Volume 26, Issue 4 (1-2021)
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Hadadzade S, Abolhassani S, Nikrahan G, Pourheidar B, Sedehi M. Effect of positive psychology-based audio messages on optimism and hope among patients with acute coronary syndrome. Journal of Hayat 2021; 26 (4) :409-424
URL: http://hayat.tums.ac.ir/article-1-3845-en.html
URL: http://hayat.tums.ac.ir/article-1-3845-en.html
Sara Hadadzade1 
, Shahla Abolhassani * 2, Gholamreza Nikrahan3 , Behrouz Pourheidar4 , Morteza Sedehi5
, Shahla Abolhassani * 2, Gholamreza Nikrahan3 , Behrouz Pourheidar4 , Morteza Sedehi5
1- Dept. of Critical Care Nursing, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran; Community Nursing and Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
2- Dept. of Adults Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran; Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran ,sh_abolhassani@yahoo.com
3- Dept. of Psychology, Isfahan Farhangian University, Isfahan, Iran
4- Dept. of Cardiology, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
5- Dept. of Epidemilogy and Biostatistics, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran; Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
2- Dept. of Adults Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran; Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran ,
3- Dept. of Psychology, Isfahan Farhangian University, Isfahan, Iran
4- Dept. of Cardiology, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
5- Dept. of Epidemilogy and Biostatistics, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran; Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
Abstract: (2270 Views)
Background & Aim: Acute coronary syndrome is the most common cardiovascular disorder. Hope and optimism lead to adaptation to and moderation of the damaging effects of depressed mood on the outcome of this disorder. The aim of this study was to determine the effect of positive psychology-based audio messages on hope and optimism among patients with acute coronary syndrome.
Methods & Materials: In this randomized controlled clinical trial, 84 patients with acute coronary syndrome were assigned to either intervention or control groups in Shahrekord educational hospitals in 2017-2018. The intervention group received audio messages based on positive psychology and cardiovascular self-care, and control group only received self-care messages in two hospital admissions and six weeks after discharge. The Life Orientation Test-Revised and the Snyder's Hope Scale were completed before the intervention, at the discharge time, one week and six weeks after the intervention. Data were analyzed by c² and Fisher exact tests and analysis of variance using the SPSS software version 20.
Results: No significant difference is observed in the mean score of hope before the intervention and at the discharge time. However, the mean score of hope was significantly different between the two groups, one week and six weeks after the intervention (P<0.001). There was no significant difference in the mean score of optimism between the two groups before the intervention. Nevertheless, difference in the mean score of optimism was significant at the discharge time (P=0.027), one week and six weeks after the intervention (P<0.001).
Conclusion: Positive psychology-based messages improve hope and optimism in patients with acute coronary syndrome. Therefore, this intervention is recommended along with other treatments.
Clinical trial registry: IRCT2017092532764N4
Methods & Materials: In this randomized controlled clinical trial, 84 patients with acute coronary syndrome were assigned to either intervention or control groups in Shahrekord educational hospitals in 2017-2018. The intervention group received audio messages based on positive psychology and cardiovascular self-care, and control group only received self-care messages in two hospital admissions and six weeks after discharge. The Life Orientation Test-Revised and the Snyder's Hope Scale were completed before the intervention, at the discharge time, one week and six weeks after the intervention. Data were analyzed by c² and Fisher exact tests and analysis of variance using the SPSS software version 20.
Results: No significant difference is observed in the mean score of hope before the intervention and at the discharge time. However, the mean score of hope was significantly different between the two groups, one week and six weeks after the intervention (P<0.001). There was no significant difference in the mean score of optimism between the two groups before the intervention. Nevertheless, difference in the mean score of optimism was significant at the discharge time (P=0.027), one week and six weeks after the intervention (P<0.001).
Conclusion: Positive psychology-based messages improve hope and optimism in patients with acute coronary syndrome. Therefore, this intervention is recommended along with other treatments.
Clinical trial registry: IRCT2017092532764N4
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