Factors Affecting Health-Promoting Behaviors in Patients Diagnosed with Myocardial Infarction

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Syed Yousaf Shah
Zafar Iqbal
Sana Aziz
Yasir Ali Khan
Saeed Ur Rahman
Fayaz Ahmed
Amir Sultan


Background: Cardiovascular diseases, including myocardial infarction (MI), represent a significant global health burden, particularly in developing countries like Pakistan. Health-promoting behaviors (HBs) play a crucial role in the management and prevention of MI, potentially reducing morbidity and mortality rates among affected individuals.

Objective: This study aimed to identify the factors influencing health-promoting behaviors among patients diagnosed with myocardial infarction and to evaluate the level of engagement in such behaviors.

Methods: A cross-sectional descriptive study was conducted at a tertiary care hospital in Pakistan from September 2022 to June 2023. The study population consisted of 318 patients diagnosed with MI (ST and non-STEMI), selected through purposive sampling. Data were collected on demographic characteristics, health behavior data using the Song-and-Lee Health Behaviors Checklist, and analyzed using SPSS version 25 for descriptive and inferential statistics, including independent t-tests, ANOVA, and multiple linear regression.

Results: The overall mean score of health-promoting behaviors among participants was 2.14 ± 0.21, indicating a moderate level of engagement. The highest mean score was observed in eating behaviors (2.26 ± 0.34), while the lowest was in health responsibility (2.00 ± 0.40). Gender and smoking status significantly influenced health-promoting behaviors, with females and non-smokers exhibiting better HB scores. Significant differences in HBs were noted across gender, co-morbidity, and history of hospitalization, but not within age, BMI, and smoking groups.

Conclusion: The study concluded that myocardial infarction patients exhibit a moderate level of engagement in health-promoting behaviors, with significant variations influenced by gender and smoking status. There is a need for targeted nursing strategies to enhance health-promoting behaviors, particularly focusing on dietary habits, smoking cessation, and health responsibility among MI patients.

Article Details

How to Cite
Shah, S. Y., Iqbal, Z., Aziz, S., Khan, Y. A., Rahman, S. U., Ahmed, F., & Sultan, A. (2024). Factors Affecting Health-Promoting Behaviors in Patients Diagnosed with Myocardial Infarction. Journal of Health and Rehabilitation Research, 4(1), 1096–1101. https://doi.org/10.61919/jhrr.v4i1.558
Author Biographies

Syed Yousaf Shah, Lincoln University College Malaysia.

Phd Scholar, Lincoln University College Malaysia.

Zafar Iqbal, Khyber Medical University Peshawar Pakistan.

Institute of Nursing Sciences, Khyber Medical University KMU, Peshawar, Pakistan.

Sana Aziz, Male College of Nursing Karachi Pakistan.

Clinical Instructor, Male College of Nursing, Karachi, Pakistan.

Yasir Ali Khan, Peshawar Institute of Cardiology Peshawar Pakistan.

Charge Nurse, Peshawar Institute of Cardiology, Peshawar, Pakistan.

Saeed Ur Rahman, Medicaid College of Nursing and Allied Health Sciences Chakdara Dir Lower KP Pakistan.

Assistant Professor/Principal Medicaid College of Nursing and Allied Health Sciences Chakdara, Dir Lower, KP, Pakistan.

Fayaz Ahmed, Ziauddin University Karachi Pakistan.

MSN Scholar, Faculty of Nursing and Midwifery, Ziauddin University, Karachi, Pakistan.

Amir Sultan, Tasleem College of Nursing and Health Sciences Swat KP Pakistan.

Assistant Professor/Principal, Tasleem College of Nursing and Health Sciences Swat, KP, Pakistan.


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