Correlation between inner strength and health-promoting behaviors in women with heart failure
Keywords:
Inner strength, Health-promoting behaviors, Heart failure, WomenAbstract
Introduction: Inner strength is a factor for mental health and well-being and, consequently, a dynamic component of holistic healing. Health-promoting behaviors are appropriate activities to improve health status and prevent the progression of the functional defect resulting from heart failure. The present study aimed to determine the correlation between inner strength and health-promoting behaviors in women with heart failure referred to hospitals affiliated with Shahid Beheshti University of Medical Sciences (SBMU) in 2013.
Methods: In this cross-sectional study, 145 women with hearth failure were selected through convenient sampling from the clients referred to hospitals affiliated with SBMU. The data collection tool included a three-section questionnaire of personal characteristics, inner strength, and health-promoting life profile II (HPLP II). The data analysis used descriptive statistical tests and Pearson correlation coefficient through SPSS version 20.
Results: A direct significant correlation was found between inner strength and all dimensions of health-promoting behaviors and overall health-promoting behaviors (p=0.000) as well as between all dimensions of inner strength (except for the dimension of knowing and searching with physical activity and the dimension of connectedness with personal accountability in healthcare as well as connectedness with physical activity) with health-promoting behaviors (p=0.000 to p=0008).
Conclusion: To improve the level of health and well-being and reduce the costs of care services in women with health failure, close attention should be paid to developing and empowering their inner strength.
References
Shafazand M, Patel H, Ekman I, Swedberg K, Schaufelberger M. Patients with worsening chronic heart
failure who present to a hospital emergency department require hospital care. BMC Res Notes. 2012; 5:
doi: 10.1186/1756-0500-5-132.
McMurray J, Adamopoulos S, Anker SD, Auricchio A, Bohm M, Dickstein K, et al. ESC guidelines for the
diagnosis and treatment of acute and chronic heart failure 2012: the task force for the diagnosis and
treatment of acute and chronic heart failure 2012 of the European society of cardiology. Developed in
collaboration with the heart failure association (HFA) of the ESC. Eur J Heart Fail. 2012; 14(8): 803-69.
doi: 10.1093/eurjhf/hfs105. PMID: 22828712.
Bahrami M, Etemadifar S, Shahriari M, Farsani AK. Caregiver burden among Iranian heart failure family
caregivers: A descriptive, exploratory, qualitative study. Iran J Nurs Midwifery Res. 2014; 19(1): 56-63.
PMID: 24554961, PMCID: PMC3917186.
Shah RU, Klein L, Lloyd-Jones DM. Heart failure in women: epidemiology, biology and treatment.
Women’s Health. 2009; 5(5): 517-27. doi: 10.2217/whe.09.50.
Ginghina C, Botezatu CD, Serban M, Jurcut R. A personalized medicine target: heart failure in women. J
Med Life. 2011; 4(3): 280‐6. PMID: 22567052, PMCID: PMC3168816.
Pierce CS. Health promoting behaviors of rural women with heart failure. Online Journal of Rural Nursing
and Health Care. 2005; 5(2): 28-37.
Siabani S, Leeder SR, Davidson PM. Barriers and facilitators to self-care in chronic heart failure: a meta- synthesis of qualitative studies. Springerplus. 2013; 2: 320. doi: 10.1186/2193-1801-2-320. PMID:
, PMCID: PMC3727080.
Peker K, Bermek G. Predictors of health-promoting behaviors among freshman dental students at Istanbul
University. J Dent Educ. 2011; 75(3): 413-20. PMID: 21368265
Hosseinnejad M, Klantarzadeh M. Study of lifestyle based on the Pender's Health Promotion model among
students of Islamic Azad University. Journal of Health Education and Health Promotion. 2014; 1(4): 15-28.
Harooni J, Hassanzadeh A, Mostafavi F. Influencing factors on health promoting behavior among the
elderly living in the community. J Educ Health Promot. 2014; 3: 40. doi: 10.4103/2277-9531.131921.
PMID: 25013833, PMCID: PMC4089138.
Baheiraei A, Mirghafourvand M, Mohammadi E, Nedjat S, Charandabi SM, Rajabi F, et al. Health- promoting behaviors and social support of women of reproductive age, and strategies for advancing their
health: Protocol for a mixed methods study. BMC Public Health. 2011; 11(1): 191-5. doi: 10.1186/1471- 2458-11-191.
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 Prev Med. 2012; 3(1): 191-8. PMID: 22826765, PMCID: PMC3399308.
Thanavaro JL, Thanavaro S, Delicath T. Health promotion behaviors in women with chest pain. Heart
Lung. 2010; 39(5): 394-403. doi: 10.1016/j.hrtlng.2009.10.016. PMID: 20561847.
Kheirjoo E, Jomehri F, Ahadi H, Farshbaf Manisefat F. Comparison of health promoting lifestyle of female
Rheumatoid Arthritis patients with healthy women and its relationship with demographic factors.
Knowledge and Research in Applied Psychology. 2013; 13(4): 61-70.
Dingley C, Roux G. The role of inner strength in quality of life and self-management in women survivors
of cancer. Research in Nursing & Health. 2014; 37(1): 32-41. doi: 10.1002/nur.21579.
Lewis KL, Roux G. Psychometric testing of the Inner Strength Questionnaire: women living with chronic
health conditions. Appl Nurs Res. 2011; 24(3): 153-60. doi: 10.1016/j.apnr.2009.06.003. PMID: 21777790.
Alpers LM, Helseth S, Bergbom I. Experiences of inner strength in critically ill patients: A hermeneutical
approach. Intensive Crit Care Nurs. 2011; 28(3): 150-8. doi: 10.1016/j.iccn.2011.10.004. PMID: 22225817.
Orshan SA, Ventura JL, Covington SN, Vanderhoof VH, Troendle JF, Nelson LM. Women with
spontaneous 46,XX primary ovarian insufficiency (hypergonadotropic hypogonadism) have lower
perceived social support than control women. Fertil Steril. 2009; 92(2): 688-93. doi:
1016/j.fertnstert.2008.07.1718. PMID: 18829005, PMCID: PMC2734403.
Dingley CE. Inner Strength as a Predictor of Quality Of Life and Self-Management in Women with Cancer.
Ph.D. Thesis in Nursing. School of Nursing University of Colorado. 2008. Available from:
http://search.proquest.com/docview/304338313.
Putnam KF. The relationship of inner strength and health promoting behaviors and their effect on quality of
life in midlife women. Ph.D. Thesis in Nursing. School of Nursing. Virginia Commonwealth University.
Roux G, Dingley CE, Bush HA. Inner strength in women: Meta synthesis of qualitative findings in theory
development. J Theory Constr Test. 2002; 6(1): 86-93.
Rahnavard Z, Nodeh ZH, Hatamipour K. Congestive heart failure: Predictors of health-related quality of
life in Iranian women. Contemp Nurse. 2014; 47(1-2): 159-67. doi: 10.5172/conu.2014.47.1-2.159. PMID:
23) Mohammadi E, Khoshab H, Kazemnejad A. Activities of daily living for patients with chronic heart
failure: a partnership care model evaluation. Appl Nurs Res. 2016; 30: 261-7. doi:
1016/j.apnr.2015.01.008. PMID: 27091288.
Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of Persian version
of the health-promoting lifestyle profile. J Mazandaran Univ Med Sci. 2012; 21(1): 102-13.
Potter PA, Perry AG. Fundamental of Nursing. 7th edition Missouri; Mosby Elsevier. 2009.
Beal CC, Stuifbergen AK, Brown A. Predictors of a health promoting lifestyle in women with fibromyalgia
syndrome. Psychol Health Med. 2009; 14(3): 343-53. doi: 10.1080/13548500902730093. PMID:
Mirzaee A. Health Education and Health Promotion. Hatami H. (editor) Textbook of Public Health. 3rd
edition. Volume 1. Tehran; Arjmand. 2009.
Khodadadi A, Sayadi A, Smaili H. Evolution of Knowledge of the principles of self-care in acute coronary
syndrome patients admitted to Aliebn Abitaleb Rafsanjan university hospital during. Journal of Nursing,
Midwifery and Paramedical of Rafsanjan. 2010; 5(1 and 2): 8-16.
Chun SY, Park H, Lee TH, Park EC. Do Long Term Cancer Survivors Have Better Health-Promoting
Behavior than Non-Cancer Populations? Case-Control Study in Korea. Asian Pac J Cancer Prev. 2015;
(4): 1415-20. PMID: 25743808.
Published
Issue
Section
License
Copyright (c) 2020 KNOWLEDGE KINGDOM PUBLISHING
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.