Analysis of Lifestyle in Patients with Myocardial Infarction Based on Pender’s Health Promotion Model at the Shahid Madani heart center of Khorramabad, Iran

Document Type : Original Article


1 Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran

2 Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran


In most patients with cardiovascular disease, the risk factors still remain uncontrolled even after myocardial infarction. Extensive international efforts have thus been made toward health promotion and lifestyle modification in these patients. This study aimed to evaluate the lifestyle of patients with myocardial infarction based on Pender’s Health Promotion Model (HPM). In this cross-sectional study, 100 patients admitted to Shahid Madani Hospital in Lorestan, Iran (2012) after myocardial infarction were selected by purposive sampling. Data were collected by a demographic questionnaire, the Health-Promoting Lifestyle Profile II and the perceived benefits, perceived barriers and perceived self-efficacy questionnaires. The questionnaires’ validity and reliability were previously confirmed. The data were analyzed using measures of central tendency and frequency, analysis of variance, and regression analysis. All analyses were performed using SPSS. The highest mean score (28.4 ± 4.7) belonged to the interpersonal relations subscale. Physical activity and stress management subscales had the lowest mean scores (12.3 ± 3.2 and 17.5 ± 3.6, respectively). Lifestyle had significant linear relationships with perceived self-efficacy and having hypertension. Patients with myocardial infarction did not show favorable health-promoting behaviors, especially in physical activity and stress management subscales. Since higher self-efficacy can help patients improve their self-care activities and health behaviors, relevant interventions focusing on the components of health-promoting lifestyle seem necessary.