortality in the
world; identifying and correcting the modifiable risk factors reduce the prevalence of coronary artery
disorders. Nurses, with regard to their employment conditions, can be prone to cardiovascular
disease. The aim of this study was to compare the risk factors of cardiovascular diseases in male
and female nurses.
MATERIALS AND METHODS: In this descriptive cross‑sectional study, 263 nurses from Jahrom
University of Medical Sciences hospitals were enrolled in the study by convenience sampling. The
data collection tool was self‑report Framingham Risk Score and has two parts: first part: personal data,
history of disease, history, cigarette, stress and fat disorder, alcohol consumption, diet, exercise, and
average hours and second part: height, weight, body mass index (BMI), waist‑to‑stature ratio (WSR),
waist‑to‑hip ratio (WHR), blood pressure, triglyceride (TG), cholesterol, and fasting blood sugar. The
benchmark for blood pressure was the JNC‑7 guide. The Adult Treatment Panel III was the guideline.
Independent t‑test, Chi‑square, and Mann–Whitney tests were used for data analysis.
RESULTS: None of the staff reported smoking or alcohol history. Data were analyzed using descriptive
and inferential statistics. There was no statistically significant difference between the mean of fasting
blood glucose, systolic and diastolic blood pressure, TG and cholesterol, Framingham percentage,
religious practices, green tea and black tea, fish, vegetables, and fast food. The data were analyzed
with independent t‑test, Chi‑square, and Mann–Whitney tests. There was no statistically significant
difference between the mean of fasting blood glucose, systolic and diastolic blood pressure, TG and
cholesterol, Framingham Percentage, religious practices, green tea and black tea, fish, vegetables,
and fast food and sports and walking of men and women were not observed. However, there was
a statistically significant difference between women and men in indicators such as eating breakfast,
family history, fruit consumption, high‑density lipoprotein, BMI, WSR, and WHR.
CONCLUSION: The results of the study showed that men are at higher risk for cardiovascular
diseases and complications than women.