scholarly journals Effect of Health Belief Model Education on Increasing Cognition and Self-Care Behaviour among Elderly Women with Malignant Gynaecological Tumours in Fujian, China

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Chenyin Liu ◽  
Xianjing Chen ◽  
Mengli Huang ◽  
Qun Xie ◽  
Qiaoming Lin ◽  
...  

Objective. This study evaluated the effect of a health belief model (HBM) educational intervention on the self-perception of and complications related to disease in elderly gynaecological malignancy patients. Methods. This randomized controlled trial was conducted at the Fujian Maternal and Child Health Hospital, China. A total of 301 women aged 60 years and older who were diagnosed with gynaecological malignancies from January 2019 to August 2020 were recruited. Participants were randomly divided into the HBM education and basic nursing groups. The participants in the HBM education group received perioperative rehabilitation education based on the HBM, and the participants in the basic nursing group received routine basic nursing. Rehabilitation training compliance, psychological resilience, psychological flexibility, self-efficacy, self-care ability, and lower extremity deep venous thrombosis (LEDVT) incidence were assessed before and after the intervention. Results. Thirty-three women were excluded based on the exclusion criteria, and 268 participants were eventually included and randomly divided into two groups: 134 participants in the HBM education group and 134 participants in the basic nursing group. Before HBM education, there were no significant differences in the mean scores of psychological resilience (50.43 ± 3.29 vs. 50.55 ± 2.29, P  = 0.738), psychological flexibility (48.98 ± 3.45 vs. 49.29 ± 3.59, P  = 0.465), self-efficacy (26.49 ± 5.26 vs. 26.29 ± 6.41, P  = 0.781), or rehabilitation training compliance (28.4% vs. 27.8%, P  = 0.922) between the two groups. After HBM education, the scores of training compliance (80.6% vs. 30.1%, P  < 0.001), psychological resilience (55.47 ± 5.01 vs. 50.46 ± 2.62, P  < 0.001), psychological flexibility (56.53 ± 4.51 vs. 49.13 ± 3.62, P  < 0.001), self-efficacy (30.79 ± 4.56 vs. 26.41 ± 6.37, P  < 0.001), self-care knowledge (43.36 ± 7.60 vs. 34.05 ± 6.99, P  < 0.001), self-concept (29.57 ± 5.67 vs. 20.11 ± 3.86, P  < 0.001), self-care responsibility (27.54 ± 5.09 vs. 20.86 ± 4.53, P  < 0.001), and self-care skills (34.51 ± 5.62 vs. 21.62 ± 5.64, P  < 0.001) were higher in the HBM education group than those in the basic nursing group. Additionally, the incidence of LEDVT was lower in the HBM group than that in the basic nursing group (2.2% vs. 8.3%, P  = 0.027). Conclusion. This study indicated that perioperative HBM education can improve the cognition and self-care ability of elderly gynaecological malignancy patients and reduce postoperative complications.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Azam Larki ◽  
Rahim Tahmasebi ◽  
Mahnoush Reisi

The aim of this study was to determine the factors influencing adherence to self-care behaviors among low health literacy hypertensive patients based on health belief model. A cross-sectional study was conducted among 152 hypertensive patients with low health literacy. Patients with limited health literacy were identified by S-TOFHLA. The data were collected using H-scale for assessing self-care behaviors and, HK-LS for assessing knowledge of hypertension. A researcher-made questionnaire was applied for collecting data of health belief model constructs. Data were analyzed by SPSS version 22 with using multiple logistic regression analyses. Perceived self-efficacy was associated with all self-care behaviors except medication regimens. There was a significant association between perceived susceptibility and adherence to both low-salt diet (OR = 3.47) and nonsmoking behavior (OR = 1.10). Individuals who had more perceived severity (OR = 1.82) had significantly greater adherence to their medication regimens. Perceived benefits and barriers were not significantly associated with either type of hypertension self-care behaviors. It seems that designing and implementation of educational programs to increase self-efficacy of patients and promote their beliefs about perceived susceptibility and severity of complications may improve self-care behaviors among low health literacy hypertensive patients.



2021 ◽  
Author(s):  
Roghieh Bayrami ◽  
Alireza Didarloo ◽  
Sima Masudi ◽  
Homeira Nournezhad

Abstract Background COVID-19 is an infectious disease caused by the new coronavirus, and its widespread epidemic has caused many deaths and health, social, and economic consequences in the world. The purpose of this study was to explain self-care behaviors against COVID-19 based on the health belief model (HBM) in pregnant women. Method The present study was conducted using a descriptive-analytical approach with the participation of 230 pregnant women referred to health centers in Urmia in 2021. The participants were selected using multi-stage random sampling. The data were collected using a valid and reliable questionnaire including participants’ demographic characteristics, the HBM items, and items relating to self-care behaviors against COVID-19. The data were analyzed using descriptive and inferential statistical methods (frequency, mean, standard deviation, Pearson correlation coefficient, and linear regression) in SPSS software (version 25). Results The results of this study showed that the rate of self-care behaviors against COVID-19 in the pregnant women participating in the present study was not very favorable. It was also shown that among the constructs of the HBM, awareness, self-efficacy, perceived barriers, and perceived severity were the most important predictors of self-care behaviors with a variance of 24% change among the pregnant women. Conclusion Awareness, self-efficacy, perceived barriers, and perceived severity were found in this study as the strongest predictors of self-care behaviors among pregnant women. The results of the study can be useful in planning educational and behavioral interventions to increase the adoption of self-care behaviors against COVID-19 and institutionalize health-promoting behaviors in women.



2013 ◽  
Vol 19 (1) ◽  
pp. 65-82 ◽  
Author(s):  
Christina J. Jones ◽  
Helen E. Smith ◽  
Anthony J. Frew ◽  
George Du Toit ◽  
Somnath Mukhopadhyay ◽  
...  


2019 ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A.C. Ruiter ◽  
Tino Leonardi

Background. Breast cancer has become one of the most prevalent causes of mortality among Indonesian women. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in developing countries with limited resources and access to other forms of preventive healthcare. The present study aimed to predict BSE behavior among women in Surabaya, Indonesia using the HBM. Methods. This investigation was a cross-sectional survey which was distributed among 1,967 women aged 20-60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.Results Almost half of the sample (44.4%) had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE behavior. The result also showed that perceived severity and susceptibility were not associated with BSE behavior. Conclusion. This study indicated that several HBM constructs significantly associated with BSE behavior among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.



Author(s):  
◽  
Eti Poncorini Pamungkasari ◽  
Bhisma Murti ◽  
◽  

ABSTRACT Background: In the field of health-care education, theories and models help us to explain and predict behaviors to conduct effective health-care educational programs for changing behaviors. The Health Belief Model (HBM) contains several primary concepts by which individuals evaluate themselves to take action to change their behaviors, including antenatal care uptake in pregnant women. This study aimed to examine factors affecting the use of antenatal care. Subjects and Method: A cross sectional study was carried out in Semarang, Central Java, from June to August 2020. A sample of 250 pregnant women was selected by simple random sampling. The dependent variable was antenatal care. The independent variables were attitude, knowledge, information, self-efficacy, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, cues to action, husband support, and facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Complete antenatal care increased with strong support (OR= 38.97; 95% CI= 3.19 to 476.53; p= 0.004), high knowledge (OR= 16.44; 95% CI= 2.54 to 106.60; p= 0.003), positive attitude (OR= 29.88; 95% CI= 2.88 to 309.92; p= 0.004), high information toward antenatal care (OR= 31.42; 95% CI= 4.07 to 242.41; p= 0.001), strong self-efficacy (OR= 7.85; 95% CI= 1.50 40.99; p= 0.015), strong cues to action (OR= 11.97; 95% CI= 2.01 to 71.36; p= 0.006), high perceived seriousness (OR= 32.99; 95% CI= 3.93 to 276.98; p= 0.001), high perceived susceptibility (OR= 24.29; 95% CI= 2.50 to 235.78; p= 0.006), high perceived benefit (OR= 30.43; 95% CI= 2.99 to 308.80; p= 0.004), high perceived barrier (OR= 0.07; 95% CI= 0.01 to 0.57; p= 0.013) and complete facilities (OR= 63.52; 95% CI= 3.62 to 1115.08; p= 0.005). Conclusion: Complete antenatal care increases with strong support, high knowledge, positive attitude, high information toward antenatal care, strong self-efficacy, strong cues to action, high perceived seriousness, high perceived susceptibility, high perceived benefit, high perceived barrier and complete facilities. Keywords: antenatal care, health facility, Health Belief Model Correspondence: Widyawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285742919076. DOI: https://doi.org/10.26911/the7thicph.03.117



Author(s):  
Septi Anggraini ◽  
Wahyu Utami ◽  
Elida Zairina

Abstract Background Pharmacists are known as health care professionals who are responsible for the safety and efficacy of medicine to achieve optimal therapeutic results. Community pharmacists have an opportunity to provide direct services including giving an active medication information service in women during pregnancy and breastfeeding. This study aimed to determine the factors associated with the practice of community pharmacists for actively giving the drug information service for women with chronic diseases during pregnancy and breastfeeding based on the Health Belief Model. Methods About 300 community pharmacists were randomly chosen to participate in the study. All participants were asked to complete questionnaires that were designed based on the theory of the Health Belief Models. The questionnaires measured the community pharmacists’ knowledge, beliefs, cues to action, and practice for actively giving medication information services. Results About 267 pharmacists in the community agreed to participate in this study. Nearly 80% of the participants were female pharmacists (n = 213). The results show that pharmacists’ knowledge had significant influences towards perceived threat (p = 0.009), perceived benefit (p = 0.011), and pharmacists’ self-efficacy (p < 0.001). The self-efficacy factor was the most influential factor in the practice of pharmacists to give medication information service actively (p < 0.001). Conclusions The findings of the study indicate that self-efficacy is the most important factor for pharmacist to be able to provide the medication information services successfully particularly in women during pregnancy and breastfeeding. Providing continuous learning programs through seminars and training related to medication use during pregnancy and breastfeeding to pharmacists is needed to optimise the confidence and the ability of pharmacists in providing the services.



2015 ◽  
Vol 7 (5) ◽  
Author(s):  
Abbasali Dehghani-Tafti ◽  
Seyed Saeid Mazloomy Mahmoodabad ◽  
Mohammad Ali Morowatisharifabad ◽  
Mohammad Afkhami Ardakani ◽  
Hassan Rezaeipandari ◽  
...  




2010 ◽  
Vol 78 (2) ◽  
pp. 269-272 ◽  
Author(s):  
Maria E. Buglar ◽  
Katherine M. White ◽  
Natalie G. Robinson


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