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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.  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's spirituality and suggested that interventions based spirituality may reduce anxiety. Thus, with regard to results of the research findings, vast library search, expert'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’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.

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Aim and Background: An integrated therapeutic approach, which is a cognitive behavioral approach focused on emotion and whose main purpose is emotional processes, and is applicable to disorders that have strong emotional components. The aim of this study was to investigate the effectiveness of emotional regulation-based intervention on cognitive emotion regulation strategies and alexithymia in patients with Coronary Heart Disease (CHD).

Methods and Materials: The method of this study was a clinical trial. The statistical population of this study included all patients with CHD referred to the heart center of Tehran between June and August. Of these, 30 volunteers were randomly divided into two experimental and control groups. To collect data, the Toronto Alexithymia Scale (TAS-20) and the Cognitive Emotion Regulation Questionnaire (CERQ) were used. Data were analyzed using descriptive statistics and multivariate covariance analysis (MANCOVA) using SPSS software version 22.

Findings: Results shows that emotional regulation intervention was effective on positive cognitive emotional regulation (F=11.19, P<004), negative cognitive emotional regulation (F=7.83, P<0.02), and alexithymia (F=10.87, P<0.006) in patients with CHD.

Conclusions: This study showed that emotion regulation intervention based on integrated treatment method was effective on cognitive emotional regulation strategies and alexithymia in patients with CHD. The results of this study can be helpful researcher and therapists' alexithymia in the field of factors influencing it in patients with CHD.