Original Article

Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure

Abstract

Background: We aimed to explore the effect of health education and nursing intervention model based on behavioral change theories on self-efficacy and self-management behaviors in patients with chronic heart failure.

Methods: Eighty-six patients with chronic heart failure treated in the First Hospital Affiliated to Harbin Medical University (Harbin, China) from November 2016 to January 2018 were enrolled in this study. The patients were evenly divided into control group and observation group (43 patients in each group), according to the random number table method. Patients in the control group received a routine health education intervention. Patients in the observation group received health education based on behavioral change theories in addition to the routine nursing intervention. The health education included mastering of the disease-related theoretical knowledge, daily self-management and exercising guidance. After 8 weeks of intervention, the self-efficacy level, self-management ability and quality of life were assessed and compared between the two groups.

Results: The self-management behavior score in the observation group was higher than those in the control group (P=0.002). The chronic disease general self-efficacy (GSE) score in the observation group was higher than those in the control group (P=0.002). The quality of life (MHL) score was in the observation group was higher than those in the control group. The patient satisfaction score in the observation group was higher than those in the control group (P=0.021).

Conclusion: Health education based on behavioral change theories can relieve symptoms of chronic heart failure, and improve patients’ self-efficacy level, self-management ability and patient satisfaction.

 

1. Meijers WC, van der Velde AR, Muller Kobold AC, Dijck-Brouwer J, Wu AH, Jaffe A, de Boer RA (2017). Variability of biomarkers in patients with chronic heart failure and healthy controls. Eur J Heart Fail, 19(3):357-365.
2. Morisco C, Nappi A, Argenziano L et al (1994). Noninvasive evaluation of cardiac hemody-namics during exercise in patients with chron-ic heart failure: effects of short-term coen-zyme Q10 treatment. Mol Aspects Med, 15 Suppl (2): s155-63.
3. Law EF, Fisher E, Howard WJ et al (2017). Longitudinal change in parent and child func-tioning after internet-delivered cognitive-behavioral therapy for chronic pain. Pain, 158(10):1992-2000.
4. Ziehm J, Farin E, Seibel K, Becker G, Köberich S (2016). Health care professionals’ attitudes regarding palliative care for patients with chronic heart failure: an interview study. BMC Palliat Care, 15(1):76.
5. Winter SJ, Sheats JL, King AC (2016). The Use of Behavior Change Techniques and Theory in Technologies for Cardiovascular Disease Prevention and Treatment in Adults: A Comprehensive Review. Prog Cardiovasc Dis, 58(6):605-12.
6. Neiman AB, Ruppar T, Ho M, Garber L, Weidle PJ, Hong Y, George MG, Thorpe PG (2018). CDC Grand Rounds: Improving Medication Adherence for Chronic Disease Management - Innovations and Opportunities. Am J Trans-plant, 18(2):514-517.
7. Lai B, Young HJ, Bickel CS, Motl RW, Rimmer JH (2017). Current Trends in Exercise Inter-vention Research, Technology, and Behavior-al Change Strategies for People With Disabili-ties: A Scoping Review. Am J Phys Med Re-habil, 96(10):748-761.
8. Agostoni P, Emdin M, Corrà U et al (2008). Permanent atrial fibrillation affects exercise capacity in chronic heart failure patients. Eur Heart J, 29(19):2367-72.
9. Gu M, Ma Y, Zhou T, Xia Y (2016). Evaluation of a Community Health Service Center-Based Intervention Program for Managing Chronic Heart Failure. Balkan Med J,33(1):45-51.
10. Steinbeck L, Ebner N, Valentova M et al (2015). Detection of muscle wasting in patients with chronic heart failure using C‐terminal agrin fragment: results from the Studies Investigat-ing Co‐morbidities Aggravating Heart Failure (SICA‐HF). Eur J Heart Fail, 17(12):1283-93.
11. Ibrahim NE, Gaggin HK, Rabideau DJ, Gandhi PU, Mallick A, Januzzi JL Jr (2017). Worsen-ing Renal Function during Management for Chronic Heart Failure with Reduced Ejection Fraction: Results From the Pro-BNP Outpa-
tient Tailored Chronic Heart Failure Therapy (PROTECT) Study. J Card Fail, 23(2):121-130.
12. Flannery M (2017). Self-Determination Theory: Intrinsic Motivation and Behavioral Change. Oncol Nurs Forum, 44(2):155-156.
13. Hanlon P, Daines L, Campbell C, McKinstry B, Weller D, Pinnock H (2017). Telehealth In-terventions to Support Self-Management of Long-Term Conditions: A Systematic Me-tareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer. J Med Internet Res, 19(5): e172.
14. Kloek C, Bossen D, de Bakker DH, Veenhof C, Dekker J (2017). Blended Interventions to Change Behavior in Patients With Chronic Somatic Disorders: Systematic Review. J Med Internet Res, 19(12): e418.
15. Gray HL, Contento IR, Koch PA, Noia JD (2016). Mediating Mechanisms of Theory-Based Psychosocial Determinants on Behav-ioral Changes in a Middle School Obesity Risk Reduction Curriculum Intervention, Choice, Control, and Change. Child Obes, 12(5):348-59
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IssueVol 48 No 3 (2019) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v48i3.884
Keywords
Behavioral change theories Health education Chronic heart failure Self-efficacy
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How to Cite
1.
YU H, ZHANG P, WANG X, WANG Y, ZHANG B. Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure. Iran J Public Health. 2019;48(3):421-428.