[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Journal Information::
Articles archive::
For Authors::
Publication Ethics::
Editorial policy::
Contact us::
Site Facilities::
Citation Impact
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
COPE Membership


Creative Commons Licence
Open access
:: Volume 7, Issue 4 (Winter-2020 2020) ::
Iran J Health Educ Health Promot 2020, 7(4): 300-311 Back to browse issues page
The Effect of Educational Intervention Based on Health Belief Model on Nurses’ Stress Management in Intensive Care Units
Nahid Khazar , Zahra Jalili * , Leila Nazary manesh
Abstract:   (6348 Views)
Background and Objectives: Stress is one of the main problems of nurses, which greatly affects their professional performance and their personal life and causes conflict between work and life. The purpose of this research was to identify the effects of Health Belief model-based training on nurses’ occupational stress.
Materials and Methods: This is a Quasi-experimental study conducted on nurses. 45 nurses were randomly selected from special wards of a hospital as the interventional group and also 42 nurses from another hospital were randomly selected as the control group. Data gathering tool was included the Nursing Stress Scale (NSS) for determining nurses’ occupational stress and HBM Model constructs questionnaire to determine the effect of educational intervention. Training program was carried out in three 2-hour sessions. Subjects were monitored for 1 month. Statistical analysis was performed before, and 1 month after training using SPSS software. Statistical tests including Chi- Square, independent t-test, Paired t- test, Kolmogorov- Smirnov were used in this study.
Results: Mean NSS score of the intervention group reduced from 107.311 ±20.800 to 89.578 ±23.352 after the training. Moreover, after training, the variables of perceived susceptibility, perceived severity, perceived benefits, cue to action, self-efficacy, and behaviors showed a significant increase and perceived barriers decrease in the intervention group compared to the control group (P < 0.05).
Conclusion: Results showed that the Health Belief Model for stress management education was effective in the reduction of nurses’ stress level. Considering that behavioral and non-behavioral factors are effective in reducing stress; as a result, to change behavior of individuals, in addition to themselves, it is necessary to pay attention to the environment surrounding them and others influencing their behavior.
Keywords: Management, Occupational stress, Nurses, critical care unit, Health Belief Model
Full-Text [PDF 678 kb]   (1807 Downloads)    
Type of Study: Research | Subject: Health Education & Health Promotion
Received: 2019/01/4 | Accepted: 2019/08/5
1. Ghasem zadeh, A, Seyed Abas zadeh, M, Hasani, M, Structural modeling of personality traits on stress and job performance considering the mediating effects of individual accountability behavior. Iranian Occupational Health J. 2012.10(2):54-64.
2. Lazarus RS, Folkman S. Stress, appraisal and coping. New York J: Springer 1984: 2(5): 345-65.
3. Murphy LR. Stress management in work stress: A critical review of the health effects. American J health promot 1996; 11(2): 112-35. [DOI:10.4278/0890-1171-11.2.112] [PMID]
4. Esmailzadeh Gatabi G, Jalili Z, Rabie zadeh,F.The Effect of stress management training based on PRECEDE model on pre- hospital emergency staff occupational tension in Mazandaran university of medical sciences in 2016. HDQ.2017: 3 (1)11-20 [DOI:10.29252/nrip.hdq.3.1.11]
5. Sobhi-Gharamaleki N, Porzoor P, Aghajani S, Narimani M. Effectiveness of Emotion Regulation Training on Reduction of Anxiety, Stress and Depression Symptoms among University Students. Iran J Health Educ Health Promot. 2015; 3 (1) :5-13
6. Saberinia, A, Nekooi moghadam M, Mahmoodi F, Identification of stressors causing dissatisfaction in emergency hospital staff in Kerman 2013, J Payavard salamat, 2012, 6(6): 489-497.
7. Pouraboli B, Esfandiari S, Ramezani T, Miri S, Jahani Y, Sohrabi N, Effectiveness of their. teaching skills to reduce stress job psychological empowerment of nursing staff in intensive care units in the center of Shiraz Shahid Rajaee 1392. Journal of Clinical Nursing and Midwifery 2016; 5 (1) :23-35
8. Heshmat H, Behnampour N, Homaei E, Khajavi S. Predictors of fruit and vegetable consumption among female high school students based on PRECEDE model. Iran J Health Educ Health Promot. 2014; 1 (4) :5-14
9. Moeini B, Hazavehei S M M, Shahrabadi R, Faradmal J, Dashti S. Role of stress in treatment readiness of drug dependence based on Health Belief Model. koomesh. 2015; 16 (2) :185-192.
10. Didehvar M, Jalili Z, Zareban I, Bakhshani Noor M, Shahrakipour M, The Effect of Stress Management Education Based on PRECEDE Model on Occupational Stress of Nurses in Hospitals of Iranshahr, Iran, Strides in Develop Med Educ J of Med Educa Develop Center, 2015: 12(3):472 -484
11. Ziaee R, Jalili Z, Tavakoli Ghouchani H. The effect of education based on Health Belief Model (HBM) in improving nutritional behaviors of pregnant women, J North Khorasan Uni Med Sci,2016:8(3),427-437 [DOI:10.18869/acadpub.jnkums.8.3.427]
12. Shamsi M, Bayati A, Mohamad Beigy A, Tajik R. The effect of health education program based on health belief model on preventive behaviors of drug abuse in pregnant women in Arak (1999), Research J Shahid Beheshti uni med sci, 1999. 4(6), 324-331
13. Kartal A, Ozsoy SA. Validity and reliability study of the Turkish version of Health Belief Model Scale in diabetic patients. Int J Nurs Stud. 2007; 44(8): 1447-58 [DOI:10.1016/j.ijnurstu.2007.06.004] [PMID]
14. Bahmani A, Gharib A, Rahmani Kh, Ahmadian F, Alizadeh Z, Akhtar B, Effect of Health Belief Model Education on the Participation of Rural Women in Papsmear Test, J nurs educ, September-October 2016, 5(4) :34-40 [DOI:10.21859/jne-05045]
15. Park S, Chang S, Chung C. Effects of a cognition-emotion focused program to increase public participation in Papanicolaou smear screening. Public Health Nurs 2005;22(4):289-98. [DOI:10.1111/j.0737-1209.2005.220404.x] [PMID]
16. Rahimi T, Shojaei S, Mousavi Miyandashti Z, Amini Z, Khazir Z, Promotion of Preventive Behaviors of Cardiovascular Diseases Using Health Belief Model in Women Referring to Health Centers in Qom, Iran, Qom Uni Med Sci J ,2015; 9(11): 51- 59.
17. Sharifirad GhR, Hazavehei MM, Hasanzadeh A, Daneshamouz A. The effect of health education based on health belief model on preventive actions of smoking in grade one, middle school students. Arak Medical University Journal (Rahavard Danesh). 2007; 10(1): 1-8
18. Cyr A, Dunnagan TA, Haynes G. Efficacy of the Health Belief Model for Predicting Intention to Pursue Genetic Testing for Colorectal Cancer. J Genet Counsel. 2010; 19(2): 174-86. [DOI:10.1007/s10897-009-9271-7] [PMID]
19. Gaffari M, Niknami S, Kazemnejad A, Mirzaie E. Design, Reliability and validity of the Ten-scale HIV prevention in adolescents. J Behboud 2007; 11(1): 36-50.
20. Khodaveisi M, salehikha M, Bashirian S, Karami M, study of Preventive Behaviors of Hepatitis B Based on Health Belief Model among Addicts Affiliated to Hamedan, sci J of Hamadan nursing & Midwifery faculty, 2016; 24(2): 129-137.
21. Moodi M, Norozi E, Rezaeian M, Mostafavi F, Sharifirad Gh. Comparing the effectiveness of Three Educational Interventions based on Health Belief Model on Mammography screening Behaviors in Women above 40 Years in Isfahan. IJHSR. 2013; 9 (4): 385-94.
22. Karimy M, Zareban I, Tabasi A, Taher M, Fayazi N. Beliefs and factors affecting preventive behaviors of HIV transmission in patient's positive HIV, Quarterly Journal of infectious diseases and tropical medicine, affiliated with the society for tropical and diseases, 2016. 21(72). 41-47.
23. Lagampan S, Lapvongwatana P, Tharapan C, Nonthikorn J. Health Belief Model teaching program for thalassemia education in high school students. J Chula Med 2004 Nov; 48(11): 723-735.
24. Mazlom SR, Darban F, Vaghei S, Modarres Gharavi M, Kashani Lotfabadi M, Shad M, The effect of Stress Inoculation Program (SIP) on nurses' Perceived stress in psychiatric wards. Quarterly Journal of Nursing Management, 2012;2(1); 35-43.
25. Kawaharada M, Yoshioka E, Saijo Y, Fukui T, Ueno T, Kishi R. The Effects of a Stress Inoculation Training Program for Civil Servants in Japan: A Pilot Study of a Non-randomized Controlled Trial. Industrial Health. 2009; 47: 173-82. [DOI:10.2486/indhealth.47.173] [PMID]
26. Fathi M, Joodi M, Sadeghi A, Sharifi A, Joodi M, Poorfereidooni F. Evaluation of effect of relaxation training in nurse's stress reduction. Zahedan J Res Med Sci (ZJRMS) 2011; 13(4):47.
Send email to the article author

Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Khazar N, Jalili Z, Nazary manesh L. The Effect of Educational Intervention Based on Health Belief Model on Nurses’ Stress Management in Intensive Care Units. Iran J Health Educ Health Promot 2020; 7 (4) :300-311
URL: http://journal.ihepsa.ir/article-1-1058-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 7, Issue 4 (Winter-2020 2020) Back to browse issues page
فصلنامه آموزش بهداشت و ارتقاء سلامت ایران Iranian Journal of Health Education and Health Promotion
Persian site map - English site map - Created in 0.05 seconds with 44 queries by YEKTAWEB 4642