title: The effect of recommended Azkar on anxiety, stress, and depression in families of patients undergoing open heart surgery.
abstract: BACKGROUND
  Admission of a family member to hospital would cause stress on other family members also. One of the most stressful treatment interventions imposing high level of anxiety to the families of patients is when the patients are undergoing a surgery, especially a cardiac surgery. So, we decided to investigate whether recommended Azkar could reduce stress, anxiety, and depression in families of the patients.
  
  
  METHODS
  This study is a quasi-experimental study conducted on 120 immediate relatives of patients undergoing a cardiac surgery. Families of patients undergoing open heart surgery were randomly divided into two groups of study and control. The Depression, Anxiety, and Stress Scales (DASS 21) questionnaires were completed by both groups. Then, some explanations about how to use recommended prayers were given to the study group, and an hour later, the questionnaires were completed again. The data were analyzed by SPSS. P < 0.05 were considered significant.
  
  
  RESULTS
  Stress, anxiety, and depression showed a significant difference in the study group before and after intervention. Similarly, there was a significant difference in the mean scores of anxiety, stress, and depression in the study and control groups after intervention.
  
  
  CONCLUSIONS
  Findings of the present study showed that recommended religious prayers can significantly reduce anxiety, depression, and stress of families of the patients undergoing open heart surgery.
authors.affiliation: Shafa Hospital Research Center, Kerman University of Medical Sciences, Kerman, Iran.
authors.forename: Roghayeh
authors.initials: R
authors.lastname: Mehdipour-Rabori
authors.affiliation: Shafa Hospital Research Center, Kerman University of Medical Sciences, Kerman, Iran.
authors.forename: Monirosadat
authors.initials: M
authors.lastname: Nematollahi
keywords: Anxieties; depression; family of patients; open heart surgery; recommended Azkar; stress