The Effect of Implementing Health Promotion Hospitals' Plan on the Awareness of Cardiac Patients Admitted to Selected Educational Hospitals in Yazd

Rooholah  Askari; Raziyeh  Montazeralfaraj; Sara  Jambarsang; Reyhaneh Sadat  Mirhosini

doi:10.18502/mshsj.v6i3.8040

Rooholah Askari Associate Professor, Health Policy & Management Research Center, Department of Healthcare Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Raziyeh Montazeralfaraj Associate Professor, Health Policy & Management Research Center, Department of Healthcare Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Sara Jambarsang Assistant Professor, Center for Healthcare Data Modeling, Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Reyhaneh Sadat Mirhosini MSc student in Healthcare Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

DOI: https://doi.org/10.18502/mshsj.v6i3.8040

Keywords: Health promoting hospital, Knowledge, Health belief model, Heart patients, Health promotion

Abstract

Background: Health promotion includes the concepts of health education, disease prevention and rehabilitation services. Accordingly, the implementation of standards and indicators of health promotion in hospitals is necessary to ensure the quality of the services provided. Therefore, this study was conducted to investigate the effect of implementing a health promotion hospital plan on the awareness of hospitalized cardiac patients in selected educational hospitals in Yazd.

Methods: This was an interventional study, which was performed on 62 cardiac patients referred to 2 selected educational hospitals of Yazd University of Medical Sciences. 31 patients from Afshar Hospital (the case group), and 31 patients from Shahid Sadoughi Hospital (the control group) were selected by purposive sampling method. In the case group, in addition to the routine trainings, the subjects received face to face and group educational interventions based on the Health Belief Model and the Guidelines to the American Cardiovascular and Pulmonary Rehabilitation Association for 3 months, and were finally given an educational package. The samples in the control group also underwent routine training. Data analysis was performed using a questionnaire based on Health Belief Model, before the educational intervention and 3 months after, using SPSS ₂₃ software, Chi-square and independent t-tests.

Results: Awareness scores in the case and control groups before the intervention were 7.90 ± 4.01 and 10.67 ± 5.31, and after the intervention were 21 ± 1.61 and 11.54 ± 5.31 respectively, and a significant difference was seen in the scores of the post-intervention group (p < 0.001).

Conclusion: The implementation of the health promotion hospital plan can be effective in increasing the awareness and improving the performance of cardiac patients. Therefore, it is recommended for hospitals to move towards health promotion.