Abstract
Background:Health promotion is an essential strategy for reduction of health disparities. Health promotion includes all activities that encourage optimum physical, spiritual, and mental functions. The aim of this study was to determine the impact of a Health Promotion Program (HPP) on behavior in terms of the dimensions of the Health Promoting Lifestyle Profile (HPLP) in patients after Coronary Artery Bypass Graft (CABG).Methods and Materials:In this clinical trial study, 80 patients who had undergone CABG surgery (2011-2012) were selected and randomly divided in two groups: Experimental and Control that investigated by (HPLP II). Then the experimental group was educated about diet, walking and stress management. The program process was followed up for three months and after tward whole variables were investigated again. The overall score and the scores for the six dimensions of the HPLP (self actualization, health responsibility, exercise, nutrition, interpersonal support and stress management) were measured in the pre- and post-test periods. Data were manually entered into SPSS version 21(IBM Corp, USA) by one the authors. Statistical analysis was performed using Student’s t-test and paired t-test. Mean standard deviation and standard error of the mean (with 95% Confidence Interval) were generated for each item.Results:Results showed that score of stress management (p=.036), diet (p=.002), Spiritual Growth (p=.001) and interrelationship (p=002) increase in experimental group after intervention. Average scores after three months in the control group had no significant changes; except responsibility for health (p<.05). Results of the study revealed that comparison the scores of the experimental group were significantly different from the control group in all lifestyle aspects except for spiritual growth.Conclusion:This study showed that HPP on lifestyle and health promotion in patients who suffered from Coronary Heart Disease (CAD) could improve the patient’s awareness of healthy behaviors and well-being in the quality of life.
Highlights
Coronary Heart Disease (CAD) is the leading cause of morbidity and mortality in the world (Ades, 2001)
The aim of this study was to determine the impact of a Health Promotion Program (HPP) on behavior in terms of the dimensions of the Health Promoting Lifestyle Profile (HPLP) in patients after Coronary Artery Bypass Graft (CABG)
This study showed that HPP on lifestyle and health promotion in patients who suffered from Coronary Heart Disease (CAD) could improve the patient’s awareness of healthy behaviors and well-being in the quality of life
Summary
Increasing prevalence of CAD reflects the effects of the many risk factors that are becoming more common such as type 2 diabetes mellitus, obesity, sedentary lifestyle, stress and fatty diet (Mozaffarian, Wilson, & Kannel, 2008). Cardiac rehabilitation and HPPs are the most common form which they medically supervised exercise programs, stress management and diet that have been shown to improve health and decrease risk factors (Koch, Li, Lauer, Sabik, Starr, & Blackstone, 2007). By this way HPPs can lead to greater self-esteem, self-efficacy, and self-confidence and, leading in anxiety reducing (Sol, van der Graaf, van Petersen, & Visseren, 2011). The aim of this study was to determine the impact of a Health Promotion Program (HPP) on behavior in terms of the dimensions of the Health Promoting Lifestyle Profile (HPLP) in patients after Coronary Artery Bypass Graft (CABG)
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