{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T17:19:22Z","timestamp":1770484762877,"version":"3.49.0"},"reference-count":34,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2013,9,19]],"date-time":"2013-09-19T00:00:00Z","timestamp":1379548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100010104","name":"Tianjin Medical University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100010104","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To test the effect of a Health Belief Model\u2010based nursing intervention on healthcare outcomes in Chinese patients with moderate to severe <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>elief <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>odel (<jats:styled-content style=\"fixed-case\">HBM<\/jats:styled-content>) has been internationally validated in a variety of chronic conditions. However, nursing intervention based on the <jats:styled-content style=\"fixed-case\">HBM<\/jats:styled-content> is less explored in Chinese patients with <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A randomised controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Enrolled patients were randomly assigned to the intervention and control groups. Patients in the intervention group received a 20\u2010 to 30\u2010minute <jats:styled-content style=\"fixed-case\">HBM<\/jats:styled-content>\u2010based nursing intervention every 2\u00a0days during the hospitalisation period after disease conditions were stable, with additional follow\u2010ups after discharge. Patients in the control group received routine nursing care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients had significantly increased scores of health belief and self\u2010efficacy after receiving the <jats:styled-content style=\"fixed-case\">HBM<\/jats:styled-content>\u2010based nursing intervention. After receiving the 3\u2010month follow\u2010up, patients in the intervention group had significantly higher mean total scores in the <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>elief <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale and the <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> Self\u2010Efficacy Scale, as well as in all the subscales, than those in the control group except the perceived disease seriousness. Results showed that the value of <jats:styled-content style=\"fixed-case\">FEV<\/jats:styled-content><jats:sub>1<\/jats:sub>\/<jats:styled-content style=\"fixed-case\">FVC<\/jats:styled-content> ratio had a significant difference between study groups before and after the intervention. Results also indicated that mean scores of the <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>yspnea <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale, 6\u2010minute walking distance and <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content> were significantly different between the groups and between the study time\u2010points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among patients with moderate to severe <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>, nursing intervention based on the <jats:styled-content style=\"fixed-case\">HBM<\/jats:styled-content> can enhance their health belief and self\u2010efficacy towards the disease management, decrease dyspnoea and improve exercise tolerance and <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Nurses can use the <jats:styled-content style=\"fixed-case\">HBM<\/jats:styled-content>\u2010based intervention to enhance patients' health belief and self\u2010efficacy towards the management of <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>, and subsequently benefit healthcare outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12394","type":"journal-article","created":{"date-parts":[[2013,10,8]],"date-time":"2013-10-08T14:20:35Z","timestamp":1381242035000},"page":"1342-1353","source":"Crossref","is-referenced-by-count":27,"title":["Effect of a <scp>H<\/scp>ealth <scp>B<\/scp>elief <scp>M<\/scp>odel\u2010based nursing intervention on <scp>C<\/scp>hinese patients with moderate to severe chronic obstructive pulmonary disease: a randomised controlled trial"],"prefix":"10.1111","volume":"23","author":[{"given":"Ying","family":"Wang","sequence":"first","affiliation":[{"name":"Tianjin Medical University General Hospital Tianjin 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