The Effect of Educational Intervention Based on the Pender’s Health Promotion Model on Lifestyle of Patients with Diabetic Foot Ulcers: A Clinical Trial

Introduction: The Pender’s health promotion model is a framework used for determining health-promoting lifestyle behaviors in people with chronic diseases. This study aims to investigate the effect of educational intervention based on the Pender’s health promotion model on the lifestyles of patients with diabetic foot ulcers. Materials and Methods: In this clinical trial conducted in 2019, 74 patients were selected based on inclusion criteria by convenience sampling and allocated into two groups, the intervention and control, using the randomized block method. Both groups completed the demographic characteristics- and the Health-Promoting Lifestyle Profile Questionnaires. Data obtained were analyzed using SPSS 16, using descriptive & comparative statistical methods, including independent t-test, paired t-test and ANCOVA. Results: After the intervention, a significant increase was observed in the average score of the intervention group in all lifestyle dimensions (P<0.001). Comparing the changes in the average scores of lifestyle and its dimensions in both groups 50 days after the intervention, an increase was observed in the average scores of lifestyle and its dimensions in the intervention group, compared to those in the control group (P<0.001). Conclusion: Educational intervention based on the Pender’s health promotion model can promote the lifestyles of patients with diabetic foot ulcers, results of which can be used in educational interventions aimed at patients with diabetic foot ulcers to change their lifestyles.