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

Abstract 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 treatmen...

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Main Authors: Hossein Habibzadeh, Akram Shariati, Farshad Mohammadi, Salman Babayi
Format: Article
Language:English
Published: BMC 2021-10-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12872-021-02294-x
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author Hossein Habibzadeh
Akram Shariati
Farshad Mohammadi
Salman Babayi
author_facet Hossein Habibzadeh
Akram Shariati
Farshad Mohammadi
Salman Babayi
author_sort Hossein Habibzadeh
collection DOAJ
description Abstract 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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spelling doaj.art-3d3578652f714055a924d533f9beab932022-12-21T20:03:46ZengBMCBMC Cardiovascular Disorders1471-22612021-10-0121111310.1186/s12872-021-02294-xThe 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 studyHossein Habibzadeh0Akram Shariati1Farshad Mohammadi2Salman Babayi3School of Nursing and Midwifery, Urmia University of Medical SciencesDepartment of Cardiology, School of Medicine, Urmia University of Medical SciencesStudent’s Research Committee of Nursing and Midwifery Faculty, School of Nursing and Midwifery, Urmia University of Medical SciencesDepartment of Mathematics, Faculty of Science, Urmia UniversityAbstract 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.https://doi.org/10.1186/s12872-021-02294-xHealth promotionQuality of lifeHeart failureEducational intervention
spellingShingle Hossein Habibzadeh
Akram Shariati
Farshad Mohammadi
Salman Babayi
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
BMC Cardiovascular Disorders
Health promotion
Quality of life
Heart failure
Educational intervention
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Health promotion
Quality of life
Heart failure
Educational intervention
url https://doi.org/10.1186/s12872-021-02294-x
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