تأثیر آموزش براساس مدل پندر بر رفتارهای ارتقادهنده سلامت بیماران تحت آنژیوپلاستی عروق کرونر: یک مطالعه کارآزمایی بالینی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استاد، گروه پرستاری سلامت جامعه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

2 دانشجوی کارشناسی ارشد پرستاری سلامت جامعه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران

3 استادیار، گروه پرستاری سلامت جامعه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران

4 استادیار، گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی همدان، همدان، ایران

چکیده

زمینه و هدف: بیماری‌های عروق کرونر عامل اصلی مرگ و ناتوانی است. پیشگیری و مدیریت این بیماری، نقش اساسی در کنترل آن دارد. هدف مطالعه حاضر، تعیین تأثیر آموزش براساس الگوی ارتقای سلامت پندر بر رفتارهای ارتقادهنده سلامت بیماران تحت آنژیوپلاستی عروق کرونر است.
مواد و روش‌ها: در این مطالعه کارآزمایی بالینی، 96 بیمار تحت آنژیوپلاستی مراجعه‌کننده به بیمارستان قلب و عروق فرشچیان همدان در سال 1399 به روش تخصیص تصادفی در دو گروه مداخله و کنترل قرار گرفتند. گروه مداخله علاوه بر آموزش‌های جاری در گروه کنترل، 3 جلسه برنامه آموزشی را براساس مدل پندر دریافت کردند. پرسش‌نامه سبک زندگی ارتقادهنده سلامت، در هر دو گروه تکمیل شد. به‌منظور تحلیل داده‌ها از آزمون‌های آماری توصیفی و تحلیلی و نرم‌‌افزار SPSS نسخه 16 استفاده گردید.
یافته‌ها: نتایج نشان داد که دو گروه آزمون و کنترل پس از مداخله، در حیطه‌های مسئولیت‌پذیری در رابطه با سلامت، فعالیت بدنی و تغذیه، رشد معنوی و خودشکوفایی فردی، روابط بین فردی و مدیریت استرس، اختلاف آماری معنی‌داری داشتند (0/001> P). در گروه کنترل قبل و بعد از مداخله، تفاوت‌های آماری معنادار نبود (0/05<P) اما در گروه آزمون قبل و بعد از مداخله در تمامی ابعاد، اختلاف آماری معنی‌داری به دست آمد (0/001> P).
نتیجه‌گیری: نتایج به‌دست‌آمده از این مطالعه نشان داد که آموزش بر اساس الگوی ارتقای سلامت پندر بر رفتارهای ارتقادهنده سلامت بیماران تحت آنژیوپلاستی عروق کرونر تأثیرگذار است و با این رویکرد مداخله‌ای مناسب، می‌توان در راستای ارتقای سلامت بیماران اقدام کرد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Effect of Education Based On Pender's Model on Health-Promoting Behaviors in Patients Undergoing Coronary Angioplasty: A Randomized Control Trial Study

نویسندگان [English]

  • Masoud Khodaveisi 1
  • Zainab Yunesi 2
  • Fatemeh Pakrad 3
  • Leili Tapak 4
1 Professor, Department of Community Health Nursing, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
2 MSc student in Community Health Nursing, Department of Nursing, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
3 Assistant professor, Department of Community Health Nursing, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
4 Assistant professor, Department of Biostatistics, Faculty of health, Hamadan University of Medical Sciences, Hamadan, Iran
چکیده [English]

Introduction: Coronary artery disease is the leading cause of death and disability. Therefore, the prevention and management of this health condition are vitally important. The present study aimed to determine the effect of educational intervention based on Pender's health promotion model on health-promoting behaviors in patients undergoing coronary angioplasty.
Materials and Methods: This is a randomized control trial study, in which a total of 96 patients undergoing coronary angioplasty in Farshchian Heart Center in Hamadan in 2020 were allocated into two groups of intervention and control. The intervention group, in addition to the routine training in the control group, received 3 training sessions based on the Pender model. The Health-Promoting Lifestyle Profile II (HPLP II) was completed in both groups. Descriptive and analytical statistical tests and SPSS software version 16 were used to analyze the data.
Results: The result showed that in both intervention and control groups, there was a statistically significant difference in the mean scores of the domains of health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management after the intervention (p<.001). Furthermore, in the control group, no statistically significant difference was found (p>0.05). But this difference was shown to be statistically significant in all domains in the intervention group (p<.001).
Conclusion: Based upon the results of the present study, the patient education based on Pender's health promotion model has a positive effect on health-promoting behaviors in patients undergoing coronary angioplasty, as this educational approach can be appropriate for improving the state of health in these patients.

کلیدواژه‌ها [English]

  • angioplasty
  • coronary artery disease
  • Health Promotion
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