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© 2018 Journal of Advanced Pharmacy Education & Research | Published by SPER Publication 108
Effect of health promotion intervention on Nurses’ healthy
lifestyle and health-promoting behaviors: RCT study
Shokofe Darkhor
1
, Fatemeh Estebsari
2*
, Meimanat Hosseini
2
, Jamshid Yazdani Charati
3
, Parvaneh
Vasli
2
1
MSc Student in Community Health Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran,
2
Assistant professor,
Department of Community Health Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran,
3
Associate Professor, Department
of Biostatics, Health Sciences Research, Mazandaran University of Medical Science, Sari, Iran.
Correspondence: Fatemeh Estebsari, Assistant professor, Department of Community Health Nursing, School of Nursing & Midwifery, Shahid Beheshti University of
Medical Science, Tehran, Iran. E_mail: fa_estebsari@yahoo.com
ABSTRACT
Objectives: Health promoting behaviors (HPBs) are major criteria in determining lifestyle. The present study aimed to investigate the
impact of health promotion interventions (HPI) on health-promoting behaviors of nurses. Methods: In this experimental study was
conducted in 2016. A total of 100 nurses were randomly selected and divided into two groups of experimental and control. The data
was collected using the demographic questionnaire, the Health-Promoting Lifestyle Profile II (HPLP II), the General Self-Efficacy Scale
of Schwartz, the Standard Self-Esteem Scale of Rosenberg, and the Brief Self-Control Scale (BSCS) of Tangney. After collecting and
analyzing the collected data, the HPI was designed and conducted in 6 sessions for the experimental group. A month and a half after
the intervention, the data for both groups were collected and analyzed using SPSS ver 20. Results: Before the HPI, health promoting
behaviors, self-efficacy, self-esteem, and self-control had no significant difference among the two groups. After the intervention, the
mean scores of health promoting behaviors (p<0.001), self-efficacy (p<0.001), and self-esteem (p<0.001) showed a significant
difference between the two groups, but self-control score was not significant (p>0.05). Conclusion: HPI changed HPBs in the nurses,
and changes in HPBs will lead to a change in lifestyle. Therefore, it is recommended to use HPI as a comprehensive program to
improve and modify lifestyle.
Keywords: Health promotion, behavior, intervention, lifestyle, Nurse
Introduction
Health promoting behavior is a major criterion for
determining health and its ultimate goal is to make
decisions regarding health and to prepare for desirable
behaviors
[1]
. As an important health factor, health
promotion is of the responsibility of individuals and can
lead them to higher levels of health
[2-4]
. Health promoting
lifestyle is a multi-causal and multi-dimensional
phenomenon which is related to collective patterns of
behavior and control, and consistency in doing a series of
health-related behaviors is its essence
[5]
. Self-efficacy
belief is a prediction index for a wide range of health
behaviors
[6]
and results in maintaining and improving
health behaviors
[7]
. Self-efficacy refers to confidence and
ability of individuals for performing normal behaviors to
achieve a healthy lifestyle. People with higher levels of
self-efficacy participate more actively in health promotion
programs
[8]
.
Self-efficacy in HPBs play a key role in the adoption of
preventive behaviors through strengthening individual’s
effectiveness, increasing self-confidence, and personal
control over the situation
[9]
. People who believe in the
concept of self-efficacy feel that they “can” increase
individual control in HPBs through boosting confidence
[10]
. Studies have shown that self-efficacy strengthens self-
esteem which in turn influences motivation. Self-esteem is
the main precondition of health through strengthening the
Access this article online
Website: www.japer.in E-ISSN: 2249-3379
How to cite this article: Shokofe Darkhor, Fatemeh Estebsari, Meimanat
Hosseini, Jamshid Yazdani Charati, Parvaneh Vasli. Effect of health promotion
intervention on Nurses’ healthy lifestyle and health-promoting behaviors: RCT
study. J Adv Pharm Edu Res 2018;8(1):108-114.
Source of Support: Nil, Conflict of Interest: None declared.