Evaluation of the Effect of Implementing Health Promoting Hospitals Program on the Level of Attitude of Cardiac Patients

Aims: Health promotion is the future perspective of hospital services in the health system. Thus, the study aimed to examine the effect of the implementation of a health promotion program on the attitudes of cardiac patients. Material Methods: The study was an interventional before-after study, conducted on 62 cardiac patients admitted to two selected teaching hospitals from July to September 2019, including 31 patients from Shahid Sadoughi Hospital (control group) and 31 patients from Afshar Hospital (experimental group) using a purposive sampling method. Besides the routine training of the ward, the samples in the experimental group received face-to-face and group training interventions based on the health belief model and the guideline of the the american association of cardiovascular and pulmonary rehabilitation and received the training package at the end. Moreover, the samples in the control group received routine training. Data was collected using a questionnaire based on the health belief model and analyzed in SPSS 23 using Chi-square, independent t-test, and analysis of covariance. Findings: The total scores of attitude dimensions in the experimental and control groups before the intervention were 117.41±31.49 and 155.80±33.31, respectively, and after the intervention 234.70±16.90 and 164.54±33.54, respectively. The mean of these scores did not significantly differ before the intervention, but the mean of attitude dimensions significantly differed after the intervention (p=0.001). Conclusion: The educational program implemented based on the health belief model and the american association of cardiovascular and pulmonary rehabilitation guideline in the study was effective and these programs proved a key role in promoting health and preventing cardiovascular disease.