Investigating the effect of educational intervention based on the Pender’s health promotion model on lifestyle and self‑efficacy of the patients with diabetic foot ulcer: A clinical trial
نویسندگان
1 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran,
2 Department of Medical Surgical Nursing, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
3 Department of Medical Surgical Nursing, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
4 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Esfarayen University of Medical Sciences, Esfarayen, Iran
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doi
چکیده
BACKGROUND: This study aimed to investigate the effect of educational intervention based on thePender’s health promotion model (HPM) on lifestyle and self‑efficacy of the patients with diabeticfoot ulcer.MATERIALS AND METHODS: In this clinical trial conducted in 2019, 74 patients based oninclusion criteria were selected through convenience sampling and allocated to two groups ofintervention (n = 37) and control (n = 37) using the randomized permuted block method. In thisstudy, Demographic characteristics and localized Diabetes Foot Care Self‑Efficacy Scale andHealth‑Promoting Lifestyle Profile Questionnaire for diabetic foot care were completed by two groups.The obtained data were analyzed using SPSS 16 and through descriptive and comparative statistics,independent t‑test, paired t‑test, and ANCOVA.RESULTS: After the intervention, the mean score of the intervention group significantly increasedin all lifestyle dimensions (P < 0.001). Furthermore, the mean score of self‑effcacy increased in theintervention group after the intervention (P < 0.001). Comparing the change in the mean scores oflifestyle and self‑efficacy in both the groups 50 days after the intervention, an increase was observedin the mean scores of self‑efficacy (P < 0.001) as well as those of lifestyle and its dimensions in theintervention group compared to those in the control group (P < 0.001).CONCLUSION: Educational intervention based on the Pender’s HPM can promote the self‑efficacy,lifestyle, and its dimensions in the patients with diabetic foot ulcers. The results of this study can beused in educational interventions aiming at patients with diabetic foot ulcers to change their lifestyleand improve their self‑efficacy.
