title: Chronic Ischemic Heart Disease Affects Health Related Quality of Life.
abstract: BACKGROUND
  Chronic diseases endanger not only physical health but also psychological and social health of patient. Thus, evaluation of such patients for psychological treatment decisions is very important.
  
  
  METHODS
  This is a descriptive study that was performed with 50 chronic patients (ischemic heart disease) selected from Valiasr and Mousavi at cardiac wards in Zanjan Province. They were given three types of questionnaire: demographic, WHOQOL, and Zung depression and anxiety index. The information was statically analyzed by frequency chart, central indexes, dispersion, Chi-Square and t tests, Pearson's correlation index (P < 0.05).
  
  
  RESULTS
  The average of quality of life in all patients were calculated as was respectively 12.19, 11.98, 12.08, and 12.4 in physical, psychological, social and environmental domains respectively, 68 percent of total number of the patients had various degrees of anxiety and 78 percent of them had various degrees of depression. There was a significant relationship between the life quality average in all domains and anxiety intensity and depression intensity (P < 0.05) and there was a significant relationship between life quality average in all domains and income (P < 0.05).
  
  
  CONCLUSIONS
  As the level of depression and anxiety goes up, quality of life decreases pointing out that they have a reverse relationship. Depression and anxiety are one of the most significant factors of quality of life among other variables. Regarding specific conditions of the treatment, it is necessary to pay special attention to psychological aspects.
authors.affiliation: Metabolic Disease Research Center, Zanjan University of Medical Science, Iran; Department of Psychiatry, Zanjan University of Medical Science, Iran.
authors.forename: Abolfazl
authors.initials: A
authors.lastname: Goreishi
authors.affiliation: Metabolic Disease Research Center, Zanjan University of Medical Science, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Shajari
authors.affiliation: Department of Psychiatry, Zanjan University of Medical Science, Iran.
authors.forename: Zeinab
authors.initials: Z
authors.lastname: Mohammadi
keywords: Anxiety; Chronic congestive heart disease; Depression; Quality of life