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Quality of Life(Qol) and Some Factors Related in Males with Heart Failure in Karaj and Shahriar Social Security Hospitals‌(2010)
Sharareh Zeighami Mohammadi , Md Mandana Shahparian,
Volume 8, Issue 2 (2-2012)
Abstract

 Background and Objective : Several study show that health related quality of life in heart failure patients is significantly impacted by disease. The aim of the present study was to determine quality of life and some related factors in males with heart failure.

  Material and Methods : This is a descriptive-­analytical study conducted on 100 males with systolic heart failure in Karaj and Shahriar social security hospitals of Alborz province in 2010. Data was collected through convenience sampling and interview.­The instruments were demographic data sheet and MLHFQ (Minnesota Living with Heart Failure) Questionnaire. Data was analyzed by descriptive statistics (frequency distribution, mean, standard deviation) and independent T- test, Anova and Pearson correlation coefficient(p<0.05).

  Results: The findings indicat that the mean score of quality of life is­ 41.61 ± 21.30 51% of males quality of life is poor, 26% moderate and 23% good. There is significant positive correlation between quality of life and age (p<0.001), and negative correlation between Qol and ejection fraction (p=0.006) and hemoglobin level (p<0.001). Statistical significant difference is found between quality of life and education level (p=0.001), economic status (p=0.010), cigarette smoking (p=0.031), asthma (p=0.022), use of digoxin (p=0.040), angiotensin receptor blocker (p=0.035) and Spironolactone (p=0.002).

  Conclusion: This study indicates that males with systolic heart failure have poor quality of life. The nurse can help to improve quality of life by performing appropriate intervention teaching patients about self-care intervention and monitoring side effects of treatment.


Correlation Between Type D Personality and Medication Adherence in Patients with Systolic Heart Failure
Sharareh Zeighami Mohammadi Zeighami Mohammadi, Parvin Farmani, Esmat Danesh,
Volume 14, Issue 2 (9-2017)
Abstract
Background: Identify factors affecting medication adherence is effective in the planning of patient care, education and follow-up of heart failure patients. This study aimed to investigate the correlation between type D personality and medication adherence in patients with systolic heart failure was performed.
Methods: This was a descriptive -correlational study . 100 patients with systolic heart failure at least one year experience of developing heart failure and ejection fraction below 40%  admitted to hospital Alborz Social Security of Karaj and the Social Security Hospital of Shahriar in 2013  using convenience sampling were entered into the study. Demographic data and type-D personality questionnaire, medication adherence scale in patients with heart failure, was completed by interview. Data was analyzed by SPSS software version 18 and using descriptive statistics and coefficient Pearson correlation.
Results: 75% of total systolic heart failure patients had type D personality. The %65 of total patients was poor medical adherence. There was a significant negative moderate correlation between Type D personality and medical adherence (p<0.001).
Conclusion: Patients with systolic heart failure with type D personality had lower drug adherence. Screening of type D personality in patients with heart failure and referral for counseling and appropriate treatment can help to enhance medication adherence of heart failure patients.
Relationships among self-care behaviors, anxiety, depression, and religious attitudes in patients with heart failure
Alireza Salar , Kourosh Zarea , Nahid Kashisaz , Farzaneh Ahmadi , Samaneh Alinejad ,
Volume 23, Issue 1 (3-2026)
Abstract
Background: Heart failure (HF) is a chronic condition requiring effective self-care to improve clinical outcomes and quality of life. Psychological factors such as anxiety and depression, as well as religious attitudes, may influence self-care behaviors, but evidence remains inconsistent. Thus, this study aimed to examine the relationships among self-care, religious attitudes, anxiety, and depression among patients with HF.
Methods: This cross-sectional study involved recruiting 114 HF patients through convenience sampling at two educational hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences in Iran in 2023. Participants completed a demographic questionnaire, the European Self-Care Behavior Questionnaire (ESCBQ), the Hospital Anxiety and Depression Scale (HADS), and a Religious Attitude Questionnaire. Data were analyzed using SPSS v.22 running t-tests, one-way ANOVA, Chi-square tests, Pearson correlations, and multiple and simple regression analyses.
Results: Participants had a mean age of 55.47±13.90 years, and hypertension was the most common comorbidity (15.8%). The mean self-care score was 38.92 ± 7.86 (moderate level; higher scores indicate poorer self-care). Their anxiety (9.83±4.22) and depression (9.61±4.75) were at moderate levels, while their religious attitudes averaged 69.05 ± 10.08. Self-care behaviors were significantly negatively correlated with both anxiety and depression (p<0.05), but not with religious attitude. Multiple regression analysis revealed anxiety as the only independent predictor of self-care (β=0.50, p<0.001).
Conclusion: Anxiety is a key determinant of self-care in patients with HF, whereas depression has an indirect effect, and religious attitudes show no significant influence. Interventions focusing on anxiety reduction and psychological support may prove effective in enhancing self-care behaviors and improving clinical outcomes in this population.

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