​The Effect of a Healthcare Plan Based on the Pender Health Promotion Model on Quality of Life in Patients With Heart Failure in a Military Setting

Chehri, Masoud; Farsi, Zahra; Zareiyan, Armin

doi:10.29252/mcs.5.1.13

[Home ] [Archive]

[ فارسی ]

Main Menu

Home

Journal Information

Articles archive

For Authors

For Reviewers

Registration

Contact us

Site Facilities

Principles of Publication

Indexing Sources

Search in website

Receive site information

Registered in

Open Access

Open Access

Volume 5, Issue 1 (Military Caring Sciences 2018)

MCS 2018, 5(1): 13-25

Back to browse issues page

The Effect of a Healthcare Plan Based on the Pender Health Promotion Model on Quality of Life in Patients With Heart Failure in a Military Setting

Masoud Chehri¹

, Zahra Farsi ^*

², Armin Zareiyan³

1- MSc Student in Critical Care Nursing, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing.
2- Ph.D., in Nursing Medical-Surgical Education, Associate Professor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Research and Community Health Department.
3- Ph.D., in Nursing, Associate Professor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Community Health Department.

Abstract: (8069 Views)

Introduction: The role of heart failure in reducing the quality of life is approved. However, with regard to the impact of a healthcare plan based on the Pender health promotion model on quality of life, there are few studies with conflicting results on this group of patients.
Objective: The current study aimed at investigating the effect of a healthcare program based on Pender Health Promotion Model on quality of life in patients with heart failure in a military hospital.
Materials and Methods: In the current clinical trial, 48 patients with heart failure (grades 2 and 3) referred to the heart clinic of a military hospital in 2017 were selected by the purposive sampling method and randomly divided into two groups including the case (n=24) and the control (n=24) groups. In order to assess the quality of life, the SF-36 standard questionnaire with confirmed validity and reliability was used. Then, a healthcare program developed based on the Pender health promotion model-based care program was performed in the case group. The quality of life of patients was assessed in both groups in pre-test and post-test. Data were analyzed with SPSS version 21 using statistical tests such as independent t test, paired t test, chi-square, the Mann-Whitney U and the Fisher exact tests. P<0.05 was considered the level of significance.
Results: The results of independent t test showed no significant difference in the total score of quality of life and its dimensions between the two groups prior to implementation of the healthcare plan (P<0.05). However, after the intervention there was a significant difference between the mean score of the subjects in the case group in terms of the dimensions: physical functioning, physical role functioning, public health, vitality, social role functioning, and mental health, and also between intervention and control groups in the total score of quality of life in favore of the intervention group (P<0.05); however, after the intervention no significant difference was observed between the mean score of the subjects in both groups in terms of the following dimensions: bodily pains and emotional role functioning (P<0.05). Moreover, according to the results of paired t test, there were no significant differences among the subjects of the control group in physical functioning, physical role functioning, public health, vitality, social role functioning, and mental health after the intervention (P<0.05); however, after the intervention there was a significant difference between the mean score of the subjects in the control group in bodily pains and emotional role functioning (P <0.05). In addition, before and after the intervention there was a significant difference between the mean score of the subjects in the intervention group in all dimensions, except emotional role functioning (P<0.05).
Discussion and Conclusion: Use of a health care program based on the Pender health promotion model significantly affected the quality of life in patients with heart failure. Therefore, it is recommended to take appropriate measures by nurses, administrators, and other health care providers in order to improve the quality of life of such patients.

Keywords: Heart Failure, the Pender Health Promotion Model, Quality of Life.

Full-Text [PDF 413 kb] (2179 Downloads)

Type of Study: Research | Subject: Special
Received: 2018/01/25 | Accepted: 2018/02/8 | Published: 2018/08/15

References

1. Heidarzadeh M, Hasani P, Rahimzadeh A, Ghahramanian A, Kolahdouzi Pour J, Yousefi I. [Quality of life and social support in congestive heart failure patients‌ ‌and healthy ‎people]. J Holist Nurs Midwifery. 2013;23(1):13-21.

2. Seyam S, Heidarnia AR, Tavafian Ss. [Quality of life and factors related to it in cardiovascular patients after heart surgery]. J Birjand Univ Med Sci. 2013;19(6):33-41.

3. Cheraghi M, Salavati M, Moghimbeigi A. [Association between Perceived Social Support and Quality of Life in Patients with heart failure]. Iran J Nurs. 2012;25(75):21-31.

4. Abedi H, Yasaman-Alipour M, Abdeyazdan G. [Quality of life in heart failure patients referred to the Kerman outpatient centers, 2010]. J Shahrekord Univ Med Sci. 2011;13.

5. Shojaei F. [Quality of Life in Patients with Heart Failure]. Hayat. 2008;14(2):5-13.

6. Heidarzadeh M, Ghanavati A, Pashaie A, Kolahdoozipour J, Mohamad Karam A, Rahimzadeh A, et al. [Quality of life in congestive heart failur patients: comparing with other groups]. Iran J Nurs Res 2015;10(2):54-62.

7. Evangelista LS, Lee JA, Moore AA, Motie M, Ghasemzadeh H, Sarrafzadeh M, et al. Examining the effects of remote monitoring systems on activation, self-care, and quality of life in older patients with chronic heart failure. J Cardiovasc Nurs. 2015;30(1):51-7. DOI: 10.1097/JCN.0000000000000110 PMID: 24365871

8. Buck HG, Lee CS, Moser DK, Albert NM, Lennie T, Bentley B, et al. Relationship between self-care and health-related quality of life in older adults with moderate to advanced heart failure. J Cardiovasc Nurs. 2012;27(1):8-15. DOI: 10.1097/JCN.0b013e3182106299 PMID: 21558868 [DOI] [PubMed]

9. Toloei M, Dehghan nayeri N, Faghihzadeh S, Sadooghi Asl A. [The nurses’ motivating factors in relation to patient training]. Hayat. 2006;12(2):43-51.

10. Zeraatkar M, Rahimian Boogar I, Talepasand S, Amin A. [The Effectiveness of Healthy Lifestyle Promotion Intervention on Quality of Life in Patients with Congestive Heart Failure via Cognitive-Behavioral Procedure]. J Shahid Sadoughi Univ Med Sci. 2016;23(11):1094-107.

11. Moradi Y, Rahmani A, Aghakarimi K, Sheikhy N. [Effect of applying follow-up care model on self-care management in heart failure patients: A randomized clinical trial]. J Nurs Midwifery Urmia Univ Med Sci. 2017;15(3):208-17.

12. Mohamadian H, Eftekhar Ardebili H, Rahimi Foroushani A, Taghdisi M, Shojaiezade D. Evaluation of Pender's health promotion model for predicting adolescent girls' quality of life. J Sch Public Health Instit Public Health Res. 2011;8(4):1-13.

13. Jordan DN, Jordan JL. Self-care behaviors of Filipino-American adults with type 2 diabetes mellitus. J Diabetes Complications. 2010;24(4):250-8. DOI: 10.1016/j.jdiacomp.2009.03.006 PMID: 19615920 [DOI] [PubMed]

14. Moghaddamniasar A, Mazloomi S, Saba MA, Morovati MA, Fallahzadeh H. [The Relation of Knowledge, Attitude and Self-Management Behaviors in Asthmatic Patients with Controlling Asthma]. Zahedan J Res Med Sci. 2012;14(1):49-55.

15. Rahnavard Z, Zolfaghari M, Kazemnejad A, Hatamipour K. [An investigation of quality of life and factors affecting it in the patients with congestive heart failure]. Hayat. 2006;12(1):77-86.

16. Asano M, Sugiura T, Miura K, Torii S, Ishiguro A. Reliability and validity of the self-report Quality of Life Questionnaire for Japanese School-aged Children with Asthma (JSCA-QOL v.3). Allergol Int. 2006;55(1):59-65. DOI: 10.2332/allergolint.55.59 PMID: 17075288 [DOI] [PubMed]

17. Rafiei N, Sharifian Sani M, Rafiey H, Behnampour N, Foroozesh K. [Reliability and Validity of Persian Version of the Pittsburgh Sleep Quality Index (PSQI-P)]. J Mazandaran Univ Med Sci. 2014;24(116):75-83.

18. Abbasi A, Fayyazi S, Ahmadi F, Haghighizade M. [The efficacy of home walking exercise program on functional performance and quality of life in patients with heart failure]. J Gorgan Univ Med Sci. 2007;9(1):49-54.

19. Jaarsma T, Halfens R, Tan F, Abu-Saad HH, Dracup K, Diederiks J. Self-care and quality of life in patients with advanced heart failure: the effect of a supportive educational intervention. Heart Lung. 2000;29(5):319-30. DOI: 10.1067/mhl.2000.108323 PMID: 10986526 [DOI] [PubMed]

20. Shumaker SC. The Relationship of Social Support in Self-care, Depressive Symptoms, and Quality of Life Outcomes in Patients with Heart Failure. Kentucky University of Kentucky 2016.

21. Fan J, Li GQ, Liu J, Wang W, Wang M, Qi Y, et al. Impact of cardiovascular disease deaths on life expectancy in Chinese population. Biomed Environ Sci. 2014;27(3):162-8. DOI: 10.3967/bes2014.037 PMID: 24709096 [DOI] [PubMed]

22. Rejeh N, Heravi-Karimooi M, Taheri Kharame Z, Montazeri A, Vahedian A. Quality of life in patients with myocardial infarction and related factors: a cross sectional Study. Iran J Nurs Res. 2015;9:1-11.

23. Esmaeili Z, Ziabakhsh Tabari S, Vazezzadeh N, Mohamadpour R. [Quality of Life after Coronary Artery Bypass in Grafting ]. J Mazandaran Univ Med Sci. 2007;17(61):170-4.

24. Baghaei R, mashallahi a, khalkhali H. [The effect of applying continuous care model on the quality of life in heart failure patients]. J Nurs Midwifery Urmia Univ Med Sci. 2015;13(8):666-75.

25. Bang KS, Lee IS, Kim SJ, Song MK, Park SE. [The Effects of Urban Forest-walking Program on Health Promotion Behavior, Physical Health, Depression, and Quality of Life: A Randomized Controlled Trial of Office-workers]. J Korean Acad Nurs. 2016;46(1):140-8. DOI: 10.4040/jkan.2016.46.1.140 PMID: 26963423 [DOI] [PubMed]

Send email to the article author

Add your comments about this article

‎ 10.29252/mcs.5.1.13

Mendeley

Zotero

RefWorks

Chehri M, Farsi Z, Zareiyan A. The Effect of a Healthcare Plan Based on the Pender Health Promotion Model on Quality of Life in Patients With Heart Failure in a Military Setting. MCS 2018; 5 (1) :13-25
URL: http://mcs.ajaums.ac.ir/article-1-192-en.html

Rights and permissions
	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Volume 5, Issue 1 (Military Caring Sciences 2018)

Back to browse issues page

Persian site map - English site map - Created in 0.05 seconds with 43 queries by YEKTAWEB 4645