Effect of nurse-led program on the exercise behavior of coronary artery patients: Pender’s Health Promotion Model

Karataş, Tuğba; Polat, Ülkü

doi:10.1016/j.pec.2020.10.003

Cited by 21 publications

(14 citation statements)

References 32 publications

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“…Commitment to plan of action: A behavioral event that leads a person towards certain behavior in the case of avoiding competitive demands (Fig. 1) [10,12].…”

Section: Introductionmentioning

confidence: 99%

The role of correlated factors based on Pender health promotion model in brushing behavior in the 13–16 years old students of Guilan, Iran

et al. 2021

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Background Tooth decay is one of the diseases that is closely related to people’s behaviors and it can have adverse effects on their performance and their success in the future. Brushing twice a day is the simplest and most effective way to reduce tooth decay. The study aim was to determining the roles of correlational factors based on the Pender’s health promotion model in brushing behavior of ninth grade students at urban public schools of Guilan province during the academic year 2019. Methods The present study was cross-sectional and had a descriptive-analytical type. We performed the multi-stage random sampling on 761 ninth-grade students (374 girls and 387 boys) at urban public schools of six counties (ten cities) of Guilan province in 2019. The primary tool was a questionnaire on oral health behaviors focusing on brushing behavior. In the present study, which was conducted only on brushing behavior, we revised and changed the initial questionnaire during the sessions of the research team, and then confirmed its validity and reliability. The questionnaire consisted of three parts, demographic characteristics, constructs of health promotion model, and brushing behavior. We analyzed data in SPSS 21 using regression models. Results 20.1% of students brushed their teeth at least twice a day. Optimal behavior had a statistically significant relationship with parents’ education level, and gender. Based on the regression model, the health promotion model constructs described 58% of the variance of the commitment to plan of action. Perceived self-efficacy, situational influences, and perceived barriers of action had significantly stronger relationships with commitment to plan of action respectively. Multiple logistic regression analysis indicated that one-unit increase in scores of commitment to plan of action and self-efficacy increased the chance of desired behavior by 12 and 14% respectively. Conclusion Due to the low rate of brushing behavior in the students and the predictive power of the health promotion model in brushing behavior, we suggest planning and implementation of educational interventions for this group with an emphasis on influencing the commitment to plan of action, self-efficacy, and also the level of knowledge.

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“…Commitment to plan of action: A behavioral event that leads a person towards certain behavior in the case of avoiding competitive demands (Fig. 1) [10,12].…”

Section: Introductionmentioning

confidence: 99%

The role of correlated factors based on Pender health promotion model in brushing behavior in the 13–16 years old students of Guilan, Iran

et al. 2021

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“…Regarding the causes, it can be stated that respiratory complications caused by HF can limit the level of physical activity, threaten the patient's independence, and cause him/her to be dependent on others in this regard [ 37 ]. Karataş and Polat [ 20 ] found that factors such as the lack of social support, fear of heart attack, risk of injury and falls, lack of a previous habit of doing physical activity, lack of information, and functional limitations constitute barriers to physical activity in patients with coronary artery disease. von Haehling et al [ 38 ] showed that their interventions had no considerable impact on the improvement of patients' physical performance so that they recommended using other strategies to improve it.…”

Section: Discussionmentioning

confidence: 99%

“…Nurses have of course paid attention to this issue and also presented different models in this area with regard to this point that one of the most effective ways to improve QOL in HF patients is the use of model-based educational intervention [ 18 , 19 ]. In this regard, one of the most comprehensive and widely used models of patient education provided by nurses is Pender's health promotion model [ 20 ]. This model was developed by Nola J. Pender in 1982 with an emphasis on health promotion and empowering individuals to achieve a good state of health.…”

Section: Introductionmentioning

confidence: 99%

The effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure: an experimental study

Habibzadeh

Shariati

Mohammadi

et al. 2021

BMC Cardiovasc Disord

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Background Heart failure is a common and chronic heart condition with high prevalence and mortality rates. This debilitating disease as an important predictor of health outcomes is directly related to patients' quality of life. Given that one of the main goals of heart failure treatment is to promote patients' quality of life and health status, conducting effective nursing interventions seems to be necessary in this regard. Therefore, the present study aimed to determine the effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure. Methods This is an experimental study in which a total of 80 patients with heart failure were recruited and randomly allocated to two groups of intervention and control (n = 40 in each group). The educational program was designed based on Pender's health promotion model and then provided for the patients in the intervention four subgroups (10 person in each group) during six sessions. Data were collected at three time-points of before, immediately after, and three months after the intervention using a demographic questionnaire, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the Health-Promoting Lifestyle Profile II (HPLP-II). Data were then analyzed using SPSS Statistics for Windows, version 17.0 (SPSS Inc., Chicago, Ill., USA) and p value less than 0.05 was taken as statistically significant. Results Based on the results of the present study, no statistically significant difference was shown in terms of demographic characteristics between the two groups. It was also indicated that there was a statistically significant difference in the mean scores of all dimensions of quality of life (except in the physical dimension) between the two groups so that the overall mean score of quality of life increased significantly in the intervention group after the intervention (p < .05). Moreover, there were significant increases in the mean scores of health-promoting behaviors (except in the domain of physical activity) in the intervention group compared to the control group (p < .05) after intervention. Conclusions This study demonstrates a trend that Pender's health promotion model is effective in improving the quality of life of patients with heart failure except of the physical dimension, and strengthening their health-promoting behaviors in all dimensions except of the physical activity dimension.

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“…This finding may be explained by the flexible strategies that the goal-oriented self-management intervention provided. Unlike previous programs (32,33), the goal-oriented (34). The aim of this intervention was to stimulate motivation and behavior changes to promote rehabilitation and prevent recurrent stroke.…”

Section: Discussionmentioning

confidence: 99%

“…Unlike previous programs ( 32 , 33 ), the goal-oriented self-management intervention was based on Pender's health promotion model. Pender's health promotion model is an important tool to motivate patients with chronic diseases to adopt or maintain healthy lifestyle behaviors ( 34 ). The aim of this intervention was to stimulate motivation and behavior changes to promote rehabilitation and prevent recurrent stroke.…”

Section: Discussionmentioning

confidence: 99%

Effects of a Goal-Oriented Intervention on Self-Management Behaviors and Self-Perceived Burden After Acute Stroke: A Randomized Controlled Trial

Chen

Wei²,

Lang

et al. 2021

Front. Neurol.

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Background: Stroke generates significant health and social burdens. Self-management has potential importance for supporting individuals in coping and continuing to progress after stroke. However, there is a lack of targeted programs to enhance self-management and reduce self-perceived burden (SPB) following stroke.Purpose: To evaluate the effects of a goal-oriented intervention on self-management behaviors and SPB among patients after acute stroke.Methods: This was a randomized controlled trial with a 4-weeks intervention. Participants were randomly allocated to the intervention (n = 48) or control group (n = 48). The intervention and control groups received eight sessions of goal-oriented self-management intervention based on Pender's health promotion model and control care, respectively. Self-management behaviors and SPB were evaluated and compared between the two groups.Results: After the 1-month follow-up, there were significant differences in the total self-management behaviors score and the scores of six of the self-management dimensions, excluding diet management, between the intervention group and the control group (t = −7.891– −2.815; p ≤ 0.006). Compared to the control group, the intervention group showed a significant decrease in the physical burden, emotional burden, and total SPB scores (t = 2.102–2.071; p = 0.015–0.041). The economic burden score was not significantly different between the two groups (t = 1.707; p = 0.091).Conclusion: The goal-oriented intervention based on Pender's health promotion model can effectively improve self-management behaviors and reduce physical and emotional SPB among stroke survivors.

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Effect of nurse-led program on the exercise behavior of coronary artery patients: Pender’s Health Promotion Model

Cited by 21 publications

References 32 publications

The role of correlated factors based on Pender health promotion model in brushing behavior in the 13–16 years old students of Guilan, Iran

The role of correlated factors based on Pender health promotion model in brushing behavior in the 13–16 years old students of Guilan, Iran

The effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure: an experimental study

Effects of a Goal-Oriented Intervention on Self-Management Behaviors and Self-Perceived Burden After Acute Stroke: A Randomized Controlled Trial

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