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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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Abstract Aim and Background: Nurses is one of the essential parts in the management process of psychiatric patients. For this purpose, they need proper knowledge and attitude about psychiatry drugs medical intervention) and nonmedical intervention. So, it is important to promote nurses&rsquo; knowledge and attitude by education based on need assessment. This study aimed to define the efficacy of a Medical and nonmedical Intervention workshop for nurses in psychiatric wards of educational hospitals in Isfahan. Methods and Materials: This is a quasi-experimental study .Study population comprised all nurses working in psychiatric wards of Nour and Farabi hospitals in Isfahan in 2012. An educational workshop was held through educational sessions in form of lectures and group discussion in two above-mentioned hospitals. Nurses&rsquo; level of knowledge and attitude were investigated by a researcher made questionnaire before, immediately after and three months after intervention. Data were analyzed by descriptive statistical tests of repeated measure ANOVA and Bonfrroni. Findings: A significant increase was observed in mean scores of nurses&rsquo; knowledge immediately after and three months after education compared to before education (P<0.001). Also, the mean of attitude score in 3 Phases have significant deferent (P<0.009). Nurses have high satisfaction (86.3%) of need assessment based education workshop. And it is effective in the science information Revival of nurses Conclusions: The workshop of medical and nonmedical intervention notably affected the promotion of nurses&rsquo; knowledge and attitude. With regard to nurses&rsquo; satisfaction from the workshop which was held, designing and organizing educational workshops based on a constant needs assessment is suggested for promotion of nursing cares.

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Aim and Background: Chronic and incurable diseases, such as celiac disease, significantly impact the quality of life of patients and their families. The diagnosis of celiac disease in a child can pose a threat to the mental well-being of their caregivers, especially their mothers, as these individuals often endure considerable anxiety and psychological stress. Therefore, the aim of the present study is to compare the effectiveness of solution focused therapy and narrative therapy on distress tolerance in mothers of children diagnosed with celiac disease.
Methods and Materials: The present study is a semi-experimental intervention research with a pre-test, post-test, and three-month follow-up design, consisting of two experimental groups and one control group. The statistical population included mothers with at least one child diagnosed with celiac disease who are members of the Celiac Association of Iran in Isfahan. Among them, 60 individuals were selected through purposive sampling and randomly assigned to two experimental groups and one control group (20 participants in each group). The first experimental group received solution-focused therapy, while the second experimental group underwent narrative therapy in the form of eight90-minute sessions. The control group received no intervention. Data were collected using the Distress Tolerance Questionnaire by Gaher and Simon (2005). The data were analyzed in SPSS version26 using repeated measures ANOVA and Bonferroni post-hoc tests.
Findings: Both interventions led to a significant increase in distress tolerance among mothers of children with celiac disease (P<0.01). Additionally, there was no significant difference in the effectiveness of the two interventions on distress tolerance between the two experimental groups at the post-test stage. These results remained stable during the follow-up phase (P<0.01).
Conclusions: Both solution-focused therapy and narrative therapy can be utilized as beneficial interventions to enhance distress tolerance in mothers of children with celiac disease