Background and aims: This study aimed to compare the effect of the mindfulness-based stress reduction (MBSR) with cognitive approach, with that of the spiritual therapy with Islamic approach on quality of life among hypertensive cardiac patients. Methods: All cardiovascular patients referred to the cohort center in Shahrekord in 2019 were included in this semi-experimental (pretest-posttest design) study. Using convenience sampling method, 75 patients were selected and randomly divided into two experimental groups and one control group in such a way that each group included 25 individuals. The McNew quality of life questionnaire was used to collect the required data. All groups received standard medical drugs under the supervision of a cardiologist. In addition to standard medical treatment, the experimental groups underwent MBSR with a cognitive approach (8 sessions lasting 90 minutes) and spiritual therapy based on Islam (8 sessions lasting 90 minutes); The control group received no non-medical intervention. Data were analyzed by using AVOVA and paired t test. Results: The overall score of quality of life in the MBSR and spiritual therapy groups increased significantly after the intervention (P<0.001). As for the control group, however, the overall score of quality of life remained unchanged after the intervention (P=0.10). Significant differences were observed in the total scores of quality of life among the three groups so that the mean score of the difference in the total score of quality of life in the spiritual therapy group before and after the intervention was higher than those in other groups (P<0.001). Conclusion: MBSR therapy and specially Islam-based spiritual therapy had the potential to improve the quality of life in hypertensive cardiac patients.

Background and Objective: Marital Reducing stressors is an effective way to decrease blood pressure and its other associated symptoms. The present study aimed to investigate the effectiveness of mindfulness-based stress reduction (MBSR) on metabolic syndrome among patients with hypertension. Materials and Methods: This experimental research was conducted based on a pretest-posttest control group design. A total number of 50 cardiovascular patients referring to Shahrekord Cohort Study, Shahrekord, Iran, in 2019 were selected using the convenience sampling method and randomly divided into experimental and control groups (n=25 each). Metabolic syndrome indices, including blood pressure, blood sugar, glucose triglyceride, high-density lipoprotein, and low-density lipoprotein, were used to collect the required data. All groups received the same standard medications under the supervision of an interventional cardiologist. In addition to the standard medical treatment, the experimental group received the intervention of MBSR (eight 90-minute sessions). The control group did not receive any non-pharmacological intervention. Data were analyzed using multivariate analysis of covariance. Results: The results showed that MBSR was effective in improving metabolic syndrome symptoms in cardiovascular patients with hypertension (P<0.05). Conclusions: The employment of MBSR along with medical and pharmacological treatments could help cardiovascular disease patients to improve the symptoms of metabolic syndrome.

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