title: The effect of written material and verbal method education on anxiety and depression in patients with myocardial infarction in selected hospitals in Iran.
abstract: BACKGROUND
  Myocardial infarction (MI) is the damage to the heart muscle, or myocardium, resulting from the lack of blood flow to the heart. MI patients experience mental and emotional problems such as depression and anxiety. These complications could cause delay in resuming work, decreased quality of life and increased risk of death. The role of education in facilitating adaptation is very important in these patients. The purpose of this study was to determine the effect of written material and verbal method education on anxiety and depression in patients with myocardial infarction in Urmia hospital in 2009.
  
  
  METHODS
  This study was a quasi-experimental study, comparing the effect of education on anxiety and depression in patients with myocardial infarction in hospitals affiliated to Urmia University of Medical Science. 124 patients were selected randomly and divided into two groups. The experimental group was educated through face to face training and an educational booklet (Written Material and Verbal Method). The control group did not receive any intervention. The level of anxiety and depression was evaluated, using HADS questionnaire at 3 intervals: after 48 hours of admission, the discharge day and 2 months after discharge.
  
  
  RESULTS
  The findings suggested that MI patients were worried about their social role, interpersonal relations and personal health. Such problems can aggravate symptoms and complicate the future care. There was no significant difference between the control and experimental groups before the intervention, but after the intervention, anxiety and depression in the experimental group was significantly less than that in the control group (p<0.05).
  
  
  CONCLUSIONS
  Considering the beneficial results obtained from written materials and verbal method education on reducing anxiety and depression in cases with myocardial infarction, this may be one of the health care goals. More research on more patients is required to achieve more conclusive results.
authors.affiliation: Urmia University of Medical Sciences, Urmia, Iran.
authors.forename: Nader
authors.initials: N
authors.lastname: Aghakhani
authors.affiliation: Urmia University of Medical Sciences, Urmia, Iran.
authors.forename: Kamal
authors.initials: K
authors.lastname: Khademvatan
authors.affiliation: Quality improvement in clinical education Research Center, Shiraz University of Medical Science, Shiraz, Iran;
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Dehghani
keywords: Anxiety; Depression; Education; Myocardial infarction; Verbal