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Showing 14 results for Anxiety

Nasrin Meshgin Abadi, Farhad Ramezanibadr, Khalil Mahmoodi,
Volume 2, Issue 1 (7-2012)

Background and Objective: Percutaneous Coronary Intervention (PCI) is a common procedure in treatment of coronary artery diseases. Anxiety is a common psychological reaction to cardiovascular interventions. Anxiety can affect physiological responses and cause blood pressure increase, cardiac output decrease, cardiac o2 demand increase, and finally ischemic pain. The aim of this study was to assess the effect of aromatherapy massage on anxiety of patients undergone the PCI. Materials and Methods: In this semi-experimental study, 76 patients undergone elective PCI who had met the inclusion criteria for the study were recruited using convenience sampling method and were randomly divided into two control and experimental groups. The patients in the control group received routine care with eight hours bed rest after the PCI. The patients in the experimental group underwent aromatherapy massage with a solution composed of mint, celery and lavender essences in sweet almond oil )%1 concentration). The intensity of anxiety was measured using the Spilberger state anxiety inventory in three stages (prior to the intervention, immediately after the intervention, and two hours after the intervention) .The incidence of bleeding was observed before and after the intervention. The incidence of hematoma was observed 24 hours after the intervention. Results: The intensity of anxiety had significantly decreased after aromatherapy massage in the experimental group in comparison with the control group (P< 0.0005). The effect was stable up to two hours after the intervention (P< 0.0005). In the experimental group, anxiety decreased significantly after the intervention (P< 0.0005). None of the patients in the study had bleeding. Moreover, 92.1% of patients were satisfied from the intervention procedure. Conclusion: The results showed that the aromatherapy massage was a safe, non-expensive, and effective method in decreasing anxiety of patients undergone the PCI.

Zahra Sadeghi, Mitra Payami, Seyed Nooredin Moosavinasab,
Volume 2, Issue 2 (2-2013)

Background and Objectives: Hospitalization of patients in ICU can be stressful for both patients and their families. This study aimed to assess the effect of family participation in ICU patients care on family’s anxiety level. Material and Methods: This is a quasi-experimental before-after study. Family members of patients hospitalized in ICU of Ayatollah Mousavi Hospital, Zanjan were randomly divided into two experimental and control groups. Family members of the experimental group patients collaborated with the nurses in their patients care two hours a day from the 3rd day to the 7th day of the hospitalization. The control group patients were treated according to the ICU routine. Participants in both groups filled out the DASS-21 questionnaire before and after the intervention. Data were analyzed using the t-test in the SPSS-16. Results: There was a significant difference in the anxiety score among the participants in the intervention group before (21.6±8.4) and after the intervention (12.6±7) (p<0.001). Conclusion: The result of the study indicated that the participation of the family members of patients hospitalized in the ICU in patients care can be effective in decreasing their stress and anxiety.

Ahmad Ahmadi, Sayeh Sadat Moosavi Sahebalzamani, Farah Ghavami, Yaaghob Shafiee, Ali Fathi Ashtiani,
Volume 4, Issue 1 (9-2014)

Background and Objectives: Anxiety and postpartum depression are devastating conditions that affect both pregnant women and their infants. The current study aimed to evaluate effect of psychological interventions on postpartum depression, anxiety and infants’ weight in primipara women referred to Baghiatallah and Najmiyeh hospitals in 2013. Materials and Methods: In this randomized controlled trial, out of 534 pregnant women who were in their last trimester of pregnancy, 135 at risk women were selected. The participants were randomly assigned to the experimental or control groups. The intervention program composed of eight educational and cognitive-behavioral sessions. Individuals in the control group received usual care. The symptoms of anxiety and depression were assessed using the Beck Anxiety Inventory, the Edinburgh Postpartum Depression Scale and the Beck Depression Inventory. Infantschr('39') birth weights were also measured. Results: There were no significant differences between the two groups regarding baseline measurements. The anxiety and depressive symptoms scores were reduced significantly in the intervention group (p<0/05). There were no changes in the mean of birth weight in both groups after the intervention. Conclusion: Findings suggested that psychological interventions could reduce symptoms of emotional problems in postpartum period.

Sahar Dehghani, Kourosh Amini, Elham Shakibazade, Soghrat Faghihzade, Masoud Hashem Zade,
Volume 4, Issue 2 (3-2015)

Background and Objectives: Anxiety is one of the most common mental health problems with adverse effects on chronic kidney disease. This study aimed to determine the effect of Two Heart meditation exercise on anxiety in hemodialysis patients. Materials and Methods: In this clinical trial, 48 hemodialysis patients were randomly allocated into meditation (20 patients) or usual-care (28 patients) Groups. Two Hearts meditation exercises were conducted by the experimental group. The data were collected using the standardized anxiety section of the DASS-21 questionnaire before and at the end of the first and second month after the intervention. Collected data were analyzed in the SPSS-16 using the T-test, Fisherchr('39')s exact test, Cchi-squared test and repeated measures analysis of variance.. Results: There was a significant difference in the mean score of anxiety before, and two months after the intervention. Conclusion: Conducting non-expensive and simple meditation exercises decreased patients’ anxiety. The procedure can be applied in hemodialysis patients to relief their mental symptoms..

Masoomeh Najafzadeh, Kourosh Amini, Soghrat Faghihzadeh, Hamidreza Monsef Esfahani,
Volume 5, Issue 2 (2-2016)

Background and Objectives: Several studies have shown that nurses working in the ICUs experience high levels of anxiety. Anxiety can not only negatively affect them, but may decrease the quality of care provided by them. The present study aimed to assess the effect of Valerian on anxiety among nurses working in the ICUs of Zanjan teaching hospitals.

Materials and Methods: In this clinical trial, nurses working in morning and evening shifts were recruited to the study. A dose of 530 mg Herbal Sedamin capsules containing dried roots of Valeriana Officinallis were consumed by the nurses in the intervention group twice a day for one week. The control group received placebo. The Speilbergerchr('39')s State-Trait anxiety inventory was completed by the nurses at baseline and after the intervention. The independent t-test and paired t-test were used to analyse data.

Results: After the intervention in two groups (Valerian and Placebo), the trait and state anxiety scores were significantly lower than before of the intervention. But there were no significant differences in the trait and state anxiety scores of the questionnaire between the experimental group and control groups after the intervention (P=0.846).

Conclusion: It seems that the special and different nature of the ICUs has hampered the effectiveness of this herbal medicine. Further studies with higher doses, or in other settings is suggested.

Sara Adarvishi, Masoomeh Asadi, Korosh Zarea, Mohammad Ghasemi Deh Cheshmeh, Mahdiyeh Ahmadnea, Fatemeh Hardani,
Volume 5, Issue 2 (2-2016)

Background and Objectives: Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder. It is characterized by lower abdominal pain, changes in bowel habitsand mood disorders such as anxiety. Behavioral treatmentscan reduce anxiety in the patients. This study aimed to investigate the effect of the problem solving training on anxiety in patients with the IBS.

Materials and Methods: This quasi-experimental study was carried out on 46 patients with the IBS. The participants were randomly assigned to the intervention and control groups. Intervention group received one training session on problem-solving skills per week for eight weeks, in addition to the routine medication therapy and The control group was routine measures. Data were gathered using the Spielberg State-Trait Anxiety Inventory and were analyzed using the Chi-squared test and t-test in the SPSS-19.

Results: There was no significant difference between the two groups on the mean anxiety at baseline (p>0.05). State anxiety was decreased after the problem solving training among the intervention group (p<0.001). There was no significant difference between the two groups in the mean trait anxietyaftyer the intervention.

Conclusion Problem solving training was effective in reducing state anxiety among patients with the IBS.

Maryam Fathizadeh, Sedigheh Abedini, Shokroollah Mohseni,
Volume 6, Issue 3 (11-2016)

Background and Objectives: Delivery is a stressful event in a womanchr('39')s life which is often accompanied by anxiety. Lack of awareness of unknown pregnancy problems is the cause of increase of mothers` anxiety and medical intervention. The present study was done to measure the effect of childbirth preparation training classes on the anxiety of pregnant mothers.

Materials and Methods: This was a semi-experimental study for which 98 pregnant women were selected from those who had referred to the Sirik health clinics by using convenience sampling. They were allocated into the experimental and control groups randomly. The experimental mothers` group were subjected to 8 sessions of preparation for childbirth courses and the control group only received a routine prenatal training. Data were collected using pregnancy anxiety questionnaire (PRAQ) in two steps of pre-test and post-test. The data were analyzed by SPSS software using chi-square, t-Test and ANOVA.

Results: The results showed that there was not a significant difference in anxiety level before the intervention between the two groups. However. There was remarkable decline in all aspects of pregnancy anxiety except fear of variations and common states of fear (p<0.05).

Conclusion: Our findings showed that mothers` anxiety decreased due to participation in preparation for childbirth courses. Thus, implementing this program as a continuous intervention process for pregnant mothers is recommended.

Mohammadpourhdki, Rahnama, Abdollahimohammad, Shahraki Vahed, Shaamsizadeh,
Volume 6, Issue 3 (11-2016)

Background and Objectives: Anxiety is one of the most common psychological reactions in patients with acute myocardial infarction. This study aimed to compare the effect of training by peers and nurses on anxiety in patients with acute myocardial infarction.

Materials and Methods: This study is a quasi-experimental intervention. Samples included 60 patients with myocardial infarction who were divided randomly into control and intervention groups. The first group was taught by peers, the second by nurses. Rate of anxiety was evaluated in both groups through the completion of the Spielberger anxiety questionnaire before the intervention, immediately after the intervention, five days after heart attack, and four weeks after the heart attack. Data were analyzed through independent t-test, chi-square test, Fisherchr('39')s exact test and two-way ANOVA with repeated measures.

Results: The mean difference of anxiety in both groups three days after the heart attack (before the intervention) was not statistically significant (p=0.76). A two-way analysis of variance with repeated measures showed that the level of anxiety in both groups three days after the heart attack (immediately after the intervention), five days and one month after it (after intervention) was statistically significant (p<0.0001)

Conclusion: Peer-led education compared with education by nurses significantly reduced anxiety level in patients with myocardial infarction. Therefore, using this method is recommended in patients with myocardial infarction.

Sanaz Fayazi, Fatemeh Ghasemi, Maedeh Ghobadian, Saeideh Zenoozian, Roghieh Kharaghani,
Volume 7, Issue 2 (10-2017)

Background: Pregnancy is associated with many emotional, physical, and social changes in women’s lives which may have an effect on the outcomes of pregnancy, so identifying moderating factors such as social support may have a preventing role on unintended outcomes of pregnancy.
Objectives: The purpose of this study was to determine the relationships between social support with anxiety, depression, and stress in pregnant women.
Methods: In this correlational study 249 pregnant women attending to health care centers in Zanjan-Iran, during 2015-2016 were selected using a multi-stage sampling method. Data was collected using three questionnaires including demographic characteristics, Wax social support (social support ftom family, friends, and others) and DASS-21 scale. The data were analyzed using descriptive and inferential statistics with SPSS software version 16.
Results: The average age of the participants were 27.57±5.56 years. The average of total perceived social support of pregnant women was 77.42±10.66, among which the most perceived social support was from the family (29.04%). Data analyses revealed weak negative and significant relationship between total social support and depression (r=-0.17) and stress (-0.13), as well as between social support from others and depression (r=-0.14) in pregnant women (P<0.05).
Conclusion: Although, in this study pregnant women received the most social support from the family, only a weak relationship was found between the total score of social support and social support by others with depression and stress. Therefore, it is recommended that more research be done on the type of social support of Azari pregnant women. 
Zeinab Hamzehgardeshi, Zohreh Shahhosseini, Mina Malari, Mehdi Pourasghar, Jamshid Yazdani Charati, Malihe Amerian, Zahra Amirkhanzadeh Barandouzi,
Volume 8, Issue 1 (6-2018)

Background: Physiological and psychological impacts of pregnancy may relate to anxiety symptoms in nulliparous women. An effective communication between couples can have protective effects against anxiety in this period.
Objectives: The present study intended to assess the relationship between communication skills and the anxiety during pregnancy in nulliparous women.
Methods: This study adhered to a descriptive cross-sectional design. In this study, 100 nulliparous women of 18 to 40 years old were selected through a two-stage cluster sampling in Health Centers of Sari, Iran (2014-2015). We used the Spielbergerchr('39')s questionnaire to measure pregnancy anxiety and Queendomchr('39')s questionnaire to assess coupleschr('39') communication skills. Statistical-descriptive methods and Pearson correlation coefficient were used to analyze the data.
Results: The mean age of the women participating in the study was 27.15±4.69. The results showed that there was a negative significant correlation between communication skills and state (r=-0.45, p<0.01) and trait anxiety (r=-0.51, p<0.01). However, there was no significant relationship between one of the subscales of communication skills (assertiveness) and state and trait anxiety.
Conclusion: This study indicated a negative correlation between communication skills and pregnancy anxiety. Strong communication skills could diminish pregnancy anxiety and eventually lead to higher psychological health.
Shabnam Asgari, Mahin Roohani, Kourosh Amini, Soghrat Faghihzadeh,
Volume 8, Issue 2 (9-2018)

Background: One of the psychological complications of heart failure is anxiety, especially death anxiety, which leads to poor quality of life in patients and impaired prognosis of the disease.
Objectives: The purpose of this study was to Investigating Death Anxiety and its Relationship with Some Demographic Variables in Patients with Heart Failure investigate death anxiety level and its association with some demographic variables in patients with heart failure.
Methods: It was a descriptive-analytical study conducted on 80 patients with heart failure referring to Valiasr Hospital and Ayatollah Mousavi Zanjan between March 2018 and August 2018. A three-prat questionnaire was used to collect data: 1. Demographic characteristics, 2. Templer death anxiety scale 3. Beck anxiety scale (to determine patientschr('39') baseline anxiety). For analyzing the data, descriptive statistics and ANCOVA were used in SPSS v.22 software.
Results: The age range of the patients was between 27 and 98 years, with the highest age group (65 years) with 83.8%. Fifty-two percent of the sample were female (n=42) and 47% were male (n=38). Seventy two point five percent were married, 61% were illiterate, 40% were unemployed and 55% reported poor financial status. The mean score of death anxiety in heart failure patients was 47.95. The highest score of death anxiety in these patients was 61 (1.3%) and the lowest score was 30 (1.3%). More than 90% of patients had moderate (82/5%) and severe (11/25%) death anxiety. The results of ANCOVA showed that the relationship between death anxiety level and employment status variable (P<0.04) was significant.
Conclusion: The results of this study indicated a high death anxiety among the majority of studied population which can be due to lack of adequate training in coping with death anxiety in patients with heart failure. Accordingly, it is suggested that more attention should be paid to mental health authorities in order to improve the mental health of these populations in this area.

Soudabeh Niroomand, Fatemeh Razavinia, Zeynab Bayat, Mahsa Jafari, Farahnaz Rostami, Samaneh Youseflu,
Volume 9, Issue 1 (6-2019)

Background: Pregnancy and delivery are considered as pleasant physiological phenomena. This period, however, sometimes leads to variable mood states in women and makes them more sensitive to psychological stimuli and problems.
Objectives: The present study aimed to investigate the role of breastfeeding, type of delivery, contraceptive method, planned pregnancy, and history of infertility on the anxiety level of Iranian women who referred to health centers in Zanjan in the postpartum period.
Methods: This cross-sectional study was conducted on 420 women who attended the health care centers in Zanjan city, Iran, during 2018-2019. A checklist including questions about demographic and reproductive information and Beck anxiety inventory were used as the data collection instruments. The data were analyzed using SPSS 21 software through regression analysis.
Results: This study found that the history of infertility (β=0.26, t=9.38, p<0.001), unplanned pregnancies (β=0.23, t=-7.00, p<0.001), exclusive breastfeeding (β=-0.47, t=-17.40, p<0.001), mothers’ education (β=-0.08, t=-2.89, p<0.001), DMPA (β=0.23, t=6.62, p<0.001), and withdrawal (β=0.17, t=4.59, p<0.001) contraception method were associated with anxiety level.
Conclusion: The results of the present study indicate that factors such as breastfeeding, contraceptive methods, infertility history, unplanned pregnancy, and educational level influence womenchr('39')s anxiety level in postpartum period. Identifying and screening women with high levels of anxiety and providing proper counseling to these mothers can help improve their health, infants, families, and community
Leila Mokhtari, Mitra Payami Bousari,
Volume 9, Issue 4 (1-2020)

Background: The work environment and work-related activities of Community health care providers can cause anxiety in some situations. Persistent anxiety may lead to feelings of self-illness, absenteeism, substance abuse, and low self-esteem. Anxiety in public health care providers can reduce the quality of healthcare services
Objectives: The present study aimed to determine and compare the level of anxiety in community health care providers employing in rural or urban public health centers of Tabriz in 2020.
Methods: In this descriptive-comparative study, 140 community health care providers including 70 health workers (behvarz) from rural health house and 70 health care providers from urban public health centers and its branches entered the study through cluster random sampling. The state and trait anxiety level of the samples were compared using a two-part questionnaire including demographic information form and Spielberger State-Trait Anxiety Inventory. Data analysis was performed in SPSS software using descriptive and inferential statistics including Chi-square and Mann-Whitney tests.
Results:  Mean and standard deviation of trait anxiety in the health care providers group working in rural or urban public health centers was 44.19±8.55 and in the health workers group as the health care provider in health house located in village was 44.30±9.17. Mean and standard deviation of state anxiety was 44.63 ± 8.27 and 44.83 ± 11.50 in the same groups relatively. Comparison of state and trait anxiety levels between the two groups of health care providers and health workers showed no statistically significant difference (P<0.05). No significant difference was observed between demographic characteristics and state-trait anxiety levels in both groups (P<0.05).
Conclusion: The level of State and Trait anxiety in the two groups of health care providers and health workers was moderate to mild. It is suggested that the authorities take the necessary measures to identify and moderate the causes of anxiety in this group of health workers.
Samaneh Youseflu, Zeynab Bayat, Faezeh Amiri, Parvin Mohebbi,
Volume 10, Issue 1 (4-2020)

Background: Mothers in the postpartum period experiences a change in sleep pattern and loss of sleep duration. In the meantime, factors can cause irregular sleep patterns and decreased sleep quality.
Objectives: The aim of this study was investigating the factors of fertility, anxiety and physical activity on the sleep quality of the lactating women visiting healthcare centers in Zanjan, Iran.
Methods: This descriptive cross-sectional study was carried out from 2018 to 2019 on 380 women aged 14-45 years referred Ayatollah Mousavi Hospital in Zanjan and its affiliated clinics who were maximally 6 months postpartum and selected by convenience sampling method. The measuring tools used in this study included Petersburg Sleep Quality Questionnaire, Beck Anxiety Inventory, and a checklist containing demographic-fertility. Data were analyzed through SPSS software using descriptive and analytical tests (t-test, Mann-Whitney, and Chi-square). The statistical significance level was considered as p<0.05.
Results: in this study 45.8% (n= 174) of the participants suffered from mild anxiety and 13.2% (n= 50) of them from moderate anxiety. The mean score of their sleep quality was 4.70± 3.06. The effect of physical activity (p-value= 0.006) and anxiety level (p-value= 0.002) on womenchr('39')s sleep quality was statistically significant.
Conclusion: The results of the present study confirm the positive effect of regular physical activity and the negative effects of anxiety on sleep quality of the breastfeeding mothers.

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