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Predictors of Health-Promoting Behaviors in Coronary Artery Bypass Surgery Patients: An Application of Pender’s Health Promotion Model

BACKGROUND: Advances in coronary artery surgery have reduced patient morbidity and mortality. Nevertheless, patients still have to face physical, psychological, and social problems after discharge from hospital. OBJECTIVES: The objective of this study was to determine the efficacy of Pender’s health...

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Detalles Bibliográficos
Autores principales: Mohsenipoua, Hossein, Majlessi, Fereshteh, Shojaeizadeh, Davood, Rahimiforooshani, Abbas, Ghafari, Rahman, Habibi, Valiollah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5255569/
https://www.ncbi.nlm.nih.gov/pubmed/28144467
http://dx.doi.org/10.5812/ircmj.38871
Descripción
Sumario:BACKGROUND: Advances in coronary artery surgery have reduced patient morbidity and mortality. Nevertheless, patients still have to face physical, psychological, and social problems after discharge from hospital. OBJECTIVES: The objective of this study was to determine the efficacy of Pender’s health promotion model in predicting cardiac surgery patients’ lifestyles in Iran. METHODS: This cross-sectional study comprised 220 patients who had undergone coronary artery bypass graft (CABG) surgery in Mazandaran province (Iran) in 2015. The subjects were selected using a simple random sampling method. The data were collected via (1) the health-promoting lifestyle profile II (HPLP II) and (2) a self-designed questionnaire that included two main sections: demographic characteristics and questions based on the health-promoting model constructs. RESULTS: Spiritual growth (28.77 ± 5.03) and physical activity (15.79 ± 5.08) had the highest and lowest scores in the HPLP II dimensions, respectively. All the health promotion model variables were significant predictors of health-promoting behaviors and explained 69% of the variance in health-promoting behaviors. Three significant predictors were estimated using regression coefficients: behavioral feelings (β = 0.390, P < 0.001), perceived benefits (β = 0.209, P < 0.001), and commitment to a plan of action (β = 0.347, P < 0.001). CONCLUSIONS: According to the results of the study, health-promoting model-based self-care behaviors can help identify and predict cardiac surgery patients’ lifestyles in Iran. This pattern can be used as a framework for discharge planning and the implementation of educational interventions to improve the lifestyles of CABG patients.