Perception of health, social support, and health-promoting behaviours of angioplasty patients

Grainger, Patricia (1997) Perception of health, social support, and health-promoting behaviours of angioplasty patients. Masters thesis, Memorial University of Newfoundland.

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Abstract

This descriptive correlational study with repeated measure design was conducted to investigate changes in health perceptions and health-promoting behaviours pre and post angioplasty. The relationships among social support, health perception, demographics, illness-related variables, and health-promoting behaviours were also examined. Pender's Health Promotion Model (1996) was used as the theoretical framework for the study. -- The sample was comprised of 70 subjects, the majority of whom were male (78.6%), married (90%), between the ages of 45 and 64 (64.7%), had not completed high school (65.7%), and were either employed (40%) or retired (34.8%) with an annual family income less than $40,000 (74.2%). Data were collected through an interview at the time of angioplasty and a follow-up telephone call at approximately eight weeks. Instruments included the Health- Promoting Lifestyle Profile II (HPLP) and the Norbeck Social Support Questionnaire (NSSQ). -- There were significant improvements in the total and all six subscale scores of the HPLP. Subjects scored highest on the interpersonal relations and spiritual growth subscales and lowest on the health responsibility and physical activity subscales. Health perception also improved significantly overtime and was significantly related to HPLP total score at follow-up as well as the physical activity and spiritual growth subscales. Social support variables were significantly related to the interpersonal relations subscale at the time of angioplasty but only one social support variable demonstrated a significant relationship with health-promoting behaviour (spiritual growth subscale) at follow-up. Age was significantly related to overall HPLP scores at the time of angioplasty but only the interpersonal subscale at follow-up. Females had significantly higher health responsibility scores at follow-up. Health perception and the health responsibility subscale explained 32.53% of the variance in total HPLP scores at follow-up. -- The results of this study suggest that angioplasty patients are motivated to improve risk factor status and that many factors can influence this process. Also, there is need for more research in the area of health promotion for angioplasty patients, particularly the precise role of social support in this process.

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