Coronary heart diseases are leading causes of death worldwide. Improvements in physical activity behavior and cardiac self-efficacy are useful to adopt a healthy lifestyle and to promote person-centered care in practice. Purpose: to examine the effect of motivation based nursing intervention on physical activity and cardiac self-efficacy among patients with coronary heart diseases. Design: A quasi-experimental design (study-control group) was used. Setting: The study conducted at the cardiology outpatient clinics in Abo Bakr Elsedik clinics for health insurance at Shebin El-Kom, Menoufia governorate, Egypt. Sampling: A purposive sample of 370 (75.1% adults and 24.9% elderly) patients were chosen and equally divided to study-control groups. Instruments: Structured interviewing questionnaire included sociodemographic characteristics, medical data and anthropometric measurements, International physical activity questionnaire and Cardiac self-efficacy questionnaire. Results: Motivation based nursing intervention assisted in increasing the physical activity levels and cardiac self-efficacy score; the level of high physical activity among study group increased from 13.0% on pre intervention to 38.9% on post intervention. Also, mean score of cardiac self-efficacy on post intervention was 28.86 ± 8.6 of the study group compared to 20.9 ± 6.6 of the control group. Furthermore, a statistically significant difference was present between adults and the elderly study patients regarding the overall mean score of physical activity post intervention. Conclusion: Motivation based nursing intervention had a considerable significant positive effect on the levels of physical activity and cardiac self-efficacy score among adults and elderly patients. Recommendation: Motivation based nursing intervention should be incorporated into routine care that is designed for both adults and elderly patients with coronary heart diseases.
Obesity is a metabolic disease in which adipose tissue comprises a greater than normal proportion of body tissue. An individual can be considered to be obese when the amount of body fat increases beyond the point where their health begins to deteriorate. Extreme obesity is often associated with a shortened life expectancy .The study' aim: was to determine the perceived personal, social and environmental factors that lead to obesity among university students. Method and Subjects:A cross sectional design was used. Sample: of 1000 students of the first, second, third and fourth year. Setting: Faculty of Art and Nursing in Shebin Elkom-Menoufia University were chosen by simple random sample. Tools: Three tools were utilized for data collection.I An interview questionnaire including; Sociodemographic data and medical history of the student and her family, Measure some aspects of student's life style as physical activity and eating habits, Students knowledge about obesity II perceived factors to weight maintenance questionnaire III Biophsiological measurement. Results: age of the studied sample ranged from 18-24 years old. 40.8% of the students were overweight, and 1.3% of students were underweight.The result showed lack of time, no safe environment and lack of access to the places for physical activity. There was statistically significant difference between normal vs overweight and obese students regarding support from spouse or family members for physical activity Conclusion:lack of time, no safe environment and lack of access to the places for exercising and unhealthy diet lead to obesity. Recommendations: Future research should study further psychosocial stressors and educational environmental stressors that influence food selection, preparation and intake also attitude towards health fitness and activity among female students in Menoufia University.
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