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Submitted: 06 Jul 2022
Revision: 08 Nov 2022
Accepted: 12 Nov 2022
ePublished: 31 Jan 2023
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J Educ Community Health. 2023;10(1): 35-42.
doi: 10.34172/jech.2023.1958

Scopus ID: 85162264935
  Abstract View: 887
  PDF Download: 522

Self-care of Chronic Diseases

Original Article

Effect of Education Based on the Health Belief Model on Treatment Adherence in Patients With Heart Valve Replacement Surgery

Masoud Khodaveisi 1 ORCID logo, Soheila Vesali Fallah 2, Roya Amini 1* ORCID logo, Leili Tapak 3 ORCID logo

1 Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2 School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran, Hamadan, Iran
3 Department of Biostatistics, School of Public Health and Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
*Corresponding Author: Roya Amini, Email: aminiroy@gmail.com

Abstract

Background: Adherence to the treatment regimen reduces complications of surgery after heart valve replacement. Educating the patient can improve treatment adherence. This study thus aimed to evaluate the effect of education based on the health belief model (HBM) on treatment adherence in patients with heart valve replacement surgery.

Methods: In this quasi-experimental research, a total of 90 patients undergoing valve replacement surgery were studied. The subjects were selected randomly and then divided into an intervention and a control group using the permutation blocks method. The data were collected using a demographic questionnaire, an HBM- based questionnaire, and a treatment adherence questionnaire during two stages before and one month after the education. Three 60-minute sessions on HBM- based education were held based on a need assessment for the intervention group. The collected data were analyzed using the chi-square test, paired t test, independent t test, and linear regression in SPSS software version 16.0.

Results: Most of the patients in the two groups were male, married, and employed, had reading and writing literacy and lived in an urban area. Both groups were similar in terms of demographic data except for marital status, disease history, and familial disease history. The mean scores of knowledge, HBM constructs (e.g., perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, and cues to action), and treatment adherence were greater in the control group than in the intervention group pre-intervention. However, the mean scores of all variables improved in the intervention group, and there were significant differences in the knowledge, all HBM constructs (except for perceived susceptibility and perceived self-efficacy), and medical adherence between the two groups post-intervention (P<0.05).

Conclusion: Considering the positive effect of HBM-based educational intervention on the patients’ treatment adherence, HBM-based education could be suggested for patients with heart valve replacement surgery.


Please cite this article as follows: Khodaveisi M, Vesali Fallah S, Amini R, Tapak L. Effect of education based on the health belief model on treatment adherence in patients with heart valve replacement surgery. J Educ Community Health. 2023; 10(1):35-42. doi:10.34172/ jech.2023.1958
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