Health-promoting behaviors status of nurses during COVID-19 pandemic: A case of southern Iran

Document Type : Original Article

Authors

1 Assistant Professor, Department of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran

2 Associate Professor of Health Economics, Department of Healthcare Services Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

10.30476/jhmi.2024.104647.1250

Abstract

Background: One of the most important indicators of people's health in the pandemic of coronavirus (COVID-19) is their health-promoting behaviors. This study was conducted to investigate the status of health-promoting behaviors of nurses in teaching hospitals in southern Iran during the COVID-19 pandemic.

Materials and Methods: This cross-sectional descriptive-analytical study was conducted on 340 nurses of teaching hospitals of Shiraz University of Medical Sciences in 2022. Data were collected through a standard health-promoting lifestyle questionnaire that was designed in 10 dimensions (physical health, exercise and wellbeing, weight and nutrition control, disease prevention, psychological health, spiritual health, social health, avoiding medicines and drugs, preventing incidents and environmental health) with totally 70 questions. Data were analyzed using descriptive statistics, T-test, ANOVA, Pearson correlation coefficient by SPSS23 at a significance level of α= 0.05.

Results: The mean score of total health-promoting behaviors was evaluated to be 3.48±1.12, which is in a moderate range. Spiritual health (4.62±1.29) had the highest and that of exercise and wellbeing (2.38 ± 1.38) had the lowest mean score. There was a positive and significant correlation between all components of health-promoting behaviors (P<0.05). There was a significant difference between health-promoting behaviors with demographic variables like gender (P= 0.01), marital status (P= 0.03), and educational level (P= 0.03).

Conclusion: Nurses' health-promoting behaviors were at a "moderate" level, by continuing the condition of the pandemic, it is recommended to the health policymakers to prepare a more supportive work environment considering educational interventions with an emphasis on exercise and wellbeing.

Keywords

Main Subjects


  1. Yusefi AR, Faryabi R, Bordbar S, Daneshi S, Nikmanesh P. Job burnout status andand its relationship with resilience level of healthcare workers during Covid-19 pandemic: a case of Southern Iran. Iranian Journal of Health Sciences. 202;9(3):1-11.
  2. Gralinski LE, Menachery VD. Return of the coronavirus: 2019-ncov. Viruses. 2020; 12(2): 135.
  3. Chamroonsawasdi K, Phoolphoklang S, Nanthamongkolchai S, Munsawaengsub CH. Factors Influencing Health Promoting Behaviors among the Elderly Under the Universal Coverage Program, Buriram Province, Thailand. Asia Journal of Public 2010; 1 (1): 15-19.
  4. Hwang Y, Oh J. Factors Affecting Health-Promoting Behaviors among Nursing Students. International Journal of Environmental Research and Public Health. 2020; 17(17): 6291.
  5. Wittayapun Y, Tanasirirug V, Butsripoom B, Ekpanyaskul Ch. Factors Affecting Health-promoting Behaviors in Nursing Students of the Faculty of Nursing Srinakharinwirot University. J Public Health. 2010; 40 (2): 215-225.
  6. Mak YW, Kao AH, Tam LW, Virginia WC, Don TH, Leung DY. Health-promoting lifestyle and quality of life among Chinese nursing students. Primary health care research & development. 2018; 19(6): 629-36.
  7. Cho S, Lee H, Oh EG, Kim GS, Kim YC, Park CG. Health‐related quality of life among migrant workers: The impact of health‐promoting behaviors. Nursing & health sciences. 2020; 22(2): 318-27.
  8. Chen L, Zhang J, Fu W. Health-promoting lifestyles and their related influences among nursing assistants in nursing homes in China. Applied Nursing Research. 2018; 39:97-102.
  9. Chow SK, Kin-Man LA, Shih-Hung LI, Ka-Chun MA, Ka-Chun MO, Chun-Man SO, Wai-Yip YU. Do demographic factors and a health-promoting lifestyle influence the self-rated health of college nursing students?. BMC nursing. 2018; 17(1): 50.
  10. Wei CH N, Harada K, Ueda K, Fukumoto K , Minamoto K , Ueda A. Assessment of healthpromoting lifestyle profile in Japanese university students. Environ Health Prev Med 2012; 17: 222–7.
  11. Zapka JM, Lemon SC, Magner RP, Hale J. Lifestyle behaviours and weight among hospital‐based nurses. J Nurs Manag. 2009; 17(7): 853-60.
  12. Keshvari M, Yusefi AR, Homauni A, Omidifar R, Nobakht S. Barriers for the using of information systems in hospitals: a qualitative study. Shiraz E-Medical Journal. 2018;19(8):e66180.
  13. Ross A, Bevans M, Brooks AT, Gibbons S, Wallen GR. Nurses and health-promoting behaviors: Knowledge may not translate into self-care. AORN J. 2017; 105(3): 267-75.
  14. Hosseini M, Ashktorab T, Taghdisi MH. [Health promotion lifestyle in nursing students: A systematic review]. Journal of Health Promotion Management. Iranian Scientific Association of Nursing. 2012; 2(1): 66-79.
  15. Chiou ST, Chiang JH, Huang N, Wu CH, Chien LY. Health issues among nurses in Taiwanese hospitals: National survey. Int J Nurs Stud 2013; 50(10): 1377-1384.
  16. Abozeid A, Dessowky SM, Mohamed MA, Mohamed ET. Assessment of Health Promoting Behaviors among Faculty of Nursing Students. Egyptian Journal of Health Care. 2020; 11(3): 50-65.
  17. Bakhshi S, Sun F,Murrells T,While A. Nurses' health behaviours and physical activity-related health-promotion practices. Br J Community Nurs. 2015; 20(6): 289-96.
  18. Kelly M, Wills J, Jester R, Speller V. Should nurses be role models for healthy lifestyles? Results from a modified Delphi study. J Adv Nurs. 2017; 73(3): 665-78.
  19. Kurnat-Thoma E, El-Banna M, Oakcrum M, Tyroler J. Nurses' health promoting lifestyle behaviors in a community hospital. Appl Nurs Res. 2017; 35(3): 77-81.
  20. Farivar M, Aziziaram S, Basharpoor S. The role of health promoting behaviors and health beliefs in predicting of corona anxiety (COVID-19) among nurses. Quarterly Journal of Nursing Management. 2020;9(4):1-0.
  21. Ersin F, Dedeoğlu GK, Kürümlüoğlugil R. The effect of nurses coronavirus fear on health promoting and protective behaviors. Harran Üniversitesi Tıp Fakültesi Dergisi. 2021;18(3):504-9.
  22. Kwon M, Oh J. The relationship between depression, anxiety, E-health literacy, and health-promoting behavior in nursing students during COVID-19. Medicine. 2023;102(6):e32809.
  23. Lali M, Abedi A, Kajbaf MH. [Construction and validation of the lifestyle questionnaire (LSQ)]. Psychol Res. 2012; 15(1): 64–80.
  24. Najafabadi MH, Rezaei B. [The health promotion behaviors and its correlation with selected proffesional factors in nurses]. JHPM. 2017; 6(3): 28-35.
  25. Nejat K, Abedi H. Evaluation of health promotion activities in nurses. J Nov Appl Sci. 2015; 4(6): 715-20.
  26. Tavakoli M, Emadi Z. [The relationship between health-promoting lifestyle, mental health, coping styles and religious among Isfahan University Students]. J Res Behav Sci. 2015; 13(1): 64-78.
  27. Edrisi A, Khademloo M, Ghorbani A, Gooran F, Khalili-Azandehi H, Bahrami B. [Self-report of health promoting behaviors of nurses working in the educational hospital]. J Mazandaran Univ Med Sci. 2013; 23(105): 52-9.
  28. Tasi YC, Liu CH. Factors and symptoms associated with work stress and health-promoting lifestyles among hospital staff: a pilot study in Taiwan. BMC Health Serv Res. 2012; 12: 199.
  29. Kalroozi F, Pishgooie A, Taheriyan A. [Health-promoting behaviors in employed nurses in selected military hospital]. J Health Prom Manag. 2015; 4(2): 7-15.
  30. Nassar OS, Shaheen AM. Health-promoting behaviours of university nursing students in Jordan. Health. 2014; 6(19): 2756.
  31. Lee WL, Tasi SH, Tasi CW, Lee CY. A study on work stress, stress coping strategies and health promoting lifestyle among district hospital nurses in Taiwan. J Occup Health. 2011; 53(5): 377-83.
  32. Nemati M, Ebrahimi B, Nemati F. Assessment of Iranian nurses’ knowledge and anxiety toward covid-19 during the current outbreak in Iran. Arch Clin Infect Dis. Online ahead of Print; 15(COVID-19):e102848.
  33. Wu Y, Wang J, Luo C, Hu S, Lin X, Anderson AE, et al. A comparison of burnout frequency among oncology physicians and nurses working on the frontline and usual wards during the covid-19 epidemic in Wuhan, China. J Pain Symptom Manage. 2020;60(1):e60-e65.
  34. Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manag. 2020;28(5):1002- 1009.
  35. Labrague LL, De A. De los Santos JA. Fear of COVID-19, Psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag. 2021;29(3):395-403.
  36. Norozinia R, Aghabarari M, Kohan M, Karimi M. [Health promoting behaviors and its correlation with anxiety and some students demographic factors of Alborz University of Medical Sciences]. J Health Prom Manag. 2013; 2(4): 39-49.
  37. Furr S. The school nurses perception of health promotion behavior North Carolina, USA: Gardner-Webb University; 2009 [cited 20166 December 7]. Available from: http://digitalcommons.gardner-webb.ed/nursing_ed/195
  38. Tucker SJ, Harris MR, Pipe TB, Stevens SR. Nurses rating of their health and professional work environments. AAOHN J. 2010; 58(6): 253-67.
  39. McElligott D, Siemers S, Thomas L, Kohn N. Health promotion in nurses: is there a healthy nurse in the house? Appl Nurs Res. 2009; 22(3): 211-5.
  40. Karen T, Debra H, Vera B, Cathryn F, Deborah G. An investigation into the health-promoting lifestyle of RNs. Am J Nurs. 2016; 116(4): 24-30.
  41. Kaewthummanukul T, Brown KC, Weaver MT, Thomas RR. Predictors of exercise participation in female hospital nurses. J Adv Nurs. 2006; 54(6): 663-75.