Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Community Based Participatory Research Center, Iranian Institute for Reduction of High - Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Nurs Open. 2023 Sep;10(9):6538-6550. doi: 10.1002/nop2.1908. Epub 2023 Jun 16.
Health-promoting behaviours are an important challenge in people living with HIV (PLHIV). Knowing PLHIV's perspective can be helpful for more effective health-promoting behaviour planning. Therefore, the present study aims to explain PLHIV's perspective on health-promoting behaviours based on Pender's health-promotion model.
A qualitative study with a directed content analysis approach.
Altogether, 17 PLHIV referring to the Behavioural Diseases Consultation and Control Center in Tehran, Iran and were selected through purposive sampling. The data were collected through semi-structured individual interviews and the results were analysed through directed content analysis based on Pender's model. Data management was done by MAXQDA V10.
Data analysis led to the extraction of 396 codes in 35 subcategories and 15 main categories in 6 constructs of Pender's model, including the perceived benefits (health assurance and optimal disease control), perceived barriers (insufficient knowledge and awareness, lack of motivation, adverse outcomes of the disease and socioeconomic status), perceived self-efficacy (endeavouring to have a healthy lifestyle, responsibility for one's health and that of others), activity-related affect (positive and negative feelings), the interpersonal influences (family, friends and relatives and social media) and situational influences (the resources available to the community and community's culture).
In this study, the contribution of PLHIV was used and their perspectives were surveyed. The findings of this study can help policymakers and planners formulate health policies to select the most appropriate strategies and approaches to promoting effective healthy behaviours among PLHIV.
促进健康的行为是 HIV 感染者（PLHIV）面临的一个重要挑战。了解 PLHIV 的观点有助于更有效地制定促进健康行为的计划。因此，本研究旨在根据彭德健康促进模型解释 PLHIV 对促进健康行为的看法。
一项基于 Pender 健康促进模型的定向内容分析的定性研究。
总共选择了 17 名来自伊朗德黑兰行为疾病咨询和控制中心的 PLHIV，采用目的抽样法进行选择。通过半结构化的个人访谈收集数据，根据 Pender 模型进行定向内容分析对结果进行分析。数据管理是通过 MAXQDA V10 完成的。
数据分析得出了 396 个代码，分为 35 个子类别和 15 个主要类别，包括感知益处（健康保障和最佳疾病控制）、感知障碍（知识和意识不足、缺乏动机、疾病的不良后果和社会经济地位）、感知自我效能（努力拥有健康的生活方式、对自己和他人的健康负责）、活动相关的情感（积极和消极的感受）、人际影响（家庭、朋友和亲戚以及社交媒体）和情境影响（社区可利用的资源和社区文化）。
在这项研究中，PLHIV 的贡献得到了利用，并对他们的观点进行了调查。本研究的结果可以帮助政策制定者和规划者制定卫生政策，选择最适合的策略和方法，促进 PLHIV 采取有效的健康行为。
