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Aim and Background: Coronary artery bypass graft (CABG) surgery is the most common surgical procedure for patients suffering from coronary artery diseases. Many studies demonstrated CABG as a serious crisis for patients resulting in excessive stress and anxiety. This study was performed to assess the effects of reflexology on anxiety levels among CABG surgery candidates in Shahid Chamran Hospital, Isfahan, Iran. Methods and Materials: This clinical trial included 50 CABG candidates who were selected by simple random sampling. Patients were divided into the intervention and control groups based on the random numbers list. Reflexology was conducted for all patients in the intervention group for 30 minutes. Patients in the control group received usual interventions. Patients&#039; anxiety was measured pre- and post-reflexology and usual interventions. Descriptive and inferential statistics methods were applied in SPSS to analyze the data. Findings: Patients&#039; anxiety significantly decreased in the intervention group in comparison with the control group (P < 0.001). However, no significant changes were observed in the control group. Conclusions: The findings of the study showed reflexology to be a safe, effective, and cheap nursing intervention in reducing patients&#039; anxiety before CABG surgery.

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Aim and Background: Patients with ischemic heart disease in acute stage experienced great anxiety and in compared with patients had less anxiety were affected 5 times more to ischemia, re-infarction, tachycardia, arrhythmias and ventricular fibrillation.&nbsp; Excessive anxiety delays recovery and increases the probability of their death in the first month. Numerous studies have shown that heart disease affect the person&#039;s spirituality and suggested that interventions based spirituality may reduce anxiety. Thus, with regard to results of the research findings, vast library search, expert&#039;s opinion, one spirituality care program developed and considered its impact on anxiety of ischemic heart patients hospitalized in CCU. Methods and Materials: This was a randomized clinical trial. Sixty-four ischemic patients in CCU randomly divided into test and control groups. Spiritual care program included supportive presence, support from patient&rsquo;s rituals, and using supportive systems for 3 days and Anxiety Questionnaire completed before and after the intervention for the both groups. Data analysis done through software SPSS and chi-square, independent-t and paired t-tests. Results: Mean score of Anxiety had no significant difference before intervention between two groups (P = 0.91); whereas paired t-test showed there was a significant difference in the test group before and after the intervention (P=0.001), also mean score of anxiety had a significant difference between test and control groups after the intervention (P=0.03). Conclusion: With regard to results of present study spirituality care program could reduce anxiety of ischemic heart patients hospitalized in CCU, so nurses could apply spirituality care program to decrease the anxiety of patients.