Evaluation of the Effect of Education based on Pender Health Promotion Model on Self- efficacy and Quality of Life in Patients with Leukemia Referred to the Clinics of Shiraz University of Medical Sciences
DOI:
https://doi.org/10.61841/8cn5dn10Keywords:
Education, Pender Model, Self-efficacy, Quality of Life, LeukemiaAbstract
Introduction & Objective: Leukemia as a disease can reduce the quality of life and self-efficacy of patients. Educational program as a part of the care program leads to health-promoting behaviors. Thus, this research was conducted with the aim of evaluating the effect of education based on Pender Health Promotion Model on self-efficacy and quality of life in patients with Leukemia.
Methods: This is a quasi-experimental interventional study conducted on 54 patients with Leukemia. Data were collected using four questionnaires, Demographic Information Questionnaire, Pender Health Promotion Model Components Questionnaire, Self-efficacy Questionnaire, and Quality of Life Questionnaire. After collecting the data, they were analyzed in SPSS24 software using descriptive statistics, mean, standard deviation, frequency and paired t-test, Pearson correlation coefficient, repeated measure, chi-square, and ANOVA tests.
Results: The research results revealed that the score of self-efficacy and quality of life increased significantly (p
<0.001) immediately after and one month after education compared to before intervention (p <0.001). In addition, in the intervention group, there was a direct and significant relationship between quality of life and self-efficacy scores immediately and one month after the intervention and Pender health promotion scores immediately and one month after the intervention (P <0.05).
Conclusion: The research results suggested that the use of educational intervention based on Pender health promotion model can improve the self-efficacy of patients with regard to self-care behaviors and improve the quality of life in patients with Leukemia.
Downloads
References
1. Székely O, Lane DA, Lip GY. Guideline-adherent secondary prevention post-acute coronary syndromes: the importance of patient uptake and persistence. European heart journal. 2018.
2. Polanski J, Jankowska-Polanska B, Rosinczuk J, Chabowski M, Szymanska-Chabowska A. Quality of life of patients with lung cancer. OncoTargets and therapy. 2016;9:1023.
3. Tejpar S, Stintzing S, Ciardiello F, Tabernero J, Van Cutsem E, Beier F, et al. Prognostic and predictive relevance of primary tumor location in patients with RAS wild-type metastatic colorectal cancer: retrospective analyses of the CRYSTAL and FIRE-3 trials. JAMA oncology. 2017;3(2):194-201.
4. Hasanvand S, Ashktorab T, Jafari Z, Salmani N, Safariyan Z. Cancer-related fatigue and its association with health-related quality of. Advances in Nursing & Midwifery. 2015;24(85):21-30.
5. Shirai Y, Miyashita M, Kawa M, Motokura T, Sano F, Fukuda T, et al. Evaluation of care for leukemia and lymphoma patients during their last hospitalization from the perspective of the bereaved family. Leukemia research. 2016;47:93-9.
6. Martini C, Gamper E-M, Wintner L, Nilica B, Sperner-Unterweger B, Holzner B, et al. Systematic review reveals lack of quality in reporting health-related quality of life in patients with gastroenteropancreatic neuroendocrine tumours. Health and quality of life outcomes. 2016;14(1):127.
7. Hasanvand S, Rassouli M, Mandegari Z, Salmani N. A Critical Review of Instruments Measuring the Quality of Life of Cancer Patients in Iranian Studies and Their Psychometrics Properties. Asian Pacific Journal of Cancer Prevention. 2019;20(2):333-43.
8. Verma S, O’Shaughnessy J, Burris HA, Campone M, Alba E, Chandiwana D, et al. Health-related quality of life of postmenopausal women with hormone receptor-positive, human epidermal growth factor receptor 2- negative advanced breast cancer treated with ribociclib+ letrozole: results from MONALEESA-2. Breast cancer research and treatment. 2018;170(3):535-45.
9. Park J, Look KA. Relationship between objective financial burden and the health-related quality of life and mental health of patients with cancer. Journal of oncology practice. 2018;14(2):e113-e21.
10. Ramezani T, Sharifirad G, Rajati F, Rajati M, Mohebi S. Effect of educational intervention on promoting self- care in hemodialysis patients: Applying the self-efficacy theory. Journal of Education and Health Promotion. 2019;8(1):65.
11. Haugland T, Wahl AK, Hofoss D, DeVon HA. Association between general self-efficacy, social support, cancer-related stress and physical health-related quality of life: a path model study in patients with neuroendocrine tumors. Health and quality of life outcomes. 2016;14(1):11.
12. Johansson A-C, Axelsson M, Grankvist G, Berndtsson I, Brink E. Symptoms, Illness Perceptions, Self- Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment. Open Journal of Nursing;
9. 2018;8.
13. Zheng X, Zheng Y, Ma J, Zhang M, Zhang Y, Liu X, et al. Effect of exercise-based cardiac rehabilitation on anxiety and depression in patients with myocardial infarction: A systematic review and meta-analysis. Heart & Lung. 2019;48(1):1-7.
14. Townsend MC, Morgan KI. Psychiatric mental health nursing: Concepts of care in evidence-based practice: FA Davis; 2017.
15. Chamberlain B. Health promotion in nursing practice. Clinical Nurse Specialist. 2007;21(2):130.
16. Majlessi F, Ghaffari R, Mohsenipouya H, Nesarhosseini V, Yazdani-Charati J, Naghibi S. Effect of Self-Care Education on Patients’ Quality of Life after Coronary Artery Bypass Graft Based on Pender’s Health Promotion Model. Health Education and Health Promotion. 2019;7(1):15-20.
17. Mohammadipoor F, Izadi A, Sepahvand F, Naderifar M. The Effect of Educational Intervention Based on Pender Health Promotion Model on Lifestyle in Type II Diabetic Patients. Quarterly Journal of Diabetes Nursing Faculty of Nursing and Midwifery Zabol. 2014;2(4).
18. MOHAMMAD AZ, Narimani M, Barahmand O, SOBHI GN. The relationship between emotional intelligence with self-efficacy and mental health in successes and non-successes students. 2008.
19. Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. JNCI: Journal of the National Cancer Institute. 1993;85(5):365-76.
20. Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): translation and validation study of the Iranian version. Supportive Care in Cancer. 1999;7(6):400-6.
21. Quality of life in breast cancer patients: Study in the Omid cancer research center– Urmia. Iranian Quarterly Journal of Breast Diseases. 2013;5(4):35-43.
22. Rezaei R, Saatsaz S, Haji Hosseini F, Sharifnia S, Nazari R. Quality of Life in Gynecologic Cancer Patients before and after Chemotherapy. Journal of Babol University Of Medical Sciences. 2011;13(4):78-84.
23. Kale HP, Carroll NV. Self‐reported financial burden of cancer care and its effect on physical and mental health‐ related quality of life among US cancer survivors. Cancer. 2016;122(8):283-9.
24. Greimel E, Thiel I, Peintinger F, Cegnar I, Pongratz E. Prospective assessment of quality of life of female cancer patients. Gynecologic oncology. 2002;85(1):140-7.
25. Jacobs D, Horeweg N, Straver M, Roeloffzen E, Speijer G, Merkus J, et al. Health-related quality of life of breast cancer patients after accelerated partial breast irradiation using intraoperative or external beam radiotherapy technique. The Breast. 2019.
26. Oladapo A, Epstein J, Williams E, Ito D, Gringeri A, Valentino L. Health‐related quality of life assessment in haemophilia patients on prophylaxis therapy: a systematic review of results from prospective clinical trials. Haemophilia. 2015;21(5):e344-e58.
27. Coleman S, Briffa K, Conroy H, Prince R, Carroll G, McQuade J. Short and medium-term effects of an education self-management program for individuals with osteoarthritis of the knee, designed and delivered by health professionals: a quality assurance study. BMC Musculoskeletal Disorders. 2008;9(1):117.
28. Salehi S, Tajvidi M, Ghasemi V, Raee Z. Investigating the effect of nurses’ supportive and educative careon the quality of life in breast cancer patients referred for radiotherapy in Seyedoshohada hospitals in Isfahan in 1392. Journal of Clinical Nursing and Midwifery. 2016;5(2):9-18.
29. Rahimi A, Salehi S, Afrasiabifar A. The Effect of Orem’s Self-Care Model on Quality Of Life of Patients with Hypothyroid Goiter. Armaghane danesh. 2012;17(5):0-.
30. Noushirvani S, Mansouri A. Comparison of the Effect of Two Educational Interventions Based on Pender’s Health Promotion Model and Health Belief Model on the Quality of Life in Type II Diabetic Patients. Journal of Diabetes Nursing. 2018;6(1):398-407.
31. M C, Z F, A. Z. The Effect of a Healthcare Plan Based on the Pender Health Promotion Model on Quality of Life in Patients With Heart Failure in a Military Setting. Military Caring Sciences. 2018;5(1):13-25.
32. Pool MK, Nadrian H, Pasha N. Effects of a self-care education program on quality of life after surgery in patients with esophageal cancer. Gastroenterology Nursing. 2012;35(5):332-40.
33. Heravi Karimovi M, Pourdehqan M, Jadid Milani M, Foroutan SK, Aieen F. Study of the effects of group counseling on quality of sexual life of patients with breast cancer under chemotherapy at Imam Khomeini Hospital. Journal of Mazandaran university of medical sciences. 2006;16(54):43-51.
34. Tamimi H, Noroozi A. Determinants of physical activity in high school girl students: Study Based on Health Promotion Model (HPM). Journal of Health. 2016;6(5):527-37.
35. mohsenipouya H, majlessi F, shojaeizadeh D, rahimiforooshani A. The Effect of Educational Intervention Based on the Pender’s Health Promotion Model on Patients’ Self-efficacy for Self-care Behaviors Following Heart Surgery. Iranian Journal of Nursing Research. 2017;12(3):16-23.
36. Sanaie N, Nejati S, Zolfaghari M, Alhani F, KazemNejad A. The effect of family-centered empowerment in self efficacy and self esteem in patients undergoing coronary bypass graft surgery. Journal of Research Development in Nursing & Midwifery. 2013;10(2):44-53.
37. Baljani E, Rahimi J, Amanpour E, Salimi S, Parkhashjoo M. Effects of a Nursing Intervention on Improving Self-Efficacy and Reducing Cardiovascular Risk Factors in Patients with Cardiovascular Diseases. Hayat. 2011;17(1).
38. Dehdari T, Rahimi T, Aryaeian N, Gohari MR. Effect of nutrition education intervention based on Pender's Health Promotion Model in improving the frequency and nutrient intake of breakfast consumption among female Iranian students. Public health nutrition. 2014;17(3):657-66.
39. Salimian S, Esmaieli R, Dabirian A, Mansoorin S, Anboohi SZ. The survey of factors related to self-efficacy based on Orem’s theory in patients with coronary artery bypass surgery in Tehran in 2014. Advances in Nursing & Midwifery. 2016;25(90).
40. Rahmani A, Ashrafi A, Nikafar A, Heydarzadeh H. Relationship self-efficacy with perception of prognosis among cancer patients. Iranian Journal of Psychiatric Nursing. 2014;2(2):33-45.
41. Sadeghloo A, Sheikhi MR, Zeidi IM, Heydari MA, Sarichlou ME. Effectiveness of an Educational Program on Health Promoting Lifestyle of Spouses of Veterans With Post-Traumatic Stress Disorder. Iranian Red Crescent Medical Journal. 2018(In Press).
42. Chenary R, Noroozi A, Tavafian SS, Firoozabadi MS. Effective factors on health-promoting lifestyle among Iranian chemical veterans in 2014 based on health promotion model: a path analysis. Iranian Red Crescent Medical Journal. 2016;18(8).
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
