Effect of Self-Care Education on Patients’ Quality of Life after Coronary Artery Bypass Graft Based on Pender’s Health Promotion Model

Effect of nurse-led program on the exercise behavior of coronary artery patients: Pender's Health Promotion Model

OBJECTIVE

To determine the effect of nurse-led program based on Pender's Health Promotion Model on the exercise behaviors of coronary artery patients.

METHODS

The two-arm parallel, single-blind, randomized controlled trial was conducted with a total of 62 patients, intervention (n = 32) and control group (n = 30). Intervention group received a nurse-led program based on Pender's Health Promotion Model and routine follow-ups of control group continued. The health perception, perceived exercise self efficacy, perceived exercise benefits/barriers, exercise-related effect, exercise frequency and time were assessed at baseline, 4th, 8th and 12th weeks. The data were evaluated by frequency, percentage, median, mean and standard deviation, chi-square, Friedman and Mann Whitney U tests.

RESULTS

Health perception (62.6 ± 9.5; median:67.0; p < 0.001), perceived exercise benefit (105.8 ± 7.4; median:107.0; p < 0.001), perceived exercise self efficacy (71.2 ± 5.4; median: 71.5; p < 0.05), exercise-related effect (31.6 ± 6.0; median:34.0; p < 0.05), exercise frequency (4.8 ± 2.2; median:6.0 days/week; p < 0.05) and time (105.9 ± 53.6; median:130.0 min/week; p < 0.05) were higher and perceived barriers (43.1 ± 3.9; median: 42.0; p < 0.001) were lower in the intervention group at 12th week.

CONCLUSIONS

The nurse-led program has been shown to increase the exercise behavior in the intervention group.

PRACTICE IMPLICATIONS

Since it enables patients to gain and maintain exercise, it is highlighted the model to be integrated into clinical practice.