Effect of Education Based on the Health Belief Model on Treatment Adherence in Patients With Heart Valve Replacement Surgery
محل انتشار: مجله آموزش و سلامت جامعه، دوره: 10، شماره: 1
سال انتشار: 1402
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 103
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شناسه ملی سند علمی:
JR_JECH-10-1_005
تاریخ نمایه سازی: 14 آذر 1402
چکیده مقاله:
Background: Adherence to the treatment regimen reduces complications of surgery after heart valve
replacement. Educating the patient can improve treatment adherence. This study thus aimed to evaluate
the effect of education based on the health belief model (HBM) on treatment adherence in patients with
heart valve replacement surgery.
Methods: In this quasi-experimental research, a total of ۹۰ patients undergoing valve replacement surgery
were studied. The subjects were selected randomly and then divided into an intervention and a control
group using the permutation blocks method. The data were collected using a demographic questionnaire,
an HBM- based questionnaire, and a treatment adherence questionnaire during two stages before and one
month after the education. Three ۶۰-minute sessions on HBM- based education were held based on a need
assessment for the intervention group. The collected data were analyzed using the chi-square test, paired
t test, independent t test, and linear regression in SPSS software version ۱۶.۰.
Results: Most of the patients in the two groups were male, married, and employed, had reading and writing
literacy and lived in an urban area. Both groups were similar in terms of demographic data except for marital
status, disease history, and familial disease history. The mean scores of knowledge, HBM constructs (e.g.,
perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy,
and cues to action), and treatment adherence were greater in the control group than in the intervention
group pre-intervention. However, the mean scores of all variables improved in the intervention group, and
there were significant differences in the knowledge, all HBM constructs (except for perceived susceptibility
and perceived self-efficacy), and medical adherence between the two groups post-intervention (P < ۰.۰۵).
Conclusion: Considering the positive effect of HBM-based educational intervention on the patients’
treatment adherence, HBM-based education could be suggested for patients with heart valve replacement
surgery.
کلیدواژه ها:
نویسندگان
Masoud Khodaveisi
Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Soheila Vesali Fallah
School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
Roya Amini
Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Leili Tapak
Department of Biostatistics, School of Public Health and Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran