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Effect of a Health Belief Model‐based nursing intervention on Chinese patients with moderate to severe chronic obstructive pulmonary disease: a randomised controlled trial

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  • Ying Wang
  • Xiao‐Ying Zang
  • Jinbing Bai
  • Su‐Yan Liu
  • Yue Zhao
  • Qing Zhang

Abstract

Aims and objectives To test the effect of a Health Belief Model‐based nursing intervention on healthcare outcomes in Chinese patients with moderate to severe COPD. Background The Health Belief Model (HBM) has been internationally validated in a variety of chronic conditions. However, nursing intervention based on the HBM is less explored in Chinese patients with COPD. Design A randomised controlled trial. Methods Enrolled patients were randomly assigned to the intervention and control groups. Patients in the intervention group received a 20‐ to 30‐minute HBM‐based nursing intervention every 2 days during the hospitalisation period after disease conditions were stable, with additional follow‐ups after discharge. Patients in the control group received routine nursing care. Results Patients had significantly increased scores of health belief and self‐efficacy after receiving the HBM‐based nursing intervention. After receiving the 3‐month follow‐up, patients in the intervention group had significantly higher mean total scores in the Health Belief Scale and the COPD Self‐Efficacy Scale, as well as in all the subscales, than those in the control group except the perceived disease seriousness. Results showed that the value of FEV1/FVC ratio had a significant difference between study groups before and after the intervention. Results also indicated that mean scores of the Dyspnea Scale, 6‐minute walking distance and ADL were significantly different between the groups and between the study time‐points. Conclusions Among patients with moderate to severe COPD, nursing intervention based on the HBM can enhance their health belief and self‐efficacy towards the disease management, decrease dyspnoea and improve exercise tolerance and ADL. Relevance to clinical practice Nurses can use the HBM‐based intervention to enhance patients' health belief and self‐efficacy towards the management of COPD, and subsequently benefit healthcare outcomes.

Suggested Citation

  • Ying Wang & Xiao‐Ying Zang & Jinbing Bai & Su‐Yan Liu & Yue Zhao & Qing Zhang, 2014. "Effect of a Health Belief Model‐based nursing intervention on Chinese patients with moderate to severe chronic obstructive pulmonary disease: a randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(9-10), pages 1342-1353, May.
    • Handle: RePEc:wly:jocnur:v:23:y:2014:i:9-10:p:1342-1353
    DOI: 10.1111/jocn.12394
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    Cited by:

    1. Alejandra Aranburu-Imatz & Juan de la Cruz López-Carrasco & Ana Moreno-Luque & José Manuel Jiménez-Pastor & María del Rocío Valverde-León & Francisco José Rodríguez-Cortés & Pedro Arévalo-Buitrago & P, 2022. "Nurse-Led Interventions in Chronic Obstructive Pulmonary Disease Patients: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(15), pages 1-11, July.

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