ObjectiveTo investigate predictors of depressive symptom aggravation at the end of a cardiac rehabilitation (CR) program.MethodsThe design of the study was retrospective. The administrative data were obtained from the database of the CR department of a heart hospital in Iran. The demographic and clinical information of 615 CR patients between January 2000 and January 2010 was analyzed using binary logistic regression analysis.ResultsThe results showed that 10.7% of the patients completed the CR program with aggravated depressive symptoms. After adjustment for gender, age, and pre-intervention depression score, lower education level (p<0.05) and smoking (p<0.01) were significant predictors of increased depressive symptoms at the end of the program. Our model variables could explain 6% to 13% of the dependent variable variance.ConclusionThe results suggest that targeting patients who are less literate or who smoke could allow for taking the required measures to prevent or control depression at the end of a CR program. It is suggested that future studies consider other variables.
Introduction: This study was conducted to investigate prevalence and predictors of slow coronary flow phenomenon (SCF) phenomenon. Methods: This cross-sectional study was performed at Imam Ali Cardiovascular Hospital affiliated with the Kermanshah University of Medical Sciences (KUMS), Kermanshah province, Iran. From March 2017 to March 2019, all the patients who underwent coronary angiography were enrolled in this study. Data were obtained using a checklist developed based on the study’s aims. Independent samples t tests and chi- square test (or Fisher exact test) were used to assess the differences between subgroups. Multiple logistic regression model was applied to evaluate independent predictors of SCF phenomenon. Results: In this study, 172 (1.43%) patients with SCF phenomenon were identified. Patients with SCF were more likely to be obese (27.58±3.28 vs. 24.12±3.26, P<0.001), hyperlipidemic (44.2 vs. 31.7, P<0.001), hypertensive (53.5 vs. 39.1, P<0.001), and smoker (37.2 vs. 27.2, P=0.006). Mean ejection fraction (EF) (51.91±6.33 vs. 55.15±9.64, P<0.001) was significantly lower in the patients with SCF compared to the healthy controls with normal epicardial coronary arteries. Mean level of serum triglycerides (162.26±45.94 vs. 145.29±35.62, P<0.001) was significantly higher in the patients with SCF. Left anterior descending artery was the most common involved coronary artery (n = 159, 92.4%), followed by left circumflex artery (n = 50, 29.1%) and right coronary artery (n = 47, 27.4%). Body mass index (BMI) (OR 1.78, 95% CI 1.04-2.15, P<0.001) and hypertension (OR 1.59, CI 1.30-5.67, P=0.003) were independent predictors of SCF phenomenon. Conclusion: The prevalence of SCF in our study was not different from the most other previous reports. BMI and hypertension independently predicted the presence of SCF phenomenon.
Introduction: Acute myocardial infarction (AMI) is a leading cause of death and disability worldwide. Determining seasonal pattern of AMI may contribute to disease prevention and better treatment.
Objective: The present study was conducted to investigate daily, monthly, and seasonal pattern for symptoms҆ onset in the patients with ST-segment elevation myocardial infarction (STEMI), and also other possible associated factors.
Methods: This cross-sectional study was conducted on 777 patients diagnosed with STEMI admitted at the Imam Ali Cardiovascular Hospital affiliated with Kermanshah University of Medical Sciences (KUMS), Kermanshah province, Iran from March 2018 to February 2019. Data were collected using a checklist developed based on the study's objectives. Differences between subgroups were assessed using one-way analysis of variance (ANOVA) followed by Tukeys҆ post‐hoc test and Chi-Square test (or Fishers҆ exact test).
Results: Out of 777 patients, 616 (79.3%) of them were male. Mean age of the patients was (mean±SD) equal to 60.93±12.86 years old. Occurrence of STEMI was most common in winter (38.4%), followed by autumn (27.8%), spring (22.9%), and summer (10.9%), respectively. Monthly occurrence of AMI was at the highest level in January (10.8%) and December (9.9%), and it was at the lowest level in July (4.9 %). Most patients were admitted on Fridays (15.8%) and Wednesdays (15.6%). Hypercholesterolemia, prior congestive heart failure (CHF), prior MI, prior stroke, prior atrial fibrillation (AF), low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, total cholesterol, creatine phosphokinase (CPK), and creatine kinase myocardial band (CK-MB) were significantly associated with seasonal pattern of STEMI (p-value<0.05).
Conclusions: Results of the present study on Iranian patients with STEMI revealed that AMI occurred more frequently on Wednesdays and Fridays and during winter from December to January compared to the other days of the week, months, and seasons.
Introduction: Cardiovascular diseases are the most common cause of death in the world and psychological components play an important role in cardiovascular diseases. Aim: The present study aimed to determine the effectiveness of mindful self-compassion treatment to sleep quality, rumination and self-compassion in people with cardiovascular diseases. Method: The study method was a clinical trial with a control group. The statistical population included all patients who had sought professional help in Imam Ali and Imam Reza hospitals in Kermanshah from October-December 2020. Using purposive sampling method, 20 people were randomly assigned to the two groups. The experimental group received 8 sessions of mindful self-compassion treatment and the control group received a CD and a relaxation training manual. Participants completed a demographic data collection form and questionnaires on Sleep Quality, Ruminant Response Style and Self-Compassion. The data were analyzed using SPSS-22, the descriptive statistics and the repeated measures ANOVA. Results: The results showed that there was a significant difference between the two groups in terms of sleep quality based on time (P≤0.001) and intergroup differences (P<0.05). Also, based on time, time and group interaction, and intergroup differences in terms of rumination and self-compassion, there is a significant difference between the two groups (P≤0.001). Conclusion: Based on the results of this study this treatment affects the psychological and physical symptoms of heart patients. Therefore, it is suggested that this treatment be used to improve sleep quality, rumination and self-compassion in cardiovascular patients.
Introduction: The lack of independent moving by the blind predicts a delay in the development of daily and social life skills. The purpose of this study was to compare self-esteem and resilience between blind and sighted children and adolescents in Kermanshah City. Methods: The research was causal-comparative type and the statistical population included all blind people 8 to 16 years old from both sexes (males and females) who lived in Kermanshah City in 2016. The number of these people according to Kermanshah Welfare Center was reported as 70 people of whom 60 (30 males and 30 females) were selected through available sampling method. A total of 60 blind people were matched in terms of education, gender and age with a non-blind group. The research tool consisted of Rosenberg Self-Esteem Questionnaire (1965) and Connor & Davidson Resilience (2003). Data were analyzed using SPSS-19 application and multivariate variance test. Findings: The results showed that there was no significant difference between the two blind and sighted groups in the resilience rate (P> 0.01) but there was a significant level of difference in selfesteem among blind and sighted people (P <0.01). Conclusion: It seems that disability exists not only in the body of people with disabilities, but also in the attitudes of those individuals and other individuals in different societies.
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