Iranian Red Crescent Medical Journal

Published by: Kowsar

Predictors of Health-Promoting Behaviors in Coronary Artery Bypass Surgery Patients: An Application of Pender’s Health Promotion Model

Hossein Mohsenipoua 1 , Fereshteh Majlessi 2 , Davood Shojaeizadeh 2 , * , Abbas Rahimiforooshani 3 , Rahman Ghafari 4 and Valiollah Habibi 4
Authors Information
1 Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, International Campus (TUMS- IC), Tehran, IR Iran
2 Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
3 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
4 Department of Cardiac Surgery, School of Medicine, Mazandaran University of Medical Sciences, Sari, IR Iran
Article information
  • Iranian Red Crescent Medical Journal: September 2016, 18 (9); e59187
  • Published Online: July 18, 2016
  • Article Type: Research Article
  • Received: April 30, 2016
  • Revised: May 19, 2016
  • Accepted: June 18, 2016
  • DOI: 10.5812/ircmj.38871

To Cite: Mohsenipoua H, Majlessi F, Shojaeizadeh D, Rahimiforooshani A, Ghafari R, et al. Predictors of Health-Promoting Behaviors in Coronary Artery Bypass Surgery Patients: An Application of Pender’s Health Promotion Model, Iran Red Crescent Med J. 2016 ; 18(9):e59187. doi: 10.5812/ircmj.38871.

Copyright © 2016, Iranian Red Crescent Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Alwan A, Armstrong T, Cowan M, Riley L. Noncommunicable diseases country profiles 2011. 2011;
  • 2. Kulik A, Ruel M, Jneid H, Ferguson TB, Hiratzka LF, Ikonomidis JS, et al. Secondary prevention after coronary artery bypass graft surgery: a scientific statement from the American Heart Association. Circulation. 2015; 131(10): 927-64[DOI][PubMed]
  • 3. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, et al. Executive summary: heart disease and stroke statistics--2014 update: a report from the American Heart Association. Circulation. 2014; 129(3): 399-410[DOI][PubMed]
  • 4. Serruys PW, Unger F, Sousa JE, Jatene A, Bonnier HJ, Schonberger JP, et al. Comparison of coronary-artery bypass surgery and stenting for the treatment of multivessel disease. N Engl J Med. 2001; 344(15): 1117-24[DOI][PubMed]
  • 5. Shuldham CM. Pre-operative education for the patient having coronary artery bypass surgery. Patient Educ Couns. 2001; 43(2): 129-37[PubMed]
  • 6. Direk F, Celik SS. Postoperative problems experienced by patients undergoing coronary artery bypass graft surgery and their self-care ability after discharge. Turkish J Thorac Cardiovasc Surg. 2012; 20(3): 530-5
  • 7. Kaur N, Verma P, Singh RS. Effectiveness of planned pre-operative teaching on self-care activities for patients undergoing cardiac surgery. Nurs J India. 2007; 98(6): 131-2[PubMed]
  • 8. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. Executive summary: heart disease and stroke statistics--2013 update: a report from the American Heart Association. Circulation. 2013; 127(1): 143-52[DOI][PubMed]
  • 9. Seyam S, Hidarnia AR, Tavafian SS. Self-care Education through Coping Style for Patients after Heart Surgery. J Isfahan Med School. 2011; 29(135)
  • 10. Riegel B. The self-care model for chronic stable angina. 2009;
  • 11. Rijken M, Jones M, Heijmans M, Dixon A. Supporting self-management. Caring for people with chronic conditions: a health system perspective. Edited by: Nolte E, McKee M. 2008, Maidenhead. 2011;
  • 12. Cebeci F, Celik SS. Discharge training and counselling increase self-care ability and reduce postdischarge problems in CABG patients. J Clin Nurs. 2008; 17(3): 412-20[DOI][PubMed]
  • 13. Riegel B, Carlson B. Facilitators and barriers to heart failure self-care. Patient Educ Couns. 2002; 46(4): 287-95[PubMed]
  • 14. Norouzi A, Ghofranipour F, Heydarnia A, Tahmasebi R. Determinants of physical activity based on Health Promotion Model (HPM) in diabetic women of Karaj diabetic institute. ISMJ. 2010; 13(1): 41-51
  • 15. Keegan JP, Chan F, Ditchman N, Chiu CY. Predictive ability of pender’s health promotion model for physical activity and exercise in people with spinal cord injuries: A hierarchical regression analysis. Rehabil Counsel Bull. 2012; : 34355212440732
  • 16. Kuo PF, Yeh YT, Sheu SJ, Wang TF. Factors associated with future commitment and past history of human papilloma virus vaccination among female college students in northern Taiwan. J Gynecol Oncol. 2014; 25(3): 188-97[DOI][PubMed]
  • 17. Dehdari T, Rahimi T, Aryaeian N, Gohari MR. Effect of nutrition education intervention based on Pender's Health Promotion Model in improving the frequency and nutrient intake of breakfast consumption among female Iranian students. Public Health Nutr. 2014; 17(3): 657-66[DOI][PubMed]
  • 18. Robbins LB, Pfeiffer KA, Vermeesch A, Resnicow K, You Z, An L, et al. "Girls on the Move" intervention protocol for increasing physical activity among low-active underserved urban girls: a group randomized trial. BMC Public Health. 2013; 13: 474[DOI][PubMed]
  • 19. Seixas NS, Neitzel R, Stover B, Sheppard L, Daniell B, Edelson J, et al. A multi-component intervention to promote hearing protector use among construction workers. Int J Audiol. 2011; 50 Suppl 1-56[DOI][PubMed]
  • 20. Dickey RA, Janick JJ. Lifestyle modifications in the prevention and treatment of hypertension. Endocr Pract. 2001; 7(5): 392-9[DOI][PubMed]
  • 21. Mohamadian H, Ghannaee M, Kortdzanganeh J, Meihan L. Reliability and Construct Validity of the Iranian Version of Health-promoting Lifestyle Profile in a Female Adolescent Population. Int J Prev Med. 2013; 4(1): 42-9[PubMed]
  • 22. Aqtash S, Van Servellen G. Determinants of health-promoting lifestyle behaviors among Arab immigrants from the region of the Levant. Res Nurs Health. 2013; 36(5): 466-77[DOI][PubMed]
  • 23. Flattery MP, Salyer J, Maltby MC, Joyner PL, Elswick RK. Lifestyle and health status differ over time in long-term heart transplant recipients. Prog Transplant. 2006; 16(3): 232-8[PubMed]
  • 24. Salyer J, Sneed G, Corley MC. Lifestyle and health status in long-term cardiac transplant recipients. Heart Lung. 2001; 30(6): 445-57[DOI][PubMed]
  • 25. Abedi HA, Shafiee A, Ghoddosi A. Evaluation of health promotion activities in Diabetic Patients type ΙΙ admitted to Clinics in Najaf Abad 2013. Jundishapur J Chron Dis Care. 2014; 3(2)
  • 26. Arras RE, Ogletree RJ, Welshimer KJ. Health-promoting behaviors in men age 45 and above. International Journal of Men's Health. 2006; 5(1): 65
  • 27. Enjezab B, Farajzadegan Z, Taleghani F, Aflatoonian A, Morowatisharifabad MA. Health promoting behaviors in a population-based sample of middle-aged women and its relevant factors in Yazd, Iran. Int J Prevent Med. 2012; 3(3S)
  • 28. Chenary R, Noroozi A, Tahmasebi R. Health Promoting Behaviors in Veterans in Ilam Province. J Mil Med. 2013; 15(1): 95-102
  • 29. Fihn SD, Gardin JM, Abrams J, Berra K, Blankenship JC, Dallas AP, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: executive summary: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2012; 126(25): 3097-137[DOI][PubMed]
  • 30. Mohebi S, Sharifirad G, Feizi A, Botlani S, Hozori M, Azadbakht L. Can health promotion model constructs predict nutritional behavior among diabetic patients? J Res Med Sci. 2013; 18(4): 346-59[PubMed]
  • 31. Bashour HN. Survey of dietary habits of in-school adolescents in Damascus, Syrian Arab Republic. East Mediterr Health J. 2004; 10(6): 853-62[PubMed]
  • 32. Sakamaki R, Toyama K, Amamoto R, Liu CJ, Shinfuku N. Nutritional knowledge, food habits and health attitude of Chinese university students--a cross sectional study. Nutr J. 2005; 4: 4[DOI][PubMed]
  • 33. Wu TY, Pender N. Determinants of physical activity among Taiwanese adolescents: an application of the health promotion model. Res Nurs Health. 2002; 25(1): 25-36[PubMed]
  • 34. Vahedian-Shahroodi M, Amin-Shokravi F, Hidarnia A, Jabbari Nooghabid H. A Survey on the Effects of the Pender's Health Promotion Model on Prediction of the Employees' Physical Activity. Health Educ Health Promot. 2013; 1(1): 51-66
  • 35. Bahmanpour K, Nouri R, Nadrian H, Salehi B. Determinants of oral health behavior among high school students in Marivan County, Iran based on the Pender's Health Promotion Model. J School Public Health Inst Public Health Res. 2011; 9(2): 93-106
  • 36. Shin KR, Kang Y, Park HJ, Cho MO, Heitkemper M. Testing and developing the health promotion model in low-income, Korean elderly women. Nurs Sci Q. 2008; 21(2): 173-8[DOI][PubMed]
  • 37. Chiou AF, Hsu SP, Hung HF. Predictors of health-promoting behaviors in Taiwanese patients with coronary artery disease. Appl Nurs Res. 2016; 30: 1-6[DOI][PubMed]
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