Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure

Background: We aimed to explore the effect of health education and nursing intervention model based on behavioral change theories on self-efficacy and self-management behaviors in patients with chronic heart failure. Methods: Eighty-six patients with chronic heart failure treated in the First Hos...

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Main Authors: Hui YU, Panpan ZHANG, Xiao WANG, Yan WANG, Binyu ZHANG
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2019-03-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/16517
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author Hui YU
Panpan ZHANG
Xiao WANG
Yan WANG
Binyu ZHANG
author_facet Hui YU
Panpan ZHANG
Xiao WANG
Yan WANG
Binyu ZHANG
author_sort Hui YU
collection DOAJ
description Background: We aimed to explore the effect of health education and nursing intervention model based on behavioral change theories on self-efficacy and self-management behaviors in patients with chronic heart failure. Methods: Eighty-six patients with chronic heart failure treated in the First Hospital Affiliated to Harbin Medical University (Harbin, China) from November 2016 to January 2018 were enrolled in this study. The patients were evenly divided into control group and observation group (43 patients in each group), according to the random number table method. Patients in the control group received a routine health education intervention. Patients in the observation group received health education based on behavioral change theories in addition to the routine nursing intervention. The health education included mastering of the disease-related theoretical knowledge, daily self-management and exercising guidance. After 8 weeks of intervention, the self-efficacy level, self-management ability and quality of life were assessed and compared between the two groups. Results: The self-management behavior score in the observation group was higher than those in the control group (P=0.002). The chronic disease general self-efficacy (GSE) score in the observation group was higher than those in the control group (P=0.002). The quality of life (MHL) score was in the observation group was higher than those in the control group. The patient satisfaction score in the observation group was higher than those in the control group (P=0.021). Conclusion: Health education based on behavioral change theories can relieve symptoms of chronic heart failure, and improve patients’ self-efficacy level, self-management ability and patient satisfaction.
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spelling doaj.art-89d5a74707594324bfbcd50d620065892022-12-21T17:43:42ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932019-03-0148310.18502/ijph.v48i3.884Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart FailureHui YU0Panpan ZHANG1Xiao WANG2Yan WANG3Binyu ZHANG4Cardiovascular Surgery Ward, The First Affiliated Hospital of Harbin Medical University, Harbin 150081, P.R. ChinaCardiovascular Surgery Ward, The First Affiliated Hospital of Harbin Medical University, Harbin 150081, P.R. ChinaCardiovascular Surgery Ward, The First Affiliated Hospital of Harbin Medical University, Harbin 150081, P.R. ChinaCardiovascular Surgery Ward, The First Affiliated Hospital of Harbin Medical University, Harbin 150081, P.R. ChinaCardiovascular Surgery Ward, The First Affiliated Hospital of Harbin Medical University, Harbin 150081, P.R. ChinaBackground: We aimed to explore the effect of health education and nursing intervention model based on behavioral change theories on self-efficacy and self-management behaviors in patients with chronic heart failure. Methods: Eighty-six patients with chronic heart failure treated in the First Hospital Affiliated to Harbin Medical University (Harbin, China) from November 2016 to January 2018 were enrolled in this study. The patients were evenly divided into control group and observation group (43 patients in each group), according to the random number table method. Patients in the control group received a routine health education intervention. Patients in the observation group received health education based on behavioral change theories in addition to the routine nursing intervention. The health education included mastering of the disease-related theoretical knowledge, daily self-management and exercising guidance. After 8 weeks of intervention, the self-efficacy level, self-management ability and quality of life were assessed and compared between the two groups. Results: The self-management behavior score in the observation group was higher than those in the control group (P=0.002). The chronic disease general self-efficacy (GSE) score in the observation group was higher than those in the control group (P=0.002). The quality of life (MHL) score was in the observation group was higher than those in the control group. The patient satisfaction score in the observation group was higher than those in the control group (P=0.021). Conclusion: Health education based on behavioral change theories can relieve symptoms of chronic heart failure, and improve patients’ self-efficacy level, self-management ability and patient satisfaction.https://ijph.tums.ac.ir/index.php/ijph/article/view/16517Behavioral change theoriesHealth educationChronic heart failureSelf-efficacy
spellingShingle Hui YU
Panpan ZHANG
Xiao WANG
Yan WANG
Binyu ZHANG
Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure
Iranian Journal of Public Health
Behavioral change theories
Health education
Chronic heart failure
Self-efficacy
title Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure
title_full Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure
title_fullStr Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure
title_full_unstemmed Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure
title_short Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure
title_sort effect of health education based on behavioral change theories on self efficacy and self management behaviors in patients with chronic heart failure
topic Behavioral change theories
Health education
Chronic heart failure
Self-efficacy
url https://ijph.tums.ac.ir/index.php/ijph/article/view/16517
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