Background: The aim of this study was to assess the predictive role of religious coping in quality of life of breast cancer patients. Materials and Methods: This multi-center cross-sectional study was conducted in Tehran, Iran, from October 2014 to May 2015. A total of 224 women with breast cancer completed measures of sociodemographic information, religious coping (brief RCOPE), and quality of life (FACT-B). Data were analyzed using descriptive statistics and the t-test, ANOVA, and linear regression analysis. Results: The mean age was 47.1 (SD=9.07) years and the majority were married (81.3%). The mean score for positive religious coping was 22.98 (SD=4.09) while it was 10.13 (SD=3.90) for negative religious coping. Multiple linear regression showed positive and negative religious coping as predictor variables explained a significant amount of variance in overall QOL score (R 2 =.22, P=.001) after controlling for socio-demographic, and clinical variables. Positive religious coping was associated with improved QOL (β=0.29; p=0.001). In contrast, negative religious coping was significantly associated with worse QOL (β=-0.26; p=0.005). Conclusions: The results indicated the used types of religious coping strategies are related to better or poorer QOL and highlight the importance of religious support in breast cancer care.

BackgroundAdvances in coronary artery surgery have reduced patient morbidity and mortality. Nevertheless, patients still have to face physical, psychological, and social problems after discharge from hospital.ObjectivesThe objective of this study was to determine the efficacy of Pender’s health promotion model in predicting cardiac surgery patients’ lifestyles in Iran.MethodsThis cross-sectional study comprised 220 patients who had undergone coronary artery bypass graft (CABG) surgery in Mazandaran province (Iran) in 2015. The subjects were selected using a simple random sampling method. The data were collected via (1) the health-promoting lifestyle profile II (HPLP II) and (2) a self-designed questionnaire that included two main sections: demographic characteristics and questions based on the health-promoting model constructs.ResultsSpiritual growth (28.77 ± 5.03) and physical activity (15.79 ± 5.08) had the highest and lowest scores in the HPLP II dimensions, respectively. All the health promotion model variables were significant predictors of health-promoting behaviors and explained 69% of the variance in health-promoting behaviors. Three significant predictors were estimated using regression coefficients: behavioral feelings (β = 0.390, P < 0.001), perceived benefits (β = 0.209, P < 0.001), and commitment to a plan of action (β = 0.347, P < 0.001).ConclusionsAccording to the results of the study, health-promoting model-based self-care behaviors can help identify and predict cardiac surgery patients’ lifestyles in Iran. This pattern can be used as a framework for discharge planning and the implementation of educational interventions to improve the lifestyles of CABG patients.

IntroductionThe principal cause for death in the world is cardiovascular disease. Poor lifestyle is a contributing element in this regard. The objective of this study was to estimate the effects of health-related variables and lifestyle variables on the results of exercise stress tests in patients with cardiovascular disease in Iran.MethodsThe study population in this case-control study was 220 patients who were candidates for exercise stress tests in Mazandaran Province (Iran) in 2015. The patients were divided randomly into two groups based on the results of their exercise stress tests, i.e., positive (110 patients) and negative (110 patients). The data collection tool was a standard questionnaire entitled “Health promotion lifestyle profile-II.” The data were analyzed using mean, standard deviation, the chi-squared test, and logistic regression by SPSS version 22 software.ResultsThe risk of a positive exercise stress test increases with age. The age group above 65 was 1.049 times more at risk of a positive exercise stress test than the age group of less than 45. The people with dyslipidemia had 1.635 times greater risk of positive exercise stress tests than the group without dyslipidemia. In addition, patients with hypertension had 1.579 times greater risk of positive exercise stress tests than the group without hypertension. The lack of individual health responsibility (Odds ratio (OR): 1.622), stress management (OR: 1.592), and physical activity (OR: 1.245) contributed more to positive exercise tests than the other risk factors.ConclusionEducational interventions can improve the responsibility for health, physical activity, and stress management among people with the risk of cardiovascular disease.

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Background and objective: Dysmenorrhea or painful menstruation can impair person's life. This study was aimed to determine the effectiveness of educational intervention based on health belief model (HBM) on eating style and to reduce the severity of the menstrual pain among clinical personnel in the Imam Khomeini Hospital Complex. Materials and methods: In this intervention study, before and after the intervention, a random sampling and interviews were conducted, and finally 50 qualified female, with an average age of 31.48±5.08 (22-45 years), were selected to participate in the research. Data were collected through a researchermade questionnaire based on the health belief model (HBM) and the validity was controlled by specialists and the reliability was assessed by Cronbach's alpha test (α = 0.957). Data was analyzed using SPSS 19 through descriptive and statistical paired t-test and ANOVA repeated measure test with a significant level of less than 0.05. Results: Educational intervention increases the average rating in health belief structures among participants (p < 0.001) but this increase did not take place in the guidelines for action structures (p = 0.39). Conclusion: To maintain and promote women's health is an educational priority. Nutritional education intervention promoted the nutritional behaviors and reduced dysmenorrhea among women examined. Therefore, with respect to efficacy and cost-effectiveness using it to reduce the initial dysmenorrhea is recommended. Paper Type: Research Article.