A structural model of health behavior modification among patients with cardiovascular disease

作者：Goong, Hwasoo; Ryu, Seungmi; Xu, Lijuan^*

来源：Applied Nursing Research, 2016, 29: 70-75.

DOI：10.1016/j.apnr.2015.06.005

• Cardiovascular disease
• Social support
• Health belief
• Stage of change
• Health behavior

Purpose: The purpose of the study was to test a structural equation model in which social support, health beliefs, and stage of change predict the health behaviors of patients with cardiovascular disease.
Method: A cross-sectional correlational design was used. Using convenience sampling, a survey about social support, health belief, stage of change, and health behavior was completed by 314 adults with cardiovascular disease from outpatient clinics in 2 university hospitals in Korea. Data were analyzed using a structural equation model with the Analysis of Moment program.
Results: The participants were aged 53.44 +/- 13.19 years (mean +/- SD), and about 64% of them were male. The proposed model fit the data from the study well, explaining 19% and 60% of the variances in the stage of change and health behavior, respectively.
Conclusion: The findings indicate that the performance of health behavior modification among the patients with cardiovascular disease can be explained by social support, health belief, and stage of change based on a health belief and stage-of-change model. Further studies are warranted to confirm the efficacy of health-promoting strategies in initiating and maintaining the performance of health behaviors by providing social support from family and medical staff and enhancing health belief.

• 出版日期2016-2
• 单位延边大学