Document Type : Original Article


1 Psychiatric Nursing Department, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan

2 Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran


CONTEXT: One of the most important issues in patients with coronary artery disease is their mental
health indices such as perceived stress and perception of disease.
AIMS: The aim of this study was to evaluate the effectiveness of mindfulness‑based intervention on
the perceived stress and disease perception of patients with acute coronary syndrome.
MATERIALS AND METHODS: This is a clinical trial, two‑group, and three‑stage study on 76 patients
with acute coronary syndrome who were randomly divided into intervention and control groups. Nine
weekly sessions of mindfulness‑based training program were administered to the intervention group.
The control group received routine services during this period. Data collection was done before,
immediately, and 1 month after the intervention, using the Perceived Stress Scale and the Illness
Perception Questionnaire. Data were analyzed using descriptive and inferential statistics.
RESULTS: There was no significant difference between the mean scores of perceived stress and
illness perception before intervention. After the intervention and 1 month after it, the mean score
of perceived stress in the intervention group was statistically significantly lower than the control
group (P < 0.001), and the perception of disease in the intervention group was statistically significantly
higher than that of the control group (P < 0.001).
CONCLUSIONS: It is worthwhile to suggest the mindfulness‑based training program to reduce the
perceived stress and correct the perception of disease for patients with acute coronary syndrome.


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