Health-promoting Lifestyle Research Articles

Predictors to health promoting behaviors among patients with myasthenia gravis: health belief model approach

Myasthenia Gravis is a rare, chronic, acquired autoimmune neuromuscular disorder causing weakness in skeletal muscles. Patients with Myasthenia Gravis face many bio-psychosocial consequences that may require dramatic changes in their lives. The aim of this study was to determine predictors to health promoting behaviors among patients with Myasthenia Gravis using Health Belief Model. A predictive correlation research design was utilized to fulfill the aim of the study. Consecutive sample of convenience consisting of 57 adult male and female patients admitted for 21 months at one of Cairo University Hospitals, Egypt constituted the study sample. Data was collected using the following tools:(a) Demographic and Medical Background Data Form, (b) Glasgow Coma Scale to determine the conscious level of the potential participants, (c) The Adapted Health-Promoting Lifestyle Profile II tool to assess the health-promoting behaviors among the study participants and (d) the Health Belief Model Scale to assess the disease variables that were supposedly act as the predictors to health promoting behaviors among the study participants. Results showed that the majority of participants were female (78.90%), married (66.70%), educated (96.50%) and not working (91.20%), with a mean age of 33.96 ±9.81.

Bone fragility related to breast cancer treatment: The pivotal role of nurses in bone health program development, implementation, and testing.

Breast cancer treatment can affect estrogen levels leading to significant bone loss, osteoporosis, and risks for fracture. Although bone care guidelines are published, bone health interventions are often not routinely offered to at-risk individuals. This paper reports on the process of developing and implementing a nurse-led bilingual Breast and Bone Health Program (BBHP) in-person and online at a cancer centre in Montreal, Quebec (www.breastandbonehealth.ca, www.santeseinsetos.ca). The BBHP offers tailored bone health interventions (e.g., risk screening, information, rehabilitation, exercise prescriptions, nutritional counselling, and support for a health-promoting lifestyle). Over a two-year period, women treated for breast cancer (N = 430) took part in the program. Forty percent of surveyed participants (n = 97) initally reported being unaware that some breast cancer treatment could significantly affect bone health. Following the initial informational session with the BBHP nurse, self-reported bone health knowledge significantly increased, with 96% reporting sufficient information to manage their bone health. The BBHP offers both online and in-person risk assessment and bone health promotion activities and tools to both health care professionals and women with breast cancer. Herein, we review the background, BBHP development and implementation as well as preliminary program evaluation.

Health-promoting behaviours and perceived lifestyle cancer risk factors among nurses

BackgroundNurses play a pivotal role in promoting health for cancer prevention. Comparatively little is known, however, of their health-promoting behaviours and perceived lifestyle-related cancer risk factors. AimTo assess nurses’ health-promoting behaviours and perception of lifestyle-related cancer risk factors. MethodsThis is a descriptive, cross-sectional design study of 357 nurses from a teaching hospital. Respondents completed the Health-Promoting Lifestyle Profile II questionnaire. Perception of cancer risk factors was measured based on 29 well-established lifestyle factors. FindingsAlmost half of all nurses were overweight or obese (mean BMI = 25.2, SD = 4.95). The highest health-promoting behaviour mean score was for the spiritual growth subscale, while the lowest mean score was in physical activity subscale. Lifestyle-related cancer risk factors such as overweight/ obesity, practising diets high in red meat or diets low in vegetables/ fruit, and insufficient physical activities were not prioritised by the nurses. ConclusionsNurses in this sample were found to not engage in physical activity. A high proportion of nurses in this study attributed cancer risk to environmental rather than personal factors. The findings of the study enlighten nurse administrators in developing healthy lifestyle programs for nurses.

The Longitudinal Relationship Between eHealth Literacy, Health-Promoting Lifestyles, and Health-Related Quality of Life Among College Students: A Cross-Lagged Analysis.

ObjectivesThis study aimed to explore the longitudinal associations between eHealth literacy, health-promoting lifestyles, and health-related quality of life (HRQoL) among college students.MethodsFrom December 2019 (T1) to December 2020 (T2), we administered the eHealth literacy scale, Short-Form Health Survey (SF-12), and Short-Form Health-Promoting Lifestyle Profile Scale to 1,181 college students in Jinan, China. Participants were recruited for 12 months for the two-stage survey.ResultsStable positive correlations were shown between eHealth literacy, health-promoting lifestyles, and HRQoL across time. The cross-lagged analysis showed that eHealth literacy at T1 predicted health-promoting lifestyles at T2 (β = 0.080, P = 0.006); however, health-promoting lifestyles at T1 did not predict eHealth literacy at T2 (β = −0.026, P = 0.499). HRQoL at T1 predicted health-promoting lifestyles at T2 (β = 0.147, P < 0.001); however, similar to the eHealth literacy finding, health-promoting lifestyles at T1 did not predict HRQoL at T2 (β = 0.045, P = 0.142). eHealth literacy was also bi-directionally associated with HRQoL, and the prediction effect of eHealth literacy at T1 to HRQoL at T2 (β = 0.078, P = 0.008) was slightly higher than the prediction effect of HRQoL at T1 to eHealth literacy at T2 (β = 0.074, P = 0.023).ConclusioneHealth literacy and HRQoL may be antecedents for college students' health-promoting lifestyles. There may be significant bi-directional relationships between eHealth literacy and HRQoL.

Health Promoting Lifestyle among Sugar Factory Worker regarding Occupational Health Hazards

Health Promoting Lifestyle among Sugar Factory Worker regarding Occupational Health Hazards

Health Promoting Lifestyle during Covid-19 Pandemic among Residents of Gandaki Province, Nepal

Background Lifestyle is an important factor to individual’s health and quality of life. Although, the emergence of Corona virus disease 2019 (COVID-19) has forced billions of people to change their lifestyle overnight.&#x0D; Objective To identify health promoting lifestyle during COVID-19 pandemic among the residents of Gandaki Province, Nepal.&#x0D; Method Descriptive cross sectional web based study was conducted among 386 respondents from Gandaki Province. Adults from 18 years and above, who could fill the form online were included using purposive and snowball sampling technique. Data were collected using Health Promoting Lifestyle Profile II (HPLP II) scale and analysed using descriptive (frequency, percentage, median) and inferential statistics (Mann Whitney U test and Kruskal Wallis test).&#x0D; Result Only 18.7% of the respondents had an excellent health promoting lifestyle followed by good health promoting lifestyle among 60.4%. Highest median score was observed in spiritual 27(10-36), and interpersonal relationship subscale 27(9-36). Whereas, the lowest was observed in physical activity 21(8-32) followed by stress management 24(10-32). Statistically significant difference was observed in age and perception of own health status with spirituality; gender, chronic illness and perception of own health status with interpersonal subscale and age, gender, marital status, occupation and perception of own health status with physical subscale.&#x0D; Conclusion The study concludes the need of health education and awareness to promote healthy lifestyle behaviours with a particular emphasis on indoor physical activities and stress management skills with specific consideration to female and elderly.

Validity and reliability evidence of Health-Promoting Lifestyle Profile (HPLP)-II among nursing students: A confirmatory factor analysis

BackgroundHealth-promoting behaviors are an essential aspect of health promotion, especially for nursing students. However, studies to measure health-promoting behaviors among nursing students remain scarce. The Health-Promoting Lifestyle Profile-II questionnaire may be used to assess the HPB among nursing students. AimTo determine psychometric properties of the Health-Promoting Lifestyle Profile-II scale among undergraduate nursing students. MethodsAs part of a major cross-sectional study regarding health-promoting behaviors of 866 undergraduate nursing students, exploratory and confirmatory factor analyses were conducted to assess the validity and reliability evidence of the Health-Promoting Lifestyle Profile-II questionnaire. The participants completed an online survey using the original 6-factor model Health-Promoting Lifestyle Profile-II. ResultsThe exploratory factor analysis provided a novel 12-factor model for Health-Promoting Lifestyle Profile-II. The 12-factor model demonstrates high internal consistency with a Cronbach's alpha of = .929. The confirmatory factor analysis demonstrates a goodness-of-fit index: χ2 (1208) = 6939.04, p≤ .01, Root Mean Square Error of Approximation = .074, Goodness-of-fit Index = .76, Adjusted Goodness-of-fit Index = .72, the Parsimony Goodness-of-fit Index = .67 and the Comparative Fit Index .76, with χ2 and degrees of freedom ratio of 5.74. The 12-factor model shows a better fit compared to the original 6-factor Health-Promoting Lifestyle Profile-II. ConclusionsAs emerging members of health care team, nursing students must project themselves to be models of health promotion. While the Health-Promoting Lifestyle Profile-II shows strong evidence of reliability and validity among nursing students, the researchers recommend conducting more studies on health-promoting behaviors using the 12-factor model on different population groups.

The Role of Personality Traits and Lifestyle in Predicting Anxiety and Depression During the Covid-19 Pandemic: A Web-Based Cross-Sectional Study

Background: Social gathering restrictions and quarantine for reducing the spread of coronavirus can reduce social interactions and cause mental health problems such as depression and anxiety. Objective This study aims to investigate the role of personality traits and health-promoting lifestyles in predicting anxiety and depression during the COVID-19 pandemic in Najafabad, Iran Methods: This is a cross-sectional study conducted in April 2021 during the fourth wave of the COVID-19 outbreak. The study population consisted of people aged &gt;18 years old living in Najafabad. Using a convenience sampling method, 225 people were selected and completed questionaries online. Of these, the data of 217 questionnaires were analyzed. Beck Depression Inventory, Corona Disease Anxiety Scale, short form of Big-Five-Factor Inventory, and Walker’s Health Promoting Lifestyle Profile were used to collect data. Data analysis was performed using Multiple Linear Regression and SPSS v. 24 statistical software. Results: The personality traits of neuroticism (r=0.343, r=0.176) and extraversion (r=-0.503, r=-0.375) were positively and negatively correlated with depression and anxiety, respectively, and were the predictive of depression and anxiety (P&lt;0.05). The agreeableness trait (r=0.233) was also negatively correlated with anxiety, and was its significant predictor (P&lt;0.05). Among the health-promoting lifestyle domains, self-fulfillment (r=-0.489) and physical activity (r=-0.348) had a negative correlation with depression, while health responsibility (r=-0.285) had a negative correlation with anxiety; they were the significant predictors of depression and anxiety (P&lt;0.05) during the COVID-19 pandemic. Conclusion: Given the effect of personality traits and health-promoting lifestyles on depression and anxiety during the COVID-19 outbreak, the interventions focused on these components can be effective in improving the mental health of people.

Health-Promoting Behavior and Lifestyle Characteristics of Students as a Function of Sex and Academic Level.

University students frequently engage in unhealthy behaviors. However, there is a lack of studies examining a wide range of their lifestyle characteristics by sex and academic level of study. This cross-sectional survey of students enrolled in BSc, MSc, or PhD programs at one university in Germany (N = 3389) assessed physical activity (PA), sedentary behavior (SB), nutrition, sleep quality, and alcohol, tobacco, and other drug (ATOD) use by sex and academic level and was conducted with EvaSys version 8.0. Chi-squared tests compared categorical variables by sex, and binary logistic regression analyses adjusted for sex with Bonferroni adjustments evaluated differences across academic level. Although 91% of students achieved the aerobic PA guidelines, only 30% achieved the muscle strengthening exercises (MSE) guidelines, and 44% had high SB. Likewise, <10% met the fruit and vegetable consumption (FVC) recommendations, >40% of students experienced impaired sleep, and >30% had hazardous alcohol consumption. Less than 20% of the sample achieved the guideline/recommendation of all three PA, MSE and SB. Some behaviors exhibited significant sex and academic level differences. The identified at-risk groups included males (lower FVC), females (eating more during stress), and BSc students (poorer nutrition/sleep quality, more ATOD use). Given the above findings, multipronged strategies are needed with an overarching focus highlighting the health–academic achievement links. Behavioral interventions and environmental policies are required to raise awareness and promote student health.

Health Coaching for People With Disabilities: An Exploratory Mixed-Methods Study.

To expand the reach of health-promotion efforts for people with disabilities, we piloted a health-coaching intervention with a disability-specific curriculum. We evaluated the intervention's effects on health-related quality of life and health behavior change. Mixed-methods research design using pre-post measures and semi-structured interviews. A convenience sample of community-dwelling adults with disabilities (n = 39). Participants engaged in a curriculum-based health coaching intervention, titled Health My Way, which used weekly one-on-one coaching for up to 12weeks. Participants completed pre- and post-intervention surveys including questions from the Health-Related Quality of Life (HRQOL) measure and the Health-Promoting Lifestyle Profile II. A subset of participants completed in-depth interviews to explore how health coaching influences health behavior change (n = 12). We found statistically significant effects on poor-health days due to physical and mental health, and effects on physical activity. We saw additional effects with engagement in relevant curriculum content. Qualitative main themes (tailoring of information, enthusiasm for personally meaningful goals, and social support) indicated processes by which health coaching supported health behavior changes. The results of this pilot study indicate health coaching appears to be effective for improving HRQOL and health behavior, especially physical activity, for people with disabilities. Apparent key factors include enthusiasm for personally meaningful goals, having tailored information, and social support.

Indicators of Intellectual Thinking as Healthy Thinking and Its Relation with Health-Promoting Lifestyle: A New Perspective in Clinical Psychology and Public Health.

Quality of life is determined by the lifestyle of individuals. If people have a healthy lifestyle, then they have a higher quality of life. What makes a person's lifestyle is the way he thinks. Therefore, if the thinking is healthy, the person's lifestyle will be healthy, and if the thinking is unhealthy, the person's lifestyle will also be damaged, which will reduce the quality of life. The research method was mixed method in two quantitative and qualitative phases. The research method in the qualitative phase was customary qualitative content analysis, in which the data analysis process was based on the approach of Granheim and Ladman. In the quantitative phase, the psychometric properties of the research scale were measured. This research was conducted from 2016 to 2021 in Iran. The statistical population in the qualitative section was all scientific texts in the form of articles, books and dissertations that were extracted from scientific databases such as ScienceDirect, PubMed, Elsevier, Ebsco, Sid, Magiran. Indicators of intellectual thinking have been mentioned as research results, which are the main components of the new model of thinking. Moreover, the level of thinking was mentioned and Cognitive distortions, cognitive bias, and perceptual errors were mentioned as sources of harm and error. Intellectual thinking has been mentioned as healthy thinking, which is the main factor of a health promotion lifestyle because healthy lifestyle improves the quality of life of people, which is one of the indicators of public health. Therefore, a higher quality of life can be achieved from the model of healthy thinking, which is a new perspective on promoting public health.

Health Promoting Lifestyle Behaviors and Sleep Quality Among Saudi Postmenopausal Women.

BackgroundOne of the most effective measures regarding improving women's health is to promote healthy lifestyle behaviors. This study aimed to investigate the relationship between health-promoting behaviors and sleep quality among a sample of Saudi menopausal women.MethodsA descriptive cross-sectional study was used to collect data from 410 Saudi postmenopausal women visiting primary healthcare care centers located in Sakaka, Jouf, Saudi Arabia, using the Menopause Rating Scale (MRS), Health-Promoting Lifestyle Profile II (HPLPII) and Pittsburgh Sleep Quality Index (PSQI).ResultsThe mean age of the study participants was 52.60 ± 4.65 years, the study findings highlighted that among all the HPLP domains, the highest mean score was observed for spiritual growth (24.00 ± 6.60) whereas the lowest score was observed for physical activity (16.18 ± 1.8). Statistically significant negative relations between the total score of HPLP and sleep quality score and menopausal symptoms (p < 0.001, p < 0.005), respectively. Total scores of lifestyle, health responsibility, and stress management were significant differences between participants with good and poor sleep quality. Being overweight/obese, physically inactive, having a chronic illness and poor sleep quality were predictors influencing health-promoting behavior.ConclusionHealth-Promoting Lifestyle Profile II was more obvious in the good sleeper in form of health responsibility and stress management. Being overweight and or obese, having a chronic illness, and having poor sleep quality were the significant factors influencing health-promoting behaviors. Designing and performing educational interventional plans are crucial to create motivation toward a healthy lifestyle and improve the quality of their sleep.

The Impact of Educational Intervention Based on Pender's Health Promotion Model on Healthy Lifestyle in Women of Reproductive Age in Iran.

BackgroundLifestyle is one of the most important factors affecting women’s health. Women’s quality of life and health depends on their health-promoting behaviors and lifestyles. The aim of this study was to determine the impact of an educational intervention based on Pender model on healthy lifestyle in women of reproductive age in Iran.MethodsThis randomized controlled trial study was carried out in women of reproductive age in Iran, from August to December 2019. The samples were divided into experimental (n = 120) and control (n = 120) groups. 6 training sessions were provided for the experimental group. The questionnaire consisted of several items including socio-demographic characteristics, health-promoting lifestyle profile-II (HPLP-II), self-efficacy, social support and constructs of Pender’s health promotion model. SPSS-18 software has been applied for statistical analysis.ResultsThe mean age of the experimental group was 31.88±7.624 years and for the control group was 30.33±6.89 years. There was no statistically significant relationship between demographic variables such as marital status, education, employment status, age and body mass index with lifestyle in women. Lifestyle in women had a statistically significant relationship with the structure prior health-related behavior (p < 0.001). The score of women in structures of prior health-related behavior, perceived benefits, commitment to action, and social support increased after educational intervention (p < 0.001).ConclusionFindings showed that educational intervention based on Pender health promotion model has increased the score of healthy lifestyle in women. Therefore, planning and performing educational interventions to improve health promotion behaviors based on this model is essential.

Health-promoting behaviors and self-efficacy among nursing students in times of uncertainty.

Nursing students are often faced with academic and personal stressors that threaten their Health-Promoting Behaviors (HPB) and well-being. Research on how living in a context of high political uncertainty can impact nursing students' HPB is limited. The aim of this study was to investigate the associations between HPB and self-efficacy among nursing students in a context of high political uncertainty. This was a cross-sectional, descriptive study that included 120 undergraduate nursing students from Lebanon who completed an electronic self-reported questionnaire. The results indicated that HPB measured by HPLP-II scores were negatively correlated with overall uncertainty scores (r= -.29, p< .01) and positively correlated with the General Self-Efficacy (GSE) scale scores (r= .41, p< .001). Results from the multiple linear regression model indicated that physical activity frequency and GSE were independent predictors of the total health-promoting lifestyle profile and the model explained 30.28% of the variance in the total HPLP-II scale. This study further emphasizes the importance of regular physical activity (at least 3 h a week) as a strategy to improve HPB among nursing students. Culturally sensitive strategies that aim to enhance HPB should be embedded in undergraduate nursing curricula. Public health nurses and university counselors should join efforts to develop strategies to maintain or enhance self-efficacy and to promote regular physical activity among nursing students. Future research should further study the association between self-efficacy, resilience, and uncertainty in contexts of ongoing conflicts.

Health-promoting behaviors and intermediary social determinants of health in low and high-risk pregnant women: an unmatched case-control study

BackgroundHigh-risk pregnancies require increased health and care resources to reduce the severe perinatal consequences. The adoption of a health-promoting lifestyle and social determinants is an important strategy for achieving the desired outcomes of pregnancy. This study aimed to compare intermediate determinants of social health in low and high-risk pregnant women.MethodsThis unmatched case-control study was performed with a ratio of 1: 2 and 300 pregnant women including 200 healthy and 100 pregnant women with gestational hypertension were included using the available sampling technique. Data were collected using socio-demographic and obstetrics, Health-promoting behaviors, Self-efficacy, Perceived stress, and Social support questionnaires by the self-report method.ResultsThere was no significant difference in the demographic characteristics between the two groups, except for the spouse's education status. The total score of health-promoting behaviors and social support in the healthy group was significantly higher than women with gestational hypertension. However, the perceived stress in women with gestational hypertension was significantly higher than in the healthy group. In the multivariate analysis, those women with high stress [AOR 1.13, 95% CI (1.08–1.18)] and whose Spouse’s Educational status was low [AOR 4.94, 95% CI (1.54–15.81)] had higher odds of gestational hypertension than women who haven’t respectively. The development of gestational hypertension was decreased by increasing the score of social support [AOR 0.96, 95% CI (0.93–0.98)]. The results showed that the two variables of social support (β=0.331) and self-efficacy (β=0.215) have the greatest impact on the score of health-promotion behaviors, respectively. Based on regression analysis, 21.2% of the health-promotion behaviors changes could be explained by three independent variables.ConclusionWomen with gestational hypertension have unhealthier lifestyles. Having a high level of stress is a risk factor for gestational hypertension but Social support has a protective effect on it. Recognizing the risk factors of gestational hypertension could help the determination of high-risk cases and it is important to pay attention to women's psychosocial to create appropriate sources of social support and provide the necessary action to reduce stress.

The Personal Trait of Spiritual Growth Is Correlated With the White Matter Integrity of the Brain

Determining the relationship between the entire brain structure and individual differences is important in extending healthy life expectancy, which can be affected by brain atrophy. The entire brain structure has been gradually known to be correlated not only with age but also with individual differences, such as quality of life, general intelligence, and lifestyle. However, little attention has been paid to the relationship between the entire brain structure and personal traits. We herein focused on one personal trait, namely spiritual growth, and examined its relationship with the entire brain structure using two neuroimaging-derived measures, namely the gray matter Brain Healthcare Quotient (GM-BHQ), a measure of GM volume, and the fractional anisotropy Brain Healthcare Quotient (FA-BHQ), a measure of white matter (WM) integrity, in 229 healthy participants (53 female, 176 male). The results indicated no significant relationship between the GM-BHQ and spiritual growth, but there was a significant positive correlation between the FA-BHQ and spiritual growth after controlling for age, sex, and body mass index (BMI) with partial correlation analysis. Furthermore, multiple regression analysis revealed a significant positive correlation between the FA-BHQ and spiritual growth after controlling for physical characteristics, such as age, sex, and BMI, as well as other variables related to lifestyle that were collected using the Health-Promoting Lifestyle Profile. These results support the idea that there is a relationship between the entire WM brain structure and spiritual growth. Further studies are required to clarify the causal relationship between the entire WM brain structure and spiritual growth with some interventions to improve spiritual growth. Such studies will help extend healthy life expectancy from a new perspective of personal trait.

Feasibility and preliminary effects of technology-assisted interventions in hybrid cardiac rehabilitation (TecHCR): A pilot randomised controlled trial

Abstract Funding Acknowledgements Type of funding sources: None. Background As COVID-19 pandemic continues, using technologies within cardiac rehabilitation facilitates access to care and reduces the frequency of direct contact with vulnerable cardiac patients. We aimed to assess the feasibility of technology-assisted interventions in hybrid cardiac rehabilitation (TecHCR) and preliminarily evaluate its effects on patients with coronary heart disease (CHD). Methods Between February 2021 to May 2021, a total of 28 patients with CHD were recruited and randomised to receive a 12-week TecHCR programme (n = 14) or a 12-week conventional, centre-based programme (n = 14). The TecHCR group received three center-based, supervised exercise training sessions. Participants were instructed to wear a fitness tracker watch for exercise self-monitoring at home environment, and the exercise data were shared through a web-based application for remote monitoring by the intervener. Participants received six audio-visual educational videos via a messaging application and a weekly video/telephone call follow-up. Self- Efficacy for Exercise (ESE), Health Promoting Lifestyle Profile II (HPLP II), Hospital Anxiety and Depression Scale (HADS), exercise capacity and cardiovascular health outcomes were assessed at baseline and at 12th week on completion of the programme. Generalised estimating equations analysis was conducted to compare the outcomes between groups. Results Out of 28 participants (56.46±12.98 years old; 1 female), 67.9% had percutaneous coronary intervention and 28.6% had coronary bypass grafting surgery. Among 14 participants in the TecHCR group, three dropped out due to: 1) fear to attend face-to-face supervised exercise training during high daily COVID-19 cases; 2) infected with COVID-19 and 3) found a job in overseas. Eleven participants in the TecHCR group attended all video/telephone call sessions, nine participants completed 3 supervised exercise training sessions and nine participants adhered to the weekly exercise recommendations. No treatment-related adverse events were reported. TecHCR was non-inferior to conventional, centre-based program on exercise self-efficacy, exercise capacity and cardiovascular health outcomes. TecHCR group showed significantly greater improvement in health-promoting behavior when compared with the control group (p =0.013) at post-intervention. Conclusion This pilot study demonstrated the feasibility in recruitment and implementation of TecHCR as an alternative delivery mode and could enhance health-promoting behavior among patients with CHD. Implications The TecHCR program provides accessible interventions to patients without frequent visits to the outpatient centre. A full-scale randomised controlled trial is needed to confirm the effectiveness of TecHCR.

Survey of Relationship Between Health Promoting Lifestyle and Job Satisfaction in Male Nurses in Ahwaz City: A Descriptive Study

Background &amp; Aims: Due to many professional concerns such as shift stress and job injuries in nursing, male nurses do not pay much attention to their health-promoting lifestyle. Due to the above factors, work-life quality decreases and leads to job dissatisfaction and related consequences such as stress, anxiety, and depression. This study aimed to determine the relationship between a health-promoting lifestyle and job satisfaction in male nurses. Materials &amp; Methods: The present cross-sectional study was a descriptive correlational study. The study population included all male nurses in Ahwaz City working in educational and medical centers. Finally, 108 male nurses were enrolled in the study from May 2019 to September 2019 by the available sampling method. Data were collected through a questionnaire consisting of three parts: 1) Demographic characteristics, 2) Health-promoting Lifestyle Questionnaire, and 3) Minnesota Satisfaction Questionnaire. Data were analyzed using SPSS software v. 22. Results: The results of the study showed that most male nurses (55.6%) have a bachelor’s degree (84.2%), have 1 to 5 years of work experience (68.5%), and are in the age group of 26-35 years (46/2%). The health-promoting lifestyle variable Mean±SD score was 162.16±23.4 at the excellent level, and the job satisfaction Mean±SD score was 56.43±7.98 at the moderate level. There was a significant relationship between some areas of lifestyle promoting health and job satisfaction. Conclusion: The health-promoting lifestyle score of male nurses in this study was good but not favorable in physical activity and stress management. Also, the average score of job satisfaction and areas of opportunities for advancement and leadership style were significant. Therefore, supporting nursing managers in implementing health habits such as facilitating and supporting healthy lifestyle choices and creating positive environmental changes leads to increased health-promoting lifestyles, job satisfaction, and reduced disability of male nurses.

Evaluation the Effect of the Health Promoting Lifestyle by Multimedia Education on Sexual Function in Women With Multiple Sclerosis

Background &amp; Aims: Multiple sclerosis is the most common progressive neurological disease in young people and affects women several times more than men. Sexual problems are one of the most common symptoms in affected women, which have a great impact on the couple’s relationship and are often ignored. Therefore, the present study aimed to determine the effect of health-promoting multimedia education on sexual function in women with multiple sclerosis. Materials &amp; Methods: The present study is a randomized controlled trial of before and after with the control group. 116 women with multiple sclerosis, referredto Hazrat Rasool Akram Hospital and a private referral center for multiple sclerosis patients (from 21 September 2020 to 19 January 2021) were selected by continues sampling method to participate in the study. They were assigned as two groups, intervention and control ones, using the Sealed envelope randomized online site which randomly divided to single up to quintuple blocks, which allocated equally in intervention and control groups. Data collection tools were demographic profile form and intimacy and sexual activity questionnaire for multiple sclerosis patients (MSISQ-19). Data analysis is done by using descriptive statistical methods (mean, standard deviation, frequency and percentage) and with independent t-test, chi-square, analysis of covariance and analysis of variance with repeated measures RM using SPSS software v. 16. Results: Before the intervention, there was no significant difference between the two groups in terms of sexual function scores and all its dimensions (P=0.690). Mean sexual function in the intervention group at 4 weeks (P=0.014) and 12 weeks after the intervention (P=0.021) was significantly lower than before, but there was no statistically significant difference between the scores at 4 weeks and 12 weeks after the intervention (P&lt;0.050). Conclusion: Health-promoting lifestyle (HPL) training has an effect on sexual performance of women with multiple sclerosis and this training can be a good way to improve their sexual problems.

The association between health-promoting-lifestyles, and socioeconomic, family relationships, social support, health-related quality of life among older adults in china: a cross sectional study

ObjectivesLifestyles, accounting for 53% in determining death, play a vital role in improving the health of older adults. Thus, this study aimed to explore the influencing factors of the health-promoting-lifestyles and interaction mechanisms among older adults.MethodsA total of 8526 elders were selected by a three-stage stratified random cluster sampling method. Socioeconomic status, family relationships, social support, health-related quality of life (QOL), and health-promoting-lifestyles (HPLP) of older adults were assessed with the Social Support Rating Scale, the short form 36 health survey (SF-36) and Health-Promoting Lifestyle Profile. A structural equation model (SEM) was conducted to test the direct and indirect association between influencing factors with HPLP.ResultsIn this study, there were 4901 older adults who were empty nesters, and 3625 were non-empty nesters. Of all respondents, the average QOL score of older adults was 62.28 ± 16.51, average social support score was 78.06 ± 7.50. The HPLP score of older adults was 105.9 ± 19.6, and the average score of subscales was 2.5 ± 0.5, which was at the medium level. Social support had a positive and direct effect on HPLP of older adults (total effect, 0.34). Meanwhile, social support mediated the relationship between socioeconomic (total effect, 0.17), QOL (total effect, 0.33) and HPLP. Family relationships had a small indirect effect on HPLP via social support (0.01).ConclusionsSocial support is the strongest influencing factor in the health-promoting-lifestyles among older adults, followed by socioeconomic, health-related quality of life and family support. Thus, maintaining higher social support was important to improve the HPLP of older adults.