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

Authors:
Publisher website
Google Scholar
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.
Funding Information
  • Tianjin Medical University

This publication has 23 references indexed in Scilit: