Regarding the findings of this study, it is expected that health system policymakers in the country, while striving to strengthen the positive aspect of changes in family relationships and interactions, will develop and execute operational, comprehensive, and society-based plans in order to eliminate the barriers and problems of relationships within the family, as well as in relation to the larger community, taking into consideration the family's cultural and social beliefs.

Introduction For more effective control and treatment of cardiac dysrhythmias caused by diseases, ischemia, or other causes, an implantable cardioverter defibrillator (ICD) is used. One of the effective ways for secondary prevention is the home-based cardiac rehabilitation (HBCR) which nurses have an effective role in its implementation. Objective The study aimed to investigate the effect of implementing HBCR programs on the self-efficacy of patients with ICD. Methods This is a semi-experimental study conducted on 70 patients who received ICD in Shahid Chamran Heart Center of Isfahan University of Medical Sciences (IUMS) in 2021. The patients were randomly assigned to intervention and control groups and were introduced to the practical concepts of HBCR during four training sessions. In the following, 3-month follow-up and trainings were continued by home visits, telephone follow-up, and use of social messaging networks due to the conditions of coronavirus disease 2019 (COVID-19) pandemic. The data were analyzed with SPSS/21. Results The findings showed that performing HBCR programs was effective in improving the self-efficacy of patients with ICDs. A significant trend in the implementation of the HBCR programs in two groups was shown using chi-square test and independent t-test and variance with repeated measurements ( p < .001). There was no significant difference in self-efficacy score in both groups at the beginning of the study ( p < .056). Conclusion Considering the effectiveness of HBCR programs on improving the self-efficacy of patients with ICDs, it can be used in the educational care programs of healthcare workers and in the strategic policies of health care services.

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Background and aims: The nursing philosophy has moved from reductionism to holism in its manner of treating human being (HB). There are two main philosophical worldviews about holism, namely reciprocal interaction and simultaneous action worldviews, based on which most holistic nursing theorists formulated their works. Islam, as a perfect religion, also addresses all dimensions of HB and provides different instructions for their development. However, it is still poorly known whether there is a difference between western and Islamic holism. This study was conducted to analytically compare these two main philosophical worldviews with the Islamic worldview in nursing. Methods: This analytical study was conducted in 2020 through the library search method. The SID, Medlib, IranMedex, Magiran, Irandoc, ISI, Scopus, PubMed, and Islamic World Science Citation Center databases were searched using the "holism", "Islamic thought", "reciprocal interaction", and "simultaneous action" keywords. Moreover, the works of famous Islamic intellectuals, particularly Mohammad Hossein Tabatabaei and Morteza Motahhari, were assessed. Results: In the reciprocal interaction worldview, HB is considered as an organized and coherent whole with different biological, psychological, social, and spiritual dimensions and inter-relationships among these dimensions. Moreover, it considers HB as a metaphor, implying that HB is a unified, self-organizing, and regularly changing being that is in interaction with internal and external environments. In the Islamic worldview, HB is a unified truth with material and immaterial realms consisted of physical body connected with emotions, cognition, society, spirituality, and the universe. Conclusion: Although the simultaneous action worldview has a holistic view towards HB, it does not specifically address all HB dimensions. However, the reciprocal interaction worldview addresses some HB dimensions. Islamic intellectuals not only have a holistic view towards all HB dimensions, but also consider HB relationship with the universe. Such divine view to HB integrates the simultaneous action and the reciprocal interaction worldviews, provides nurses with a holistic view towards HB, and facilitates the application of the existing holistic nursing theories for nursing practice, research, and theorization.