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首页> 外文期刊>Iranian red crescent medical journal >The Impact of a Hospital-Based Educational Program Based on the Health Belief Model on Self-Care Behaviors of Heart Failure Patients
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The Impact of a Hospital-Based Educational Program Based on the Health Belief Model on Self-Care Behaviors of Heart Failure Patients

机译:基于健康信念模型的医院教育计划对心力衰竭患者自我护理行为的影响

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Background: The empowerment of heart failure (HF) patients to improve self-care behaviors through appropriate training programs is necessary. Evidence has indicated a lack of theory-based trials in hospitals and healthcare centers, both of which represent important health promotion settings. Objectives: This study aimed to examine the effect of a hospital-based educational program based on the constructs of the health belief model (HBM) on self-care behaviors of patients with HF. Methods: This controlled quasi-experimental study consisted of 84 patients with HF (42 patients in an intervention group and 42 in a control group) who were admitted to two large, specialized, referral hospitals affiliated to Shiraz University of Medical Sciences, Shiraz, Iran from April to August 2015. The patients were selected using purposive sampling. Data on self-care according to the constructs of the HBM were collected using a European HF self-care behavior questionnaire and a researcher-made questionnaire. Results: Before the intervention, the mean score for self-care behaviors was 30.69 ± 5.13 in the intervention group and 31.23 ± 5.48 in the control group. In the first and second post-tests of the intervention group, the mean scores for self-care behaviors were 39.47 ± 3.40 and 40.09 ± 2.91, respectively (P < 0.001). There was a significant increase in the determinants of self-care behaviors based on the HBM after the intervention. The results also pointed to a significant difference in the constructs of the HBM (knowledge, perceived susceptibility, severity, benefits, barriers, cues to action and self-efficacy) in the intervention group during different stages of measurement. Conclusions: This study showed that implementation of the HBM-based educational intervention positively influ
机译:背景:有必要通过适当的培训计划授权心力衰竭(HF)患者改善自我保健行为。证据表明,医院和医疗中心缺乏基于理论的试验,这两者都是重要的健康促进环境。目的:本研究旨在研究基于健康信念模型(HBM)构建的医院教育计划对HF患者自我护理行为的影响。方法:这项受控的准实验研究由84名HF患者(干预组42例,对照组42例)组成,他们被伊朗设拉子设拉子医科大学附属的两家大型专业转诊医院收治从2015年4月至8月。使用目的抽样选择患者。使用欧洲HF自我护理行为问卷和研究人员制作的问卷收集了根据HBM构成的自我护理数据。结果:干预前,自我护理行为的平均评分在干预组为30.69±5.13,在对照组为31.23±5.48。在干预组的第一和第二次测试中,自我护理行为的平均得分分别为39.47±3.40和40.09±2.91(P <0.001)。干预后,基于HBM的自我护理行为的决定因素显着增加。结果还指出,在不同的测量阶段,干预组的HBM结构(知识,知觉易感性,严重性,益处,障碍,行动线索和自我效能)显着不同。结论:这项研究表明,基于HBM的教育干预措施的实施对

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