The Effectiveness of Cognitive-Behavioral Stress Management Training on Quality of Life and Clinical Symptoms of Cardiovascular Patients
Saeed SalehMA in Educational Psychology, Islamic Azad University of Tehran Science and Research.
Corresponding Author E-mail: Saeed salehi6464@gmail.com
Abstract: Heart failure is one of the most prevalent cardiovascular disorders, which imposes hard side effects on individuals. One of the main issues with key role at the current societies is stress that has affected all people. Stress can cause mental and physical problems for people. Majority of people face decline of quality of life after heart surgery and clinical symptoms of some mental disorders appear in such people. According to importance of this issue, this study has investigated effectiveness of stress management training in quality of life and clinical symptoms of cardiovascular patients. This study is an empirical research and the research design is semi-empirical design with pretest-posttest and control group. For this purpose, among the patients with experience of heart surgery, 32 patients have been selected using simple random sampling method and have been placed in two experimental and control groups. Firstly, pretest was performed and then after training stress management using cognitive-behavioral approach, two groups passed posttest and 2 months follow up was also performed. Collected data was analyzed using SPSS-20 software. According to intergroup comparison of clinical symptoms, significance level of F value is below 0.005 (F (1, 15) = 9.322; p=0.001), which shows that the difference of mean values of clinical symptoms between experimental and control groups is significant. In field of measuring clinical symptoms, significance level was high in posttest and pretest for control group. It should be mentioned that in follow up step, no significant difference was observed in obtained results in experimental group and this was a reason for stability and reliability of this test. According to intergroup comparison of quality of life, significance level of F value is below 0.001 (F (1, 15) = 12.844; p=0.001), which shows that the mean difference of total values of quality of life is significant between two groups. For experimental group compared to control group in field of test of quality of life, the results showed that quality of life of experimental group in posttest and follow up step is significantly higher than control group. according to obtained results from the study, cognitive-behavioral stress management training can affect increase in quality of life and reduction of clinical symptoms of patients with heart surgery.
Keywords: cognitive-behavioral stress management, quality of life; clinical symptoms; cardiovascular Back to TOC