Health-Promoting Lifestyle Profile Research Articles

Repercussions of Perceptions and Attitudes Related the COVID-19 on Healthy Lifestyle Behaviors in Young Adults

Objective: This study was conducted to determine the effects of young adult individuals’ perception of disease (PD), perception of causes (PC), perception of control (PCL), and avoidance behaviors (AB) related to the COVID-19 pandemic on their healthy lifestyle behaviors. Methods: The study was carried out with a cross-sectional, correlational design at a university in the south of Turkey. The research was conducted online and completed with 786 young adults aged 18-24. The study data were collected using a socio-demographic form, the Scale for Evaluating Perceptions and Attitudes towards the COVID-19 Pandemic, and the Health Promoting Lifestyle Profile (HPLP). Results: A moderate positive correlation was found between the mean HPLP total scores of the young adults and their mean scores for PC-Environmental, PCL, and PCL-Individual (p

Healthy eating behaviors and food consumption frequencies of retail workers.

Retail workers comprise millions of people, but little is known about their eating behaviors and food consumption patterns. To examine the healthy eating behaviors and food consumption frequencies of retail workers in shopping malls. The sample of this descriptive study consisted of 385 retail employees working in ready-made garment stores of shopping malls in Istanbul (42% of those eligible). A descriptive information form, the nutrition subscale of the Health-promoting Lifestyle Profile (HPLP), and the Food Consumption Frequency Survey were used as data collection tools. It was determined that more than half of the participants skipped breakfast and other meals and consumed fast food and packaged and acidic drinks five to six days a week. The mean score of the participants on the HPLP-nutrition subscale was determined to be 11.79±3.29. The retail workers in shopping malls were found to have insufficient healthy eating behaviors, a low frequency of healthy food consumption, and a high level of fast-food consumption. Maintaining healthy eating habits is crucial for the health of employees. It is necessary for workplaces to take steps to help their employees become aware of and practice healthy eating. Workplaces should also be encouraged to provide healthy food options for their employees.

Do health-promoting lifestyle approaches manage mental health among adolescent/young college students?

College students are often still relatively young, making their mental health more likely to be overlooked. A healthy lifestyle is considered the key to preventing and controlling mental health problems nowadays. This study aimed to investigate whether health-promoting lifestyle approaches manage mental health among adolescent/young college students. This cross-sectional study was conducted on 187 adolescent/young college students at Babol Medical Science University, Babol, Iran. Characteristic demographics, health-promoting lifestyle profile (HPLP), and general health questionnaire-28(GHQ-28) were filled out by students. The data were analyzed using correlation coefficient and simple and multiple linear regressions. The majority of participants were adolescents (66.8%), single (97.9%), and bachelor's students (70.1%). The mean of the HPLP and GHQ scores was 125.09±18.12, and 33.58±10.50, respectively. HPLP was a negative significant predictor of mental health (β = -.261, P= .0001). There was a negative significant association between HPLP dimensions (except physical activity) and mental health. After adjusting for other variables, there was a significant relationship between HPLP with mother occupation (β =.186, P=.038), and mother education (β = -.219, P= .034). Furthermore, gender (β = .175, P= .031), and occupation (β =-.157, P= .040) were predictors of GHQ in adolescent/young college students. Regarding the health-promoting lifestyle situation among students and its relation with the better mental health, the design and implementation of HPLP education programs is recommended.

Exploring the relationship between contextual factors and health-promoting lifestyle profile (HPLP) among medical students: A cross-sectional study.

The present study was conducted with the aim of investigating the relationship between health-promoting lifestyle profile (HPLP) among medical students and contextual factors such as gender, age, field of study, academic level, marital status, history of physical and mental illnesses, and smoking. The present research was conducted in a cross-sectional method in 2021 on 500 students of Shiraz University of Medical Students. An e-questionnaire link was sent to them via email. The research tool was the HPLP questionnaire consisting of 52 questions in six domains in a 4-point Likert scale. Data were analyzed using SPSS software version 24 with one-sample t-test, independent t-test, analysis of variance, and Tukey's post hoc test. A total of 500 students fully answered the questions completely. All components of a healthy lifestyle-except for exercise-obtained a score higher than the cut-off point. The component of Self-Actualization (spiritual growth) (3.035 ± 0.68) had the highest score, while the lowest score was related to exercise and physical activity (2.126 ± 0.60). Married individuals had a better average health score compared to singles (p = 0.047). The average health score did not have a significant relationship with gender, but significantly related to age, field of study (p < 0.001), history of mental illnesses (p < 0.001) and Smoking (p < 0.001). It seems that university officials should pay more attention to the health domain of students' lifestyles, such as nutrition, the development of exercise and physical activities, and the management of stress and mental health. Additionally, providing necessary awareness and considering training courses, as well as developing sports and recreational facilities, can be effective in creating a better environment for the growth and development of students and ensuring their well-being.

Health Promoting Lifestyle among Nurses in Indonesia

Background: Nurses are expected to be role models for the surrounding environment, both patients and families, particularly in clean and healthy living behaviours that can reduce the occurrence of obesity. The purpose of this study is to determine the prevalence of obesity and a healthy lifestyle among nurses at the Surabaya Islamic Hospital. Method: a cross-sectional study method with 406 nurses at Surabaya Islamic Hospital recruited by convenience sampling using questionnaires distributed via an online survey. The Health Promoting Lifestyle Profile II (HLP-II) questionnaire was used to collect data from December 2022 to February 2023. Results: According to the findings, 191 nurses (47.04%) were obese. A healthy lifestyle has a total score of 129.77 ± 17.89. Spiritual development received the highest score with 25.39±3.76, interpersonal relationship 23.90 ± 3.60, nutritional 20.98± 3.57, health responsibility 20.34 ±3.93, stress management 19.57 ±3.42, and physical activity 18.04 ±4.27. According to the findings of the Pearson analysis, there was a weak relationship between body mass index and physical activity (r=0.106, p-value = 0.033), as well as body mass index and interpersonal relationships (r=0.120, p-value 0.015). Conclusion: Nurses obesity is a public health issue because nurses are not only self-sufficient individuals, but also role models for those around them. As a result, hospital and government policies to increase awareness of how dangers of obesity are required.

Lifestyle Profiles of Italian Oncology Nurses according to Sex, Work Experience and Shift: An Exploratory Study.

(1) Background: Several researchers have highlighted a higher incidence of overweight and obesity among nurses, and others have analyzed the quality of nurses' eating habits and their related physical activity levels. The present study assessed the differences in personal habits among Italian oncology nurses according to sex, work experience and shift. (2) Methods: A cross-sectional study was performed during September-October 2023. A Google Moduli questionnaire was created and divulgated through Facebook and Instagram "Nurseallface" social pages. (3) Results: A total of 306 Italian oncology nurses agreed to participate in this study. Significant differences were reported between sex and the nutrition dimension (p = 0.018); male nurses reported higher levels in this dimension (2.69 ± 0.43) than females (2.56 ± 0.49). By considering the role of work experience in the health-promoting lifestyle profile, significant differences were recorded in the physical activity sub-dimension (p < 0.001), especially among nurses employed for more than 30 years who reported higher levels of physical activity (5.25 ± 0.23) than the other groups. By considering the shift role in the health-promoting lifestyle profile, significant differences were recorded with a health-promoting lifestyle general score (p = 0.046), especially among nurses employed only during the morning shift who recorded higher levels in health-promoting lifestyle than the others (one shift: 2.49 ± 0.29 vs. two shifts: 2.47 ± 0.24 vs. three shifts: 2.41 ± 0.25). Additionally, significant differences were reported in the physical activity dimension (p = 0.017), since nurses employed only during the morning shift recorded higher levels of physical activity than the others (one shift: 2.96 ± 1.28 vs. two shifts: 2.55 ± 0.94 vs. three shifts: 2.48 ± 1.20). Finally, a significant difference was recorded in the nutrition dimension (p = 0.017), since nurses employed during the morning and the afternoon shifts recorded higher levels of nutrition than the others (two shifts: 2.73 ± 0.39 vs. one shift: 2.63 ± 0.43 vs. three shifts: 2.56 ± 0.51). (4) Conclusions: Nurses represent the motive of healthcare organizations. Promoting healthy lifestyles among nurses would help healthcare organizations to have a healthy workforce, and nurses themselves can be advocates for policies to improve patient lifestyles and improve chronic disease prevention.

Health-promoting behaviours and psychological distress in breast cancer with endocrine therapy: Mediating roles of menopausal symptoms and social support.

To investigate the relationship between health-promotion behaviour and psychological distress and whether menopausal symptoms and social support mediate these relationships in patients with breast cancer receiving endocrine therapy. This was a cross-sectional study involving convenience sampling that involved 226 patients with breast cancer. Participants were investigated by self-reporting questionnaires that included demographic and clinical information, the Kessler psychological distress scale, the Health-Promoting Lifestyle Profile Ⅱ, the Menopause Rating Scale, and the Perceived Social Support Survey to measure psychological distress, health-promoting behaviour, menopausal symptoms, and social support, respectively. Mediation analyses were conducted with the bootstrapping method to test for mediating factors. In total, 78.7% patients reported that they were suffering from psychological distress. Their health-promoting behaviours were directly and negatively associated with psychological distress. In addition, health-promoting behaviour had a significant indirect effect on psychological distress through menopausal symptoms and social support. Mediating effects accounted for 34.8% and 27.6% of the total effect, respectively. There was a high prevalence of psychological distress in patients with breast cancer receiving endocrine therapy. Menopausal symptoms and social support mediated the association between health-promoting behaviour and psychological distress. Health professionals should evaluate menopausal symptoms and health lifestyles, and provide professional interventions to increase health-promoting behaviours and manage unpleasant somatic symptoms for patients and their caregivers; these actions may improve their psychological distress.

The Relationship between Lifestyle and The Incidence of Disrupted Fasting Blood Sugar

Background: This hybrid education forces us to become sedentary, but there is a difference between the time before and during the pandemic. This sedentary life event raises the possibility of an increase in fasting blood sugar even at a young age, so that it can lead to insulin resistance earlier. Lifestyle patterns are one of the risk factors often abused by the community for impaired fasting blood sugar, which also has the potential to become diabetes mellitus. Every year the prevalence of impaired fasting blood sugar incidence increases worldwide, and it is estimated that there will be 470 million people diagnosed with impaired fasting blood sugar by 2030Objective: This study aims to determine the relationship between lifestyle and the incidence of impaired fasting blood sugar in students of the Faculty of Medicine, University of Muhammadiyah Surabaya.Method: The study was conducted using an observational analytical method with a cross-sectional study type. A minimum sample of 79 respondents with simple random sampling. Instrument to assess lifestyle using Health Promoting Lifestyle Profile II questionnaire, for fasting blood sugar using glucometer.Results: The results showed a lifestyle relationship to impaired fasting blood sugar incidence with a significance value of 0.000 and a correlation value of 0.621. This value interprets a strong positive relationship where lifestyle has a unidirectional relationship with fasting blood sugar values.Conclusion: Based on these data, it is concluded that there is a significant unidirectional relationship between lifestyle and the incidence of impaired fasting blood sugar.

The Relation Between Adverse Childhood Experiences and Health Behaviors in Adult Women.

This study aims to identify whether adverse childhood experiences (ACEs) influence health lifestyles throughout adulthood and examine how ACEs influence dimensions of health lifestyles. The data was collected cross-sectionally through an online questionnaire. Individuals were invited to participate in an online survey for a larger brain health study as a pre-screening measure. Women in the Midwest between 18-25 and 65-85 who reported either no ACEs or 3 or more ACEs completed the survey, with 233 women answering all questionnaires. Demographic indicators, the 10-item ACEs questionnaire, and the Health Promoting Lifestyle Profile (HPLP-II). Independent sample t-tests revealed significantly lower scores for ACEs group on the HPLP-II and the 6 subcategories (heath responsibility, interpersonal relationships, nutrition, physical activity, spiritual growth, and stress management). A structural equation model using the 3 ACE categories (abuse, neglect, and household dysfunction) and 6 health domains showed substantial differences in the variance captured for each health behavior. Findings indicate that abuse predicts physical activity, stress management, and spiritual growth (β = -.21, -.23, -.20); neglect predicts interpersonal relationships and spiritual growth (β = -.17, -.18); and household dysfunction predicts health responsibility, nutrition, stress management, and interpersonal relations (β = -.20, -.22, -.10, -.17). The present investigation extends research in displaying that ACEs play a significant role in future health behaviors, with household dysfunction being the greatest predictor.

Effects of Continuous Nursing Care on Hemodialysis Patients' Quality of Life and Lifestyle: An Application of the Information, Knowledge, Attitude, and Practice Theory

Background: Patients undergoing hemodialysis often experience a low quality of life, which can significantly impact their lifestyle. Despite various proposed solutions, these patients continue to face ongoing challenges. Objectives: This research aimed to investigate the effects of continuous nursing care, based on the Information, Knowledge, Attitude, and Practice (IKAP) theory, on the quality of life and lifestyle of patients undergoing hemodialysis. Methods: Sixty-eight patients receiving hemodialysis treatment at 2 university hospitals in Ahvaz met the inclusion criteria for this experimental research. With the simple random method, the participants were divided into 2 equal groups: The experimental group and the control group. In addition to routine care, the experimental group received 20 to 30 minutes of continuous nursing care based on the IKAP theory every 2 weeks, while the control group received only routine care. Three questionnaires were administered: A Demographic Information Questionnaire, a Health Promoting Lifestyle Profile, and a Kidney Disease Quality of Life Questionnaire-Short Form (KDQOL-SF), which were completed before the intervention, 1 month after, and 3 months after by both groups. Data analysis employed independent samples t-tests, chi-square tests, and repeated measures analysis of variance (ANOVA). Results: The nursing intervention based on the IKAP model had a significant impact on the quality of life and lifestyle of patients undergoing hemodialysis. In the experimental group, the mean score for overall quality of life before and after the intervention showed a statistically significant difference (P &lt; 0.001), while in the control group, this difference was not significant (P = 0.807). Similarly, the mean score for lifestyle in the experimental group before and after the intervention was statistically significant (P &lt; 0.001), whereas there was no significant difference in the control group (P = 0.991). Conclusions: Nursing intervention based on the IKAP model has a positive effect on improving the quality of life and lifestyle of patients undergoing hemodialysis. Therefore, it is important to inform health care providers and policymakers about this model, which can serve as a reference for health education in hospitals and other health care centers.

Factors Associated with Lifestyle Behaviors among University Students-A Cross-Sectional Study.

Lifestyle behaviors are daily habits influenced by social and environmental factors. This study examined lifestyle behaviors and their associations with sociodemographics, comorbidities, and pain in Saudi university students during the academic year 2021 and 2022. All students received the study invitation via university emails to complete an online questionnaire. The questionnaire included four sections (sociodemographics, health-related information, desired health promotion activities, and a lifestyle behavior assessment) via Health-Promoting Lifestyle Profile II (HPLP-II). The associations between study variables were assessed using Pearson's correlation and multiple linear regression. The study questionnaire was completed by 1112 students. No correlation was found between sociodemographics and lifestyle-behavior-related factors except for students in the College of Science who appeared to have good lifestyle behaviors (an increase in HPLP II total scores of 3.69). Students with mental health issues have poorer lifestyle behaviors and spend more time sitting (p < 0.00). Students without disabilities have lower scores in health responsibility, physical activity, nutrition, and stress management, while auditory disability specifically lowers health responsibility (p < 0.00). Pain was not associated with any assessed lifestyle behaviors. This study identified several significant correlations and differences between variables such as age, sedentary behavior, sleep duration, disability status, college major, and lifestyle behaviors among PNU students. These findings provide insights into the factors that influence students' health-promoting behaviors and can help guide interventions for promoting healthier lifestyles on campus. Targeted health promotion strategies at an early age could help in decreasing overall noncommunicable disease incidents later in life. The study results should be interpreted taking into consideration that the collected data were cross-sectional and self-reported. In conclusion, the findings of this study clearly demonstrate the need for specific lifestyle and health-promoting programs that are directed toward university students.

The Mediating Role of Psychological Well-being in Explaining the Effect of a Health-Promoting Lifestyle on Death Anxiety in Seniors with COVID-19 Experience

The coronavirus and its variants continue to threaten the physical and mental health of many individuals, particularly those among the elderly infected with COVID-19. The purpose of this study was to examine the mediating role of psychological well-being in explaining the impact of a health-promoting lifestyle on death anxiety among seniors with COVID-19 experience in Tehran. This descriptive, correlational study involved a population of home-dwelling men and women aged 65 to 75 years in Tehran in 2023, who had experienced COVID-19 in the past six months. A targeted sample of 400 individuals responded to the Death Anxiety Scale (Templer, 1970), the Health-Promoting Lifestyle Profile (Walker et al., 1987), and the Psychological Well-being Scale (Ryff, 1989). Structural equation modeling was employed for data analysis. The findings, obtained using confirmatory factor analysis and AMOS 24 software, indicated a good fit between the structural model and the collected data. A positive and significant relationship was found between a health-promoting lifestyle and psychological well-being, and a negative and significant relationship between a health-promoting lifestyle and death anxiety, as well as between psychological well-being and death anxiety. Indirect pathways between death anxiety, a health-promoting lifestyle, and death anxiety were also confirmed (p = .001). Based on the results of this study, it can be stated that a health-promoting lifestyle influences the death anxiety of seniors with COVID-19 experience through psychological well-being. The findings of this study can be useful for counselors, psychologists, and health professionals.

Development of the “Construction of aging strategies” questionnaire

The work describes the development and psychometric evaluation of a tool aimed at assessing the strategies used to promote successful aging. In the context of increasing life expectancy and the number of older people in the general population, the issue of maintaining and improving the quality of life of older people is particularly acute. Science has accumulated a large amount of data on the mechanisms and factors influencing aging. Moreover, these factors can be modeled by the person himself. However, there are no tools that would allow us to assess these mechanisms and the frequency of their use in a one’s life, both current and retrospectively. The study participants included 170 adults aged 40–75 years. Based on theoretical analysis, 22 strategies were formulated, each of which was assessed on a 5-point scale. To check the convergent validity, the Health-Promoting Lifestyle Profile questionnaire, the K.Riff Psychological Well-Being Scale, the Aging Perception Questionnaire, and questions from a demographic survey were used. As a result of exploratory factor analysis, four scales were identified: “Strategies for maintaining health”, “Metacognitive strategies”, “Strategies for self-development” and “Generative strategies”. Scale reliability and confirmatory analysis confirmed the suitability of the resulting instrument as well as its consistency with the empirical data. Analysis of convergent validity showed that the selected scales were associated with indicators of a healthy lifestyle, psychological well-being, positive ideas about aging and the desire to change something in one’s life for the sake of a prosperous old age. The results obtained can be used both for scientific study of the mechanisms of futurization of aging, and for practical work on assessing resources for the formation of aging and building individual aging trajectories.

The Relationship between a Health-Promoting Lifestyle and Sickness Absence in a Healthcare Company

Introduction The health and wellbeing of healthcare workers is important. This study aims to determine if associations exist between the health promoting behaviour and sickness absence of people employed in a Middle-Eastern healthcare company over a 12 month period. Method A cross-sectional survey was sent to all employees (n=233); it measured sickness absence in spells and days and, ‘health promoting behaviour’ by use of the Health Promoting Lifestyle Profile II (HPLP II) which measured six subscales: Spiritual Growth, Interpersonal Relations, Nutrition, Physical Activity, Health Responsibility and Stress Management. Results The odds of high spells of sickness absence were 5 times greater in people with poor rather than good health promoting scores, after a post-hoc analysis (OR 5.3, p=0.0039, CI 1.7 to 16.6). Men had better physical activity scores than women (p&lt;0.05). Job role was associated with sickness absence (p=0.003 for spells, 0.005 for days), with administrative staff having higher rates of sickness absence than clinical staff. Conclusion The results suggest that no specific health promoting behaviour was associated with sickness absence in this setting. However, the overall effect shows that higher HPLP II scores are correlated with lower sickness absence. Sickness absence may also be associated with job role.

Nursing students’ awareness of health-promoting lifestyle profile and sustainable development goals – a quasi-experimental study

Introduction and aim. Health promotion is one of the common elements of sustainable development goals. The aim of this study was to identify the impact of “Healthy Life and Environment” course on nursing student’s awareness of sustainable development and healthy life, and health-promoting lifestyle behaviours. Material and methods. A pre-, and post-test control group quasi-experimental research design was used. One nursing department located in Nortwest Blacksea region, Turkey. A total of 160 nursing students pursuing bachelor nursing programs. Students from first and second years who enrolled in the “Healthy Life and Environment” course assigned to intervention group, those who did not attend the course assigned to control group. Results. Female students had higher level of HPLP II and SDA than male. SDA had a weak correlation with HLA and a very week correlation with HPLP II at baseline. Intervention group had an improvement of .03 points in HPLP II, no change in HLA, and a slight improvement of .01 points in SDA, however these differences were not statistically important. Conclusion. The results of our study highlighted that nursing curricula need to be modified to incorporate sustainable development methodology using student-centered learning.

ADVERSE CHILDHOOD EXPERIENCES AS A PREDICTOR OF HEALTH BEHAVIORS IN WOMEN

Abstract Individuals who experience adversity during childhood are at a higher risk of negative health outcomes in adulthood. This study aims to identify whether adverse childhood experiences (ACEs) influence health lifestyles throughout adulthood. This was accomplished by collecting data from 233 women aged 18-25 and 65-85 who reported either no ACEs or three or more ACEs. Demographic indicators, the 10-item ACEs questionnaire (Felitti et al., 1998), and the Health Promoting Lifestyle Profile (HPLP-II; Walker, Sechrist, &amp; Pender, 1987) were examined. ACEs were categorized into three variables: abuse, neglect, and household dysfunction. The HPLP-II was categorized by its six subscales: health responsibility, nutrition, spiritual growth, physical activity, stress management, and interpersonal relations. When comparing the ACEs and no ACEs groups, t-tests revealed significantly different scores for overall HPLP-II and the six subcategories showing that individuals without ACEs have higher scores on health behaviors. A structural equation model was calculated using the three ACE categories and six health domains. Substantial differences were observed in the variance captured for each of the six health behavior measures. Findings indicate that abuse significantly predicts physical activity, stress management, and spiritual growth (β=-.21, -.23, -.20); neglect significantly predicts interpersonal relationships and spiritual growth (β=-.17, -.18); and household dysfunction significantly predicts health responsibility, nutrition, stress management, and interpersonal relations (β=-.20, -.22, -.10, -.17). The present investigation extends research in displaying that ACEs play a significant role in future health behaviors, with household dysfunction being the greatest predictor.

Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial

BackgroundThe gestational diabetes causes complications for the mother and the baby.MethodsIt was a randomised controlled trial that was conducted in Public Health Center No 1 in Baghmalek, Khuzestan province, Iran....

Healthy lifestyle as a way to manage health risks: Components and factors. Analytical review

Healthy lifestyle promotion is a strategic task within health protection and healthcare worldwide. A prevailing contribution made by non-communicable diseases into premature death and a decrease in life expectancy makes it necessary to search for effective prevention and technologies able to persuade people to adhere to health protection behavior. The review concentrates on approaches to defining, structuring and empirical study of persuasive design of healthy lifestyle. Substantiation is provided for including physical, mental and social health protection into healthy lifestyle. The review also discusses a possibility to use the Health-Promoting Lifestyle Profile (HPLP II) scale to analyze health behavior, including Asian countries. Structural components of healthy lifestyle are identified on the basis of the HPLP II scale. Additionally, several mainstream health behavior theories and models have been selected and analyzed, which explain people’s health behavior. They provide a theoretical basis for exploring influential factors of a healthy lifestyle. Contributions made by sociodemographic and cognitive factors have also been outlines and substantiation has been provided for the necessity to consider such factors as self-efficacy and subjective health perception when developing individual prevention. This research holds valuable reference and guiding significance for the design and implementation of strategies aimed at influencing people's healthy lifestyles in related fields.

Здоровый образ жизни как средство управления рисками для здоровья: компоненты и факторы. Аналитический обзор

Healthy lifestyle promotion is a strategic task within health protection and healthcare worldwide. A prevailing contribution made by non-communicable diseases into premature death and a decrease in life expectancy makes it necessary to search for effective prevention and technologies able to persuade people to adhere to health protection behavior. The review concentrates on approaches to defining, structuring and empirical study of persuasive design of healthy lifestyle. Substantiation is provided for including physical, mental and social health protection into healthy lifestyle. The review also discusses a possibility to use the Health-Promoting Lifestyle Profile (HPLP II) scale to analyze health behavior, including Asian countries. Structural components of healthy lifestyle are identified on the basis of the HPLP II scale. Additionally, several mainstream health behavior theories and models have been selected and analyzed, which explain people’s health behavior. They provide a theoretical basis for exploring influential factors of a healthy lifestyle. Contributions made by sociodemographic and cognitive factors have also been outlines and substantiation has been provided for the necessity to consider such factors as self-efficacy and subjective health perception when developing individual prevention. This research holds valuable reference and guiding significance for the design and implementation of strategies aimed at influencing people's healthy lifestyles in related fields.

The mediation of health-promoting lifestyle on self-perceived health status and quality of life among nurses: a cross-sectional study

BackgroundNurses with busy workloads lack the time to maintain health, leading to a decline in physical and mental health and quality of life. It is widely accepted that self-perception of health triggers health-promoting behaviors and impacts the quality of life; however, the relationship between these factors among nurses is unclear. The purpose of this study was to investigate the ability of a health-promoting lifestyle to mediate the relationship between self-perceived health and quality of life among nurses.MethodsA cross-sectional survey was conducted in four regional Taiwanese teaching hospitals with over 500 beds. The survey used stratified random sampling of 600 nurses who had worked for more than six months. The Self-Perceived Health Questionnaire, the Health-Promoting Lifestyle Profile, and the World Health Organization Quality of Life Scale were used to measure nurses’ self-perceived health (SPH), health-promoting lifestyle (HPL), and quality of life (QoL). A Hayes PROCESS analysis and bootstrapping method were used for the mediation analysis.ResultsA total of 518 nurses’ data was included in the analysis. Nurses perceived their health status as less favorable than their colleagues, but frequently adopted health promotion behaviors. Nurses reported a moderate QoL. QoL and SPH were correlated (r = .33) and a high correlation between QoL and HPL (r = .64) was found. SPH and HPL both affect QoL (B = 0.077 and 0.070). SPH and HPL explained 42.6% of the variation in QoL. HPL played a partial mediation role.ConclusionsThe study confirmed that HPL has an important role in mediating nurses’ SPH and QoL. Nurse administrators are advised to encourage nurses to monitor their health status and provide health promotion mechanisms to improve their quality of life.