Predictors of Health-Promoting Behaviors in Coronary Artery Bypass Surgery Patients: An Application of Pender’s Health Promotion Model

Abstract

BackgroundAdvances in coronary artery surgery have reduced patient morbidity and mortality. Nevertheless, patients still have to face physical, psychological, and social problems after discharge from hospital.ObjectivesThe objective of this study was to determine the efficacy of Pender’s health promotion model in predicting cardiac surgery patients’ lifestyles in Iran.MethodsThis cross-sectional study comprised 220 patients who had undergone coronary artery bypass graft (CABG) surgery in Mazandaran province (Iran) in 2015. The subjects were selected using a simple random sampling method. The data were collected via (1) the health-promoting lifestyle profile II (HPLP II) and (2) a self-designed questionnaire that included two main sections: demographic characteristics and questions based on the health-promoting model constructs.ResultsSpiritual growth (28.77 ± 5.03) and physical activity (15.79 ± 5.08) had the highest and lowest scores in the HPLP II dimensions, respectively. All the health promotion model variables were significant predictors of health-promoting behaviors and explained 69% of the variance in health-promoting behaviors. Three significant predictors were estimated using regression coefficients: behavioral feelings (β = 0.390, P < 0.001), perceived benefits (β = 0.209, P < 0.001), and commitment to a plan of action (β = 0.347, P < 0.001).ConclusionsAccording to the results of the study, health-promoting model-based self-care behaviors can help identify and predict cardiac surgery patients’ lifestyles in Iran. This pattern can be used as a framework for discharge planning and the implementation of educational interventions to improve the lifestyles of CABG patients.

A population-based study of health-promoting behaviors and their predictors in Iranian males, 2019

“…Consistent with other domestic studies, men obtained the highest score in spiritual growth [33,34]. This result is due to the cultural and religious status of society, as was mentioned in other studies [35,36].…”

“…This result is due to the cultural and religious status of society, as was mentioned in other studies [35,36]. On the other hand, physical activity had the lowest score, which was confirmed by the majority of studies on the HPB in different groups [19,34,37,38]. This is because men engage less than women in physical activities [39,40].…”

The Relationship Between Knowledge About Coronary Heart Diseases Risk Factors and Health-promoting Lifestyle

“…Due to the high cost of healthcare, prevention approaches have been substituted by treatment ones. In other words, health sciences that previously focused on the treatment of diseases have now concentrated on prevention and health through lifestyle improvements (Bhandari & Kim 2016;Mohsenipoua et al 2016). Recent medical treatments through blood lipids reduction and blood pressure treatment to reduce the incidence of coronary heart disease have been effective; however, a healthy lifestyle still has a significant impact which has been highlighted (Åkesson et al 2014).…”

Determinants of breakfast consumption among female adolescents: Application of the Health Promotion Model using Structural Equation Modeling in the west of Iran

“…The behavioral perceptions and behavioral effects have direct and indirect relationships with the behavior of breakfast as well, and also predict the behavior of breakfast by in uencing the commitment to the action plan indirectly. Along with previous studies, behavioral perceptions and behavioral effects are prominent variables that in uence the behavior of contributing health promotion [4,19,20].…”