title: The Impact of Peplau's Therapeutic Communication Model on Anxiety and Depression in Patients Candidate for Coronary Artery Bypass.
abstract: OBJECTIVE
  Anxiety and depression are among the psychological disorders in heart surgeries. Establishing a simple communication is essential to reduce anxiety and depression. Hence, the objective of the present studywas to examine the impact of Peplau therapeutic communication model on anxiety and depression in patients, who were candidate for coronary artery bypass in Al-Zahra Heart Hospital, Shiraz during 2012-2013.
  
  
  METHODS
  This is a clinical trial in which 74 patients were randomly divided into intervention and control groups, each consisted of 37 patients. Anxiety and depression levels were assessed before, and two and four months after intervention using the Hospital Anxiety and Depression Scale (HADS). Seven therapeutic communication sessions were held in four stages. Data were analyzed with the SPSS (version 16) using analysis of covariance.
  
  
  RESULTS
  The mean anxiety and depression levels decreased in the intervention group after the therapeutic communication (p<0.01). Anxiety scores in the intervention group before and after intervention were 10.23 and 9.38, respectively. While the corresponding scores in the control group were 10.26 and 11.62, respectively. Depression scores in the intervention group before and after intervention were 11 and 9.13, respectively. The corresponding scores in the control group were 11.30 and 12.08, respectively.
  
  
  CONCLUSIONS
  The results demonstrated the positive role of therapeutic communication in reducing anxiety and depression of the patients. Therefore, the therapeutic communication is recommended as a simple, cost effective and efficient method in this area.
authors.affiliation: Chronic Disease Care Research Center, Nursing & Midwifery School, Ahvaz Jundishapur University of Medical Sci-ences, Ahvaz, Iran.
authors.forename: Kourosh
authors.initials: K
authors.lastname: Zarea
authors.affiliation: Alzahra heart charity Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Solmaz
authors.initials: S
authors.lastname: Maghsoudi
authors.affiliation: Chronic Disease Care Research Center, Nursing & Midwifery School, Ahvaz Jundishapur University of Medical Sci-ences, Ahvaz, Iran.
authors.forename: Bahman
authors.initials: B
authors.lastname: Dashtebozorgi
authors.affiliation: School of Health, Ahvaz Jundishapur University of Medical Sciences.
authors.forename: Mohammad Hossin
authors.initials: MH
authors.lastname: Hghighizadeh
authors.affiliation: Research Center for Nursing and Midwifery Care in Family Health, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Mostafa
authors.initials: M
authors.lastname: Javadi
keywords: Anxiety; Peplau; communication; coronary artery bypass surgery; depression; therapeutic communication.