Volume 10, Issue 2 (2022)
Health Educ Health Promot 2022, 10(2): 341-346 |
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Askari R, Mir Hosseini R, Montazeral Faraj R, Jambarsang S. Evaluation of the Effect of Implementing Health Promoting Hospitals Program on the Level of Attitude of Cardiac Patients. Health Educ Health Promot 2022; 10 (2) :341-346
URL: http://hehp.modares.ac.ir/article-5-52406-en.html
URL: http://hehp.modares.ac.ir/article-5-52406-en.html
1- “Health Policy & Management Research Center” and “Department of Healthcare Management, School of Public Health”, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- “Center for Healthcare Data Modeling” and “Department of Biostatistics and Epidemiology, School of Public Health”, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- “Center for Healthcare Data Modeling” and “Department of Biostatistics and Epidemiology, School of Public Health”, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract: (997 Views)
Aims: Health promotion is the future perspective of hospital services in the health system. Thus, the study aimed to examine the effect of the implementation of a health promotion program on the attitudes of cardiac patients.
Material & Methods: The study was an interventional before-after study, conducted on 62 cardiac patients admitted to two selected teaching hospitals from July to September 2019, including 31 patients from Shahid Sadoughi Hospital (control group) and 31 patients from Afshar Hospital (experimental group) using a purposive sampling method. Besides the routine training of the ward, the samples in the experimental group received face-to-face and group training interventions based on the health belief model and the guideline of the the american association of cardiovascular and pulmonary rehabilitation and received the training package at the end. Moreover, the samples in the control group received routine training. Data was collected using a questionnaire based on the health belief model and analyzed in SPSS 23 using Chi-square, independent t-test, and analysis of covariance.
Findings: The total scores of attitude dimensions in the experimental and control groups before the intervention were 117.41±31.49 and 155.80±33.31, respectively, and after the intervention 234.70±16.90 and 164.54±33.54, respectively. The mean of these scores did not significantly differ before the intervention, but the mean of attitude dimensions significantly differed after the intervention (p=0.001).
Conclusion: The educational program implemented based on the health belief model and the american association of cardiovascular and pulmonary rehabilitation guideline in the study was effective and these programs proved a key role in promoting health and preventing cardiovascular disease.
Material & Methods: The study was an interventional before-after study, conducted on 62 cardiac patients admitted to two selected teaching hospitals from July to September 2019, including 31 patients from Shahid Sadoughi Hospital (control group) and 31 patients from Afshar Hospital (experimental group) using a purposive sampling method. Besides the routine training of the ward, the samples in the experimental group received face-to-face and group training interventions based on the health belief model and the guideline of the the american association of cardiovascular and pulmonary rehabilitation and received the training package at the end. Moreover, the samples in the control group received routine training. Data was collected using a questionnaire based on the health belief model and analyzed in SPSS 23 using Chi-square, independent t-test, and analysis of covariance.
Findings: The total scores of attitude dimensions in the experimental and control groups before the intervention were 117.41±31.49 and 155.80±33.31, respectively, and after the intervention 234.70±16.90 and 164.54±33.54, respectively. The mean of these scores did not significantly differ before the intervention, but the mean of attitude dimensions significantly differed after the intervention (p=0.001).
Conclusion: The educational program implemented based on the health belief model and the american association of cardiovascular and pulmonary rehabilitation guideline in the study was effective and these programs proved a key role in promoting health and preventing cardiovascular disease.
Article Type: Original Research |
Subject:
Health Promotion Approaches
Received: 2021/05/10 | Accepted: 2022/04/12 | Published: 2022/06/15
Received: 2021/05/10 | Accepted: 2022/04/12 | Published: 2022/06/15
References
1. Didarloo A, Ahmadi D. Health promotion in hospitals, the challenges facing the health care system. Healthy Work J. 2008;2:19-27. [Persian] [Link]
2. Heydarnia M, Abachzadeh K, Damari B, Azargashb E, Vosoughmoghaddam A. Study of expert opinion on health promotive services for patients at hospitals affiliated to Shahid Beheshti University of Medical Science. PAJOOHANDEH. 2009;14(4):183-90. [Persian] [Link]
3. Lin YW, Huang HL, Tung SC. The organisational diagnosis of a health promoting hospital in Taiwan. Patient Educ Couns. 2009;76(2):248-53. [Link] [DOI:10.1016/j.pec.2008.12.025]
4. Groene O, Alonso J, Klazinga N. Development and validation of the WHO self-assessment tool for health promotion in hospitals: results of a study in 38 hospitals in eight countries. Health Promot Int. 2010;25(2):221-9. [Link] [DOI:10.1093/heapro/daq013]
5. Põlluste K, Alop J, Groene O, Härm T, Merisalu E, Suurorg L. Health-promoting hospitals in Estonia: what are they doing differently?. Health Promot Int. 2007;22(4):327-36. [Link] [DOI:10.1093/heapro/dam032]
6. Tønnesen H, Christensen ME, Groene O, O'Riordan A, Simonelli F, Suurorg L, et al. An evaluation of a model for the systematic documentation of hospital based health promotion activities: results from a multicentre study. BMC Health Serv Res. 2007;7:145. [Link] [DOI:10.1186/1472-6963-7-145]
7. Ipsen C, Ravesloot C, Arnold N, Seekins T. Working well with a disability: Health promotion as a means to employment. Rehabil Psychol. 2012;57(3):187-95. [Link] [DOI:10.1037/a0028844]
8. Green L, Daniel M, Novick L. Partnerships and coalitions for community-based research. Public Health Rep. 2001;116 Suppl 1 (suppl 1):20-31. [Link] [DOI:10.1093/phr/116.S1.20]
9. Masiello MG. A health promoting hospital: A strategy in the re-design of the US health care system. Commonw J Polit Sci. 2008;14(1):125-35. [Link]
10. Whitehead D. The European health promoting hospitals (HPH) project: how far on?. Health Promot Int. 2004;19(2):259-67. [Link] [DOI:10.1093/heapro/dah213]
11. Naderi S, Amiri M, Khosravi A, Riahi L. The effect of health promoting hospital s' standards on hospitals performance: case study in Fatemieh hospital 1392. Hospital. 2015;14:101-9. [Persian] [Link]
12. Lee CB, Chen MS, Chu CMY. The health promoting hospital movement in Taiwan: recent development and gaps in workplace. Int J Public Health. 2013;58(2):313-7. [Link] [DOI:10.1007/s00038-012-0391-8]
13. Yaghoubi M, Javadi M, Bahadori M, Ravangard R. Health promoting hospitals model in Iran. Iran J Public Health. 2016;45(3):362-9. [Link]
14. Sansoni J. Health promoting hospital. Prof inferm. 2004;57(1):56-9. [Italian] [Link]
15. Cartagena RG, Veugelers PJ, Kipp W, Magigav K, Laing LM. Effectiveness of an HIV prevention program for secondary school students in Mongolia. J Adolesc Health. 2006;39(6):925.e9-16. [Link] [DOI:10.1016/j.jadohealth.2006.07.017]
16. Speizer IS, Tambashe BO, Tegang SP. An evaluation of the "Entre nous jeunes" peer-educator program for adolescents in Cameroon. Stud Fam Plann. 2001;32(4):339-51. [Link] [DOI:10.1111/j.1728-4465.2001.00339.x]
17. Freda MC. The readability of American Academy of Pediatrics patient education brochures. J Pediatr Health Care. 2005;19(3):151-6. [Link] [DOI:10.1016/j.pedhc.2005.01.013]
18. Wingard R. Patient education and the nursing process: meeting the patient's needs. Nephrol Nurs J. 2005;32(2):211-4. [Link]
19. Shojaeezadeh D. Study of behavioral models in health education. Tehran: Assistance of Ministry of Health. 2000:29-30. [Persian] [Link]
20. Barakat AM, Kasemy ZA. Preventive health behaviours during coronavirus disease 2019 pandemic based on health belief model among Egyptians. Middle East Curr Psychiatry. 2020;27(1):1-9. [Link] [DOI:10.1186/s43045-020-00051-y]
21. Dadkhah Tehrani B, Tavakoli R, Jazayeri S A. The Effect of an Educational Intervention Based on Health Belief Model on Nutritional Behaviors in Type 2 Diabetics. Mili Caring Sci J. 2019;5(4):303-11. [Persian] [Link] [DOI:10.29252/mcs.5.4.303]
22. Solimani Z, Barati H, Mozafari Join A, Ershadi Moqadam H, Mohammadi M. The quality of life of patients with diabetes from the City of Sabzevar during year 2016. Mil Caring Sci J. 2017;3(4):264-71. [Link] [DOI:10.18869/acadpub.mcs.3.4.264]
23. Borji M, Azami M, Amirkhani M, Bastami E, Salimi K, Sayehmiri A. The effect of education about the risk factors of myocardial infarction based on Health Belief Model on knowledge and attitudes of patients with myocardial infarction in Shahid Mustafa Hospital in Ilam. Nurs J Vulner. 2016;3(6):37-47. [Persian] [Link]
24. Zarei F, Taghdisi MH, Keshavarz Mohamadi N, Tehrani H. Health promoting hospital: a pilot study in Bo-Ali hospital, Qazvin, Iran. J Fasa Univ Med Sci. 2013;3(3):215-23. [Persian] [Link]
25. Falahi M, Miri M. The effects of e-learning based on the dimensions of health literacy in patients with ischemic heart disease. Nurs Dev Health. 2017;8(1):29-36. [Persian] [Link]
26. Daneshpajhooh F, Hadavi MM, Hasanzadeh A, Mostafavi F. The effect of educational intervention on knowledge, perceived barriers, referral status, and adherence to the coronary rehabilitation ward program in Shahid Chamran Hospital, Isfahan, Iran. Health Syst Res. 2016;12:272-7. [Persian] [Link]
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