Impacts of Health Belief Promoting Programme on Self-Practice Behaviour in Older Patients Having Undergone Hip Arthroplasty
Keywords:
older patients, hip arthroplasty, self- practice behaviour, surgery, Health belief promoting programmeAbstract
Objective: To examine impacts that a health belief promoting programme (HBPP) could have on older patients’ self-practice behaviour after hip arthroplasty
Design: Two-group quasi-experimental research with a pretest and a posttest
Methodology: The sample consisted of 32 older patients diagnosed with hip fractures who had undergone hip arthroplasty. Recruited by means of purposive sampling, the subjects were equally divided into an experimental group and a control group, with each member of one group paired with one of the other based on their age, sex, and education level. The experimental group was treated with the HBPP, which involved promotion of self-efficacy, whilst the control group received only standard care. Data were collected twice, before HBPP and in the fourth week after HBPP, via interviews with the subjects on their post-arthroplasty self-practice behaviour. The data were analysed using Wilcoxon Signed Rank test and Mann-Whitney U test.
Results: In the fourth week after HBPP, a statistically significant difference (z = -4.85; p < .001) was evident between the experimental group’s and the control group’s self-practice behaviours (M = 67.19, SD = 4.43 vs M = 37.99, SD = 4.02). Besides, the experimental group’s fourth-week self-practice behaviour score (M = 67.19, SD = 4.43) was significantly higher (z = -3.52; p < .001) than its pre-experiment score (M = 30.43, SD = 2.59).
Recommendations: As HBPP has the potential to improve older hip arthroplasty patients’ self-practice behaviour, nurses should be specifically trained to apply it to caring for this group of patients.
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