جستجوی مقالات مرتبط با کلیدواژه "health promoting behaviors" در نشریات گروه "پزشکی"

The present study aimed to investigate the relationship between coping strategies and health anxiety during the covid-19 pandemic, taking into account the mediating role of health-promoting behaviors.

Methods and Materials:

 This research was a descriptive, correlational, and path analysis type study. The statistical population consisted of adults aged 18 years and above, of which 207 people were selected as a sample using the convenience sampling method. The data in this research was collected using Salkovskis and Warwick's (2002) health anxiety questionnaire, Walker et al.'s (1995) health-promoting behavior questionnaire, and Lazarus and Folkman's (1985) coping strategies checklist. For data analysis SPSS-26 and LISREL 8.80 software were used.

relationship between problem-oriented and emotion-oriented coping strategies with health-promoting behaviors (P < 0.001) and a negative and significant relationship between health-promoting behaviors and health anxiety (P < 0.05). In addition, there was a negative relationship between problem-oriented coping strategies and health anxiety, and a positive relationship between emotion-oriented coping strategies and health anxiety; But it was not statistically significant. The results of the path analysis model showed that the initial research model was not meaningful and after removing the non-significant paths and modifying them, the final model was confirmed with the mediating role of health-promoting behaviors.

The results of this research showed that coping strategies play a role in health anxiety and predict it by influencing health-promoting behaviors.

Old age seems to be one of the most crucial stages of human life during which individuals encounter a wide range of changes, particularly in the realm of physical and psychological health. Health anxiety, especially in older adults, can have undesirable effects, making it important to examine the factors influencing this variable. Therefore, this study aimed to investigate the relationship between basic psychological needs (BPNs) and health-promoting behaviors (HPBs) with health anxiety in older adults, through the mediating role of resilience. This was a correlational study, of path analysis type. The statistical population of this research included all older women residing in Tabriz, Iran in the spring of 2023, among whom 220 individuals were selected as the sample using convenience sampling method. The measurement tools included the Connor and Davidson’s Resilience Scale, BPNs Questionnaire, HPBs Questionnaire, and Health Anxiety Questionnaire. The collected data were analyzed using Pearson’s correlation coefficient in SPSS-23 software and path analysis in LISREL 8.8 software. The results indicated that BPNs (autonomy, competence, and relatedness) have a negative relationship with health anxiety in older women; HPBs (nutrition, physical activity, health responsibility, stress management, interpersonal relationships, and spiritual growth) have a negative relationship with health anxiety in older women. resilience had a negative relationship with health anxiety in older women. Moreover, BPNs were related to health anxiety in older women through resilience, as well as HPBs were related to health anxiety in older women through resilience. Therefore, it can be concluded that increasing resilience in older adults and fulfilling BPNs along with educating HPBs can prevent the increase of health anxiety.

Violence against women is related to a chain of health issues and affects women's health behaviors and ability to seek any type of health care. The purpose of this study is to determine the relationship between domestic violence and health-promoting behaviors in women.

This cross-sectional study was conducted on 380 abused women who referred to Karaj health centers in 2020 with cluster sampling method. Data were collected using the standardized and localized questionnaires of the World Health Organization on domestic violence and health-promoting behaviors, and data analysis was performed using SPSS version 24 software.

The results of the Spearman correlation test showed that the total score of health-promoting behaviors has a negative and significant relationship with the total score of domestic violence (r=0.16), mental violence (r=0.16), and sexual violence (r=0.13). The regression results showed that different dimensions of domestic violence together can predict 2% of the total score of health promoting behaviors (R=0.17, R2adj=0.02).

violence can affect women's health behaviors and prevention of violence can be an important step in the development of women's health and of course the health of the whole society.

Adolescence is a period in which people are at risk of engaging in many health-threatening behaviors such as increased food intake, decreased physical activity, and increased developmental vulnerability which can be a threat to their future health. Counseling and changing their unhealthy behaviors can improve various aspects of their health, including mental and physical health. This study aims to determine the relationship between mothers' self-efficacy and health-promoting behaviors of their adolescent girls in Shiraz, Iran.

In this study, participants were 384 high school female students (second term) and their mothers in Shiraz city in 2018. Mothers completed Sherer’s General Self-efficacy Scale and their girls completed Walker's Health-Promoting Lifestyle Profile II (HPLPII) questionnaire. Pearson or Spearman correlation test and t-test were used for statistical analysis in SPSS software, version 22.

The mean HPLPII score of girls was 169.29±15.97. The mothers' mean self-efficacy score was 46.66±5.77. The results of Pearson's correlation test showed the direct and significant correlation of mothers' self-efficacy scores with health-promoting behaviors of girls and its domains (r=0.556, P<0.05).

There is a direct significant relationship between mothers' self-efficacy and health-promoting behaviors of their daughters. Considering the importance of health-promoting behaviors and the effect of self-efficacy and living conditions on these behaviors, it is needed to develop strategies to improve people's lifestyle and healthy behaviors. Policy makers in the health system are recommended to promote self-efficacy of mothers by using cultural and educational programs.

Health-promoting behaviors include actions that lead to empowering people to increase their control over health and ultimately improve the health of the individual and society. Nurses are among the members of the health-care team who are responsible to the clients The realization of this important issue requires the health of the nurse herself.

The aim of this study was to investigate health-promoting behaviors and related factors in nurses. 

In this descriptive cross-sectional study, 322 nurses working in Sanandaj Educational and Medical Centers in 2019, were selected by stratified random sampling. In order to collect data, demographic Information questionnaire and a standard Walker-promoting lifestyle questionnaire were used. Data were analyzed using SPSS software version 16, descriptive statistics, linear Regression and Pearson correlation coefficient.

The mean scores of health-promoting behaviors of nurses were 134.62±20.92. The majority of nurses (54.30%) were in the moderate group in terms of health-promoting behaviors. The variables of first child, age, work experience and chronic illness had a statistically significant effect on the total score of health-promoting behaviors (P<0.001).

The results of the present study showed that performing health-promoting behaviors of nurses is at a moderate level. It is suggested to organize training courses on health promoting behaviors for nurses, in health-care centers and universities. By knowing the factors affecting these behaviors, the awareness of nurses will increase and an important step should be taken to maintain their health.

Background &

In the next 50 years, a large part of the world's population will be made up of the elderly over sixty years old. Demographers have estimated that by the year 2050, the population of people over sixty years old will reach 2 billion people in the world. This means that there is one elderly person for every 5 people. In this way, not only developed countries but also developing countries make up a large part of the population of people over 60 years old. This excessive increase in the elderly on the one hand and the industrialization of societies and forgetting on the other hand has caused the issue of the elderly and their problems to become an acute issue. After entering the aging stage, the human body suffers from many diseases, of which blood pressure in the elderly is one of the most important because high blood pressure carries the risk of heart attack. As high blood pressure is dangerous, low blood pressure is equally dangerous. Blood pressure in the elderly is a type of silent disease, and the patient almost does not notice that his blood pressure is high, and only realizes that the elderly person needs special care. Health promotion is the science and art of changing the lifestyle to achieve the desired perfection and it includes behaviors during which a person should eat properly, exercise regularly, avoid harmful behaviors and drugs, protect against accidents, and recognize the signs in time. Illness in the physical dimension, control of emotions, feelings, and thoughts and coping with stress and problems in the mental and psychological dimension, independence and adaptability, and correction of interpersonal relationships in the social dimension and the cause of many chronic diseases, lifestyle and human behaviors and performing health-enhancing behaviors is one of the most important ways that people can maintain their health. The six important components of a health-promoting lifestyle include health responsibility, physical activity, nutritional habits, stress management, spiritual growth, and interpersonal relationships. Neuroticism or neuroticism is one of the five big factors that make up the personality, it is usually considered as a tendency towards anxiety, depression, self-doubt, and other negative emotions. All personality traits, including neuroticism, lie on a spectrum only some people are much more neurotic than others. In the Big Five personality theory, neuroticism is sometimes described as low emotional stability or negative emotions. Many researchers have considered neuroticism as one of the important factors in predicting many important social factors such as marriage, strength of relationships, and physical characteristics and diseases. In a study that examined the models related to health promotion in middle-aged women, it was found that health promotion models that emphasize the role of culture in mental health are more effective in eastern cultures and could be more powerful in Promoting the health of middle-aged women should be effective. In this study, the factors affecting the improvement of mental health (reduction of depression, anxiety, stress, impulsivity and vulnerability to stress), improvement of health behaviors (exercise, hygiene, taking medicines on time, etc.) and the ability of a person to make decisions In the daily affairs of life, the most important predictors of health promotion were introduced. The purpose of psychological flexibility is that it gives a person the opportunity to face his current situation and evaluate it, and through such activities, a person makes sure that he can effectively deal with that situation. The position works. In general, resilience is a process of the ability or outcome to successfully adapt to threatening situations, thus meaning exposure to risk and better than expected outcomes, maintaining positive adaptation despite stressful experiences, and recovering well after It is damage. Therefore, it seems that psychological flexibility acts as a moderator in performing health behaviors among its predictors. But so far, researches have not directly investigated this role and determined its limits. In previous studies, the relationship between psychological flexibility and personality traits has been discussed and a significant relationship between them has been reported. In various researches, the relationship between neuroticism and health-promoting behaviors has been examined and it has been determined that anxiety is a negative predictor of health-promoting behaviors. The present research aims to predict health-promoting behaviors based on neuroticism in Elderly people with high blood pressure with regard to the moderating role of psychological flexibility.

The present research is a descriptive-correlation design. The statistical population of the research was all the elderly who referred to the clinics of Urmia city in 1401. For this purpose, 200 participants were selected on a quota basis. The average age of the participants was 65.7 (standard deviation = 5.92 years) and 55.33% were male. The participants completed the questionnaire of demographic characteristics, short form of big five factors of personality (NEO-FFI), health promoting behaviors (HPLP-2) and psychological flexibility (CFI-20).

The results showed that there is a significant inverse relationship between the subscales of health-promoting behaviors and neuroticism in the range (-0.73 to -0.9). Also, path analysis showed that neuroticism predicts health-enhancing behaviors through the mediation of psychological flexibility (NFI and CFI = 0.97) and (Chi-square = 56.3).

In explaining this finding, it can be said that personality factors, as the most influential dimensions and psychological traits, play an important role in determining the general and stable behaviors of humans, therefore, health-related behaviors and psychological health are influenced by important personality factors and personality traits. Since personality and personality factors are formed in early life and during development in humans, they play an important role in predicting behaviors related to human health, this effect is to the extent that when a person has high psychological flexibility However, neuroticism significantly causes health-damaging behaviors. Depression, anxiety, and stress in the elderly are a very important issue and to control their direct and indirect destructive effects, they should be directly prevented and treated. In this research, only elderly people with high blood pressure in Urmia City participated and also a questionnaire was used to participate in the research, it will be beneficial to conduct research with a wider community and use clinical interviews in future research. Mental health in the elderly with high blood pressure plays an important role in their health promotion behaviors.

Objective :

This study aims to determine the mediating role of emotional regulation in the relationship of distress tolerance and self-compassion with health-promoting behaviors.

Methods:

 The is a descriptive-analytical study that was conducted in 2020 on 306 adults in Bandar Abbas, Iran who were selected using a convenience sampling method. The data collection tools were Simmons and Gaher’s distress tolerance scale, Raes et al.’s self-compassion scale, and Walker et al.’s health-promoting lifestyle profile, and Garnefski and Kraaij’s cognitive emotion regulation questionnaire. The analysis was done using the structural equation modeling.

Results :

Adaptive emotion regulation strategies mediate the relationship of self-compassion and distress tolerance with health-promoting behaviors positively and significantly. The maladaptive emotion regulation strategies only could positively and meaningfully mediate the relationship between distress tolerance and health-promoting behaviors.

Conclusion:

 Considering the role of study variables in promoting health- promoting behaviors, health planners and health providers can take useful steps to improve society’s health.

Social participation is a determining factor for promoting health and well-being. This study aims to investigate the factors facilitating and inhibiting the social participation of the elderly in Kerman, Iran based on their health-promoting behaviors.

Methods & Materials: 

This cross-sectional study was conducted on 276 elderly people over 60 years old in Kerman city in 2020. They completed a demographic from, the questionnaire of social participation based on the Canadian Community Health Survey, and the questionnaire of health- promoting behaviors. Descriptive statistics and statistical tests including univariate and multivariate regression were used for data analysis. Data were analyzed in SPSS software, version 26, and P<0.05 was considered statistically significant.

The Mean±SD score of social participation was 6.71±4.01. Illness and health problems (50.3%), costs (39.1%), commuting problems (31.1%), low mood (29.3%), and COVID-19 pandemic (28.2%) were the most common barriers to social participation. The elderly who were single (P<0.001), younger (P<0.001), with academic degree (P<0.001), and low number of children (P<0.001) had significantly higher social participation. Multivariable analysis showed that physical activity (P=0.033), disease prevention (P=0.002), and physical and social health (P<0.001) were the factors affecting social participation of the elderly.

The social participation of the elderly in Kerman is affected by multiple factors. Therefore, planning to manage diseases, increase income, and solve the transportation problems of the elderly are recommended to improve their social participation.

Improving the quality of nursing care is one of the most challenging issues in recent years in the health system. Perhaps one of the factors affecting the quality of nursing care is the ability of nurses to increase control over improving and maintaining health,This study aimed to determine the relationship between health promoting behaviors and quality nursing care in nurses of Tehran University of Medical Sciences, was conducted in 1399.

This cross-sectional study was a descriptive-correlational study. The research population included all nurses working in departments of Imam Khomeini Hospital complex affiliated to Tehran University of Medical Sciences, except for special departments, emergency room and operating room and their patients. Finally, 200 nurses were selected using quota and random sampling method and 600 patients were selected using available sampling method based on the entry criteria from September to November 2019. Data were collected and analyzed with using of demographic questionnaire, International Health Promoting Behavior Questionnaire (HPLP-II) and researcher-made questionnaire on the quality of nursing care (from the patient's perspective) and with the help of SPSS software version 16 in two sections: descriptive statistics and inferential statistics

 In general, from the point of view of more than half of the patients,  57.3% , the quality of nursing care was good. The mean total score of health-promoting behaviors was (128/93±22/45). The highest mean score was obtained in the dimension of "responsibility" (2.89 ± 0.51) and the lowest mean score was obtained in the dimension of "physical activity" (1.89 ± 0.72).  The mean total score of nursing care quality was (3.10 ± 0.45). The highest mean score was obtained in the field of "nursing ethics" (3.27 ± 0.52) and the lowest mean score was obtained in the field of "patient education" (2.88 ± 0.68). Finally, health-promoting behaviors only in the dimension of nutrition had a statistically significant correlation with the quality of nursing  in the dimension of nursing   ethics (ρ = 0.027), which was a negative correlation.

 In general, there was no statistically significant relationship between health-promoting behaviors and the quality of nursing care, and the quality of nursing care was good from the patients' point of view. Also, in other results, due to the low physical activity of nurses, it is necessary to implement health education programs with emphasis on physical activity among them. Given that, the patient education had the lowest score. More time plans should be devoted to education and emphasis on the importance of this issue and its impact on accelerating the healing process and reducing the complications of the disease.

This study aimed to evaluate The effectiveness of bullying control training on the health-promoting behaviors of adolescent bullies: the mediating role of perceived social support.

Methods and Materials: 

The study design was quasi-experimental with pre- and post-test and one-month follow-up with experimental and control groups. The statistical population consisted of adolescents aged 14 to 17 years old from public schools of District 17 in Tehran. 40 adolescents who were compatible with inclusion criteria and obtained a high score in the Harter bullying scale were randomly selected and assigned to two experimental and control groups. The research tools consisted of the Perceived social support scale by zimet et al. (1988) and the Health Promoting Behavior of Walker et al. (1987), which was completed in three phases (pre-test, post-test, and one-month follow-up) by both groups. The Bullying Control Education program was implemented at eight sessions of 90 minutes for the experimental group. Structural modeling with minor least squares approach was used in several multi-response patterns using SPSSV22 and SmartPLSV3.3 software for data analysis.

The results showed that Bullying Control Education had a positive and significant effect on Social Support and Health Promoting Behaviors in the post-test and follow-up phases. The results also showed that Bullying Control Education has an indirect and significant effect on Health Promoting Behaviors due to social support. The research model in the post-test phase was 51%, and in the follow-up phase, 54% of the variance of Health Promoting Behaviors.

Based on the results of this study, it can be said that the effectiveness of Bullying Control Education on Health Promoting Behaviors with the mediating role of Perceived Social Support is desirable. Therefore, teachers' knowledge, parents, psychologists, consultants, and other educational professionals from these variables can be helpful.

Objective:

 This study aims to determine the relationship of health-promoting behaviors with stress coping styles mediated by cognitive emotion regulation strategies during the COVID-19 pandemic.

Methods:

 This is a descriptive-correlational study, which was conducted in 2019 on 306 adults in Bandar Abbas, Iran who were selected using a convenience sampling method. Data collection tools were a demographic form, Folkman and Lazarus’ ways of coping questionnaire, health-promoting lifestyle profile, and Garnefski et al.’s cognitive emotion regulation questionnaire. The collected data were analyzed using structural equation modeling.

Results:

 Cognitive emotional regulation strategies negatively mediated the relationship between emotion-focused coping style and health-promoting behaviors, and positively mediated the relationship between problem-focused coping style and health- promoting behaviors (P<0.001).

Conclusion:

 The results of this study can provide the necessary solutions regarding peoples’ relationships based on the study variables.

Leukemia refers to one of the most prevailed childhood malignancies. Mothers are the first caregivers of children with leukemia, experiencing a bunch of challenges in dealing with the numerous problems and duties caused by their children’s illness. This study aimed to determine the effect of implementing the Orem self-care model on health-promoting behaviors of mothers having children with leukemia referring to the pediatric ward of Seyed Al-Shohada Hospital in Isfahan city, Iran, in 2021.

This quasi-experimental study investigated 32 mothers having children with leukemia referring to the pediatric ward of Seyed Al-Shohada Hospital, who were selected by the available sampling method according to the study’s inclusion criteria. The tools employed to collect the required data were a demographic information form, Walker’s Health-Promoting Lifestyle Profile, and a needs assessment based on the Orem model, measured at two stages of before and after the implementation of the Orem self-care model. In accordance with the mothers’ needs, a supportive training program was designed and implemented in-person and individually for a total of 8 h in 4 sessions held once a week. Furthermore, an educational pamphlet was designed and they were provided to the participants. During the intervention, the research samples were communicated by telephone and in-person and were checked about the way of performing and applying the given pieces of training. Any problem in any of the units was solved in case of presence. In the next step, after 1 month of self-care training, the researcher completed the standard Health-Promoting Lifestyle Profile again after 1 week. In the end, the collected data were analyzed in SPSS20 statistical software using both descriptive and inferential levels.

The results revealed that in the dimensions of self-fulfillment, accountability, interpersonal support, stress management, exercise, nutrition, and health-promoting index, the mean scores of maternal health-promoting behaviors were significantly higher after implementing the Orem self-care model, compared to the score before implementing the model (P<0.001).

According to the findings, it may be claimed that the implementation of the Orem self-care model affected the health-promoting behaviors of mothers having children with leukemia. Consequently, it is necessary to adopt supportive-educational measures based on the Orem model in the relevant centers according to the mothers’ needs.

Diabetes is a non-communicable disease that affects the physical, mental, and emotional aspects of life. The present study aimed to assess the mediating role of health-promoting behaviors and self-management behaviors in the relationship between stressful life events and health-related quality of life in diabetic patients.

The present study was conducted based on a descriptive-correlational design. The statistical population of the study consisted of all diabetic patients aged 25-75 years who were referred to the Diabetes Clinic of Zabol from January to March 2016 (n=550). The sample consisted of 400 patients who were selected via the convenience sampling method. They completed the life stressful events questionnaire, health-promoting lifestyle profile, diabetes self-management questionnaire, and diabetic patient’s health-related quality of life questionnaire. Data were analyzed in SPSS (version 22) and LISREL 8.8 statistical software using structural equation modeling.

Based on the results, the direct path of stressful events to health-promoting behaviors and self-management behaviors was negative and significant (P<0.01); moreover, it was negative and non-significant to the health-related quality of life (P<0.01). The direct path of health-promoting behaviors and self-management behaviors to health-related quality of life was positive and significant (P<0.01). In addition, it was found that the indirect relationship between stressful events and health-related quality of life was mediated by health-promoting behaviors and self-management behaviors (P<0.01).

These findings indicate that health-promoting behaviors and self-management behaviors can play a significant indirect role in reducing the negative effects of stressful events on health-related quality of life. Strengthening positive psychological characteristics and reducing risky constructs, such as stress and its perception, as well as the development of intervention programs and their application, can help improve the health-related quality of life among diabetic patients.

Changes in human lifestyle are the most important factor in the occurrence of the third epidemiological transition and one of the indicators of this transition is the increase in the prevalence of non-communicable diseases and the resulting deaths. The purpose of this study was to determine the status of health-promoting behaviors of employees of one of the universities of medical sciences in Tehran.

In a descriptive-analytical cross-sectional study, 387 university staff were surveyed. Demographic information form and Health Promoting Behaviors Questionnaire (HPLP-II) were used to collect data. The collected data were analyzed using SPSS software ( version 16.0).

The mean (standard deviation) age of participants was 37.1 years (8.8 years), 253 (65.4%) were male and the majority of participants, 120 (31%) had a bachelor's degree. The body mass index of most participants was 194 (55.4%) in normal condition.Mean (standard deviation) score of health-promoting behaviors in total 52.05 (21.01) and under the scales of health responsibility 8.85 (3.77), physical activity 8.66 (3.64), nutrition / 85 8 (4.02), spiritual growth of 8.17 (4.07), interpersonal relationships were determined to be 8.55 (4.26) and stress management was determined to be 8.97 (3.52). The relationship between all subscales of health-promoting behaviors except the subgroup of health responsibility and nutrition with age groups was significant (p = 0.045). Regarding the participants' body mass index, only the relationship between stress management subgroup and body mass index was significant (p = 0.021).

The results of this study showed that in general, the average score of the most important elements of health-promoting lifestyle including nutrition, physical activity, health responsibility, stress management, interpersonal relationships and spiritual growth is higher than the median index, but in some subgroups, Measurement values are average. Since the promotion of these promotional behaviors leads to the improvement of a health-promoting lifestyle, educational interventions are recommended, especially in the dimensions of interpersonal relationships and spiritual growth.