Healthy aging promotion model referenced in Nola Pender’s theory

ABSTRACT Objectives: to model the process of promoting healthy aging from the conceptual analysis proposed by Walker and Avant and Nola Pender’s Health Promotion Model. Methods: this is a descriptive and theoretical study, with a qualitative approach. Elements resulting from conceptual analysis were used to model a healthy aging promotion process based on Nola Pender’s Health Promotion Model. Results: in conceptual analysis, seven antecedents, seven attributes and three consequences of the concept of healthy aging were identified. Final Considerations: the proposed Health Promotion Model represents a structure that in an instrumental way can guide the nursing process application in gerontological clinical practice. This can guide nurses in identifying diagnoses, establishing outcomes and implementing interventions aimed at promoting the elderly’s health.

Hand hygiene determinants of informal caregivers in hospitals under Pender's perspective

ABSTRACT Objectives: to analyze hand hygiene determinants of informal caregivers in a hospital environment. Methods: qualitative study conducted with 55 caregivers at a university hospital in the Northeast of Brazil. A semi-structured instrument was used, adapted from Nola Pender's Health Promotion Model, from which the deductive categories were derived. Results: the general behavior included hand hygiene before meals and after using the bathroom. Sensitivity to the requirements for hand hygiene was observed, but the barriers and self-efficacy consisted of the availability of soap or alcohol-based hand sanitizers, the lack of knowledge on the importance of and forgetfulness of the practice. The reinforcement on the importance of the practice and being in a contaminated environment were influencers, and commitment, warnings, and training were indispensable. Conclusions: benefits related to protection from infections were seen as positive determinants for hand hygiene adherence. For non-adherence, factors such as lack of sanitizing supplies, ignorance towards the importance of the activity, and forgetfulness stood out.

Application of Theory of Planned Behavior on the Implementation of the Emo Demo Creation of Healthy PMT with Full Nutrition in Posyandu Gedang – Gedang Village Batuputih Sumenep

Efforts to improve nutrition with healthy food consumption patterns require an derstanding of variations or training in appropriate cooking practices that are liked by the family. The purpose of developing a health promotion model by implementing an emo demo made from local food through the Theory Planned Behavior approach at the posyandu. Analytical research with cross sectional design. The independent variables are intentions, behavior, attitudes, norms and the dependent variable is the implementation of emo demo creations of healthy nutritious PMT. The population of all mothers in posyandu is 150 people, the sampling technique using random sampling is 115 people. The research instrument used a questionnaire with classical assumption test and multiple linear regression data analysis using T test and F sig < 0.05, the result of 0.039 HI was accepted, which means that there is an influence of the theory of planned behavior with the implementation of healthy and complete PMT. The conclusion is that the development of health in the field of nutrition with the emo demo method can increase understanding in the form of stories, interesting with visuals, with observation modalities that are safe for consumption and directly stimulate emotional so that changes in health behavior occur.

Persepsi Karyawan Terhadap Senam Peregangan di Puskesmas Kebon Jeruk

Aktivitas fisik bermanfaat untuk promosi kesehatan dan pencegahan penyaki, serta mengontrol berat badan, karena aktivitas fisik meningkatkan kapasitas fungsional tubuh melalui peningkatan konsumsi oksigen maksimal (VO2 max), komposisi tubuh, kekuatan otot, daya tahan, dan fleksibilitas. Saat ini, Puskesmas Kecamatan Kebon Jeruk mempunyai program kegiatan gizi olahraga yaitu senam peregangan, berupa pemutaran audio di area puskesmas dengan melakukan peregangan untuk seluruh karyawan. Penelitian ini dilakukan untuk mengukur persepsi tenaga kesehatan di lingkungan kerja Puskesmas Kebon Jeruk terkait program peregangan yang telah berjalan, sehingga dapat dijadikan sebagai bahan kajian dalamengembangan program gizi olahraga. Pengumpulan data dilakukan menggunakan kuesioner online yang diadopsi dari Instrument to Measure Health Promotion Model (HPM) Behavioral Determinants: Exercise Benefits/Barriers Scale (EBBS) Karakter responden yang berpartisipasi pengisian kuesioner sebanyak 23 orang wanita dan 11 orang pria. Hasil penelitian menyatakan terdapat hubungan antara pemahaman terkait manfaat aktivitas fisik dengan persepsi terhadap senam peregangan dengan arah hubungan positif. Kesimpulan dari penelitian ini yaitu semakin baik persepsi seseoang mengenai manfaat aktivitas fisik dan olahraga maka semakin baik pula jenis aktivitas fisik dan olahraga yang dilakukan secara terprogram

Predictors of physical activity among women in Bojnourd, north east of Iran: Pender’s health promotion model

Background This study examined how socio-demographic characteristics constructs derived from the health promotion model (HPM) influence the level of physical activity (PA) women in Bojnourd, North East of Iran. Method This cross-sectional study has been carried out through multi-stage sampling design on 356 women aged 18–60 years living in Iran. Data was collected through reliable and valid questionnaire survey women who were selected from their homes. Results Most of participants (53.40%) had a low level of physical activity behaviors with minimal physical activity (PA) scores. Using regression analysis showed that 23.22% of the total variance in PA behaviors was predicted by socio-demographic variables, whilst 40.81% of the variance in PA behaviors was predicted by constructs from the HPM. The results from Path modeling indicated that prior behavior, interpersonal influences, perceived self-efficacy, perceived barriers and commitment to PA, were significant predictors for PA behaviors with 86.93% of total effects on PA, whereas, activity-related affect and situational influences had no significant effect on the PA behaviors. Conclusions We found that constructs derived from the HPM are determinants of PA among Iranian women and may be important in developing educational intervention programs to facilitate a physically active lifestyle in this population.

The effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure: an experimental study

Background Heart failure is a common and chronic heart condition with high prevalence and mortality rates. This debilitating disease as an important predictor of health outcomes is directly related to patients' quality of life. Given that one of the main goals of heart failure treatment is to promote patients' quality of life and health status, conducting effective nursing interventions seems to be necessary in this regard. Therefore, the present study aimed to determine the effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure. Methods This is an experimental study in which a total of 80 patients with heart failure were recruited and randomly allocated to two groups of intervention and control (n = 40 in each group). The educational program was designed based on Pender's health promotion model and then provided for the patients in the intervention four subgroups (10 person in each group) during six sessions. Data were collected at three time-points of before, immediately after, and three months after the intervention using a demographic questionnaire, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the Health-Promoting Lifestyle Profile II (HPLP-II). Data were then analyzed using SPSS Statistics for Windows, version 17.0 (SPSS Inc., Chicago, Ill., USA) and p value less than 0.05 was taken as statistically significant. Results Based on the results of the present study, no statistically significant difference was shown in terms of demographic characteristics between the two groups. It was also indicated that there was a statistically significant difference in the mean scores of all dimensions of quality of life (except in the physical dimension) between the two groups so that the overall mean score of quality of life increased significantly in the intervention group after the intervention (p < .05). Moreover, there were significant increases in the mean scores of health-promoting behaviors (except in the domain of physical activity) in the intervention group compared to the control group (p < .05) after intervention. Conclusions This study demonstrates a trend that Pender's health promotion model is effective in improving the quality of life of patients with heart failure except of the physical dimension, and strengthening their health-promoting behaviors in all dimensions except of the physical activity dimension.

Applying the Pender’s Health Promotion Model to Identify the Factors Related to Older Adults’ Participation in Community-Based Health Promotion Activities

Aging societies have garnered global attention regarding issues related to older adults’ health promotion. This cross-sectional study aimed to identify factors associated with older adults’ participation in community-based health promotion activities. The Older Adults’ Health Promotion Activity Questionnaire was developed to collect data, and a total of 139 older adults were recruited from a community care center in Taoyuan City. Participants’ mean age was 72.7 years (SD = 6.0 years), 74.8% were females, 64.7% were married, 59% had a lower level of education, 51.8% had lower income, 59% reported their health status not good, and 76.3% had chronic disease. Our findings indicated that age, perceived benefits, and self-efficacy were identified as significant predictors of participation in health promotion activities. Among them, perceived benefits were found to have the strongest association with participation in health promotion activities (β = 0.305; p < 0.05). The findings showed that the Pender’s Health Promotion Model is useful to provide information for predicting and detecting significant factors related to older adults’ participation in community-based health promotion activities. By using this model as a framework, researchers can design more specific studies that are directed towards improving healthy lifestyles and detecting the key components of health-related behaviors among different age groups.

Pemberdayaan Siswa Melalui Penerapan Program Health Promotion Model Sebagai Upaya Pencegahan Covid-19

Model promosi kesehatan merupakan model konsep perubahan sikap dan perilaku yang ditandai dengan meningkatnya pengetahuan tentang informasi kesehatan pada seseorang. Model ini digunakan pada saat kegiatan pengabdian kepada masyarakat untuk memberdayakan kelompok siswa dalam upaya penanganan dan pencegahan penularan Covid-19 di sekolah. Sasaran kegiatan pemberdayaan ini adalah siswa-siswi yang tergabung dalam organisasi PMR, UKS dan OSIM Madrasah Aliyah Qamarul Huda Lombok Tengah yang terdiri dari 20 siswa dengan 9 siswa laki-laki dan 11 siswa perempuan. Kegiatan pengabdian ini diberikan dalam bentuk pendidikan kesehatan dan pelatihan. Materi edukasi yang diberikan seputar; Covid-19; penularan Covid-19 di lingkungan sekolah; kemudian materi protokol kesehatan 5M, materi tersebut disampaikan dengan metode ceramah, sedangkan materi simulasi dan pelatihan yang telah dilakukan mengenai; latihan 6 langkah cuci tangan; cara membuat hand sanitizer; dan mensimulasikan cara menggunakan masker dengan benar. Kegiatan pemberdayaan siswa Madrasah Aliyah Qamarul Huda melalui penerapan program HPM (Health Promotion Model) memberikan dampak positif yaitu dalam meningkatkan pengetahuan dan sikap siswa tentang cara penanganan dan pencegahan penularan Covid-19 di lingkungan sekolah.

Factors Associated with Fruit and Vegetables Consumption Behavior Among Adolescents Based on The Health Promotion Model

Background:The low consumption of fruits and vegetables is one of the risk factors for death in the world. Indonesia is a country that is rich in fruits and vegetables but has a low consumption level. The lowest age group in consuming fruit and vegetables is adolescents.Purpose:The purpose of this study was to determine the factors that influence fruit and vegetable consumption behavior in adolescents based on the Health Promotion Model Nola J. Pender.Methodology: This study used a descriptive-analyticcross-sectional study design involving 249 adolescents. The data was collected using a questionnaire to measure the factors that influence fruit and vegetable consumption behavior and food frequency questionnaire. The questionnaires were distributed online via social media for two weeks. Data were analyzed using linear regression.Result:Factors that influence fruit and vegetable consumption behavior in adolescents are resistance to action (p = 0.05), self-efficacy (p <0.001), parental interpersonal influence (p <0.001), and peer influence (p = 0.05). Ethnic factors, knowledge of benefits, and the environment do not have a significant effect on fruit and vegetable consumption behavior among adolescents. There are still 93.4% other factors that also influence fruit and vegetable consumption behavior in adolescents.To promote healthy consumption behavior of fruit and vegetable in adolescents we should increase the self-efficacy of adolescents, involved parents and peer groups as a role model for healthy behavior.