Self-management Education Based Health Promotion Model on the Clinical Manifestations of Patients With Brucellosis

Abstract

Background: Brucellosis is a common disease in humans and animals that may recur and become a chronic disease. The purpose of this study was to investigate the effect of self-management educational intervention based on Pender’s health promotion model on the clinical manifestations of patients with brucellosis. Methods: In this randomized controlled trial, 94 patients with brucellosis were randomly divided into two experimental (EG) and control (CG) groups of 47 people. The educational intervention for the experimental group was based on Pender’s health promotion model and consisted of four sessions of lectures lasting 15 to 30 minutes each. The control group continued with routine care. Clinical characteristics, including fever, pain, fatigue, and appetite were measured, and the results of 2ME and Wright tests were extracted. Data were analyzed by linear and logistic regression analyses. Results: The results of the regression analysis showed that, after adjusting for pre-test scores, the intervention had a significant effect on improving the average scores for pain (EG: 1.11 vs CG: 2.50, P<0.001), fatigue (EG: 1.25 vs CG: 2.65, P=0.001), fever (EG: 36.88 vs CG: 37.13, P<0.001), and the percentage of negative 2ME and Wright test results (EG: 95.5% vs CG: 70.0%, P=0.00) in the experimental group compared to the control group. Other variables were also compared between the groups. Conclusion: Self-management training based on Pender’s health promotion model can effectively improve the clinical symptoms of patients with brucellosis compared to standard programs in healthcare centers. Therefore, the implementation of this program is recommended.

Keywords

• brucellosis
• health promotion model
• health education
• self-management
• nursing model