INTRODUCTION:

Health is a fundamental human right and a global social goal. It is pertinent for the realization of basic human needs and for a better quality of life. It is important for each individual in society to take responsibility and make the healthy life as a part of their daily routine in order to improve the concept of enforce in order to stay healthy and prevent themselves from diseases. In addition, the health promoting lifestyle behavior is based on nutritional values, the ability to express ones personality in social environment, taking the responsibility of one’s own health, exercising, support between individuals and stress management.¹

Currently India is facing triple burden of disease i.e. communicable diseases, the emerging and re-emerging communicable diseases and the ever-increasing non-communicable, i.e. lifestyle diseases. All of these are one way or the other interlinked to behaviors of individual.²

The rapidly increasing epidemic of non-communicable diseases (NCDs) in our society is one of the major public health problems of 21st century which is worrying the health care planners. This clearly visible epidemiological transition affects quality of life as well as the life expectancy of the people profoundly and is responsible for 60% of deaths globally. The main contributing factor for this epidemiological transition is the shift in lifestyle towards the unhealthy continuum e.g. tobacco use, excessive alcohol consumption, unhealthy dietary habits and physical inactivity. In India, National Family Health Survey III reported that 40% of youth consumed some form of tobacco and about 19% men smoked. One-fifth of young men and 1%young women aged 15-24 years consumed alcohol.³

In India the situation is quite alarming. The disease profile is changing rapidly. The World health Organization (WHO) has identified India as one of the nations that is going to have most of the lifestyle disorders in the near future. Now days, lifestyle disorders are more common and these are affecting younger population. Hence, the population at risk shifts from 40+ to may be 30+ or even younger. Already considered as the diabetes capital of world, India now appears headed towards gaining another dubious distinction of becoming the lifestyle-related disease capital as well. A study conducted jointly by the All India Institute of Medical Sciences and Max Hospital shows the incidence of hypertension, obesity and heart disease is increasing at an alarming rate, especially in the young urban population. According to doctors for increased, a sedentary lifestyle combined with an increase in the consumption of fatty food and alcohol is to blame cases of obesity, diabetes and hypertension etc.⁴

OBJECTIVES:

1. To explore the health promoting life style practices among clients.

2. To find out the association of health promoting life style practices with selected socio-demographic variables.

MATERIAL AND METHODS:

A non experimental descriptive research design was used to assessthehealth promoting life style practices among clients visiting the selected hospitals of Punjab. Convenient sampling technique was used to select 200 sample from CHC Kurali, Civil hospital Mohali, Civil hospital Kharar, Civil hospital Fatehgarh Sahib. Socio-demographic profile sheet and Standardized health promoting lifestyle profile II was used to collect data. Content validity of the tools was established and reliability 0.8 was determined. Study approval was taken from ethical committee and informed written consents from the subjects were taken prior to data collection. The data was collected through personal interviews with the subjects and the responses of the subjects were recorded on the sheets by the investigator. The data were analyzed by using descriptive and inferential statistics.

RESULTS:

Table: 1 Frequency and Percentage Distribution of Subjects as per their Socio Demographic Variables N=200

Socio-demographic variables

Category

Frequency

(f)

(%)

Age

1. 20yrs.-30 yrs.

2. 31yrs-40yrs.

3. 41yrs.-50yrs

4. 51yrs-60yrs.

5. 61yrs-70yrs.

092

042

023

024

019

46.0%

21.0%

11.5%

12.0%

09.5%

Gender

1. Male

2. Female

091

109

45.5%

54.5%

Marital status

1. Single

2. Married

3. Divorced

4. Widowed/ widower

059

126

002

013

29.5%

63.0%

01.0%

06.5%

Religion

1. Hindu

2. Sikh

3. Muslim

4. Christen

094

096

009

001

47.0%

48.0%

04.5%

00.5%

Types of family

1. Joint family

2. nuclear family

129

071

64.5%

35.5%

Educational status

1. Illiterate

2. Upto matric

3. Upto secondary

4. Graduate and above

012

039

059

090

06.0%

19.5%

29.5%

45.0%

Occupational status

1. Government

2. Private

3. Businessman/agriculture

4. House maker

5. Studying

015

063

034

060

028

07.5%

31.5%

17.0%

30.0%

14.0%

Family income

1. Rs.5,000 or less

2. Rs.5,001-10,000

3. Rs.10,001-15,000

4. Above 15,000

003

040

050

107

01.5%

20.0%

25.0%

53.5%

Table: 2 Mean and SD of Subjects as per their Health Promoting Lifestyle Practices Domain.

N=200

Domain	Mean	SD	Mean%
Health responsibility	018.79	05.09	52.19%
Physical activities	015.59	05.81	48.71%
Nutrition	025.09	03.79	69.69%
Spiritual growth	024.24	05.52	67.33%
Interpersonal relation	023.87	04.04	66.30%
Stress management	023.87	04.04	74.59%
Overall health promoting lifestyle practices	128.40	21.02	61.73%

Mean score of health promoting lifestyle practices of clients was found 128±21.02 (maximum attainable score =168). In the present study finding revealed that Regarding the HPLP, sub dimension, the clients in the study scored the highest in nutrition (25.09±3.79), Spiritual growth (24.24±5.52) took the second rank. These clients were having a good score of interpersonal relation (23.87±4.04) and stress management (23.87±4.04).The second lowest score among the HPLP subscale achieved by clients was health responsibility (18.79±5.09). Physical activity was the lowest score (15.59±5.81).

Table: 3 Frequency and Percentage Distribution of Subjects as per Overall Health Promoting Lifestyle Practices.

Frequency and percentage distribution of subject as per overall health promoting lifestyle practices. More than half 57.0% subjects had average health promoting lifestyle practices, 39.5% subjects had good and 2.5% subjects had excellent whereas only 1.0% subjects had poor health promoting lifestyle practices.

DISCUSSION:

Present study finding also revealed that more than 114(57.0%) subjects had Average health promoting lifestyle practices, 79(39.5%) subjects had Good and 5(2.5%) subjects had Excellent whereas only 2(1.0%) subjects had Poor health promoting lifestyle practices. Overall mean HPLP obtained in this study was (128.4±21.02).

A similar study was conducted by Kamrani Rad Z et al (2014)⁵ related to health promoting lifestyle among school students. The study finding revealed that Lifestyle of 9.3%, 84.1%, and 6.5% of the students was poor, moderate and good, respectively. Majority of the students had a moderate score of HPL.

A similar study conducted by Shaheen A M, et al (2015)⁶to determine health promoting behaviors of university students in Jordan and factors influencing them, reported that the mean score of Health Promoting Lifestyle Profile of the student was (127.87 ± 19.91).

Another conducted by Borle P S, et al (2017)¹ to assess the health promotinthus the g lifestyle behavior of nursing students of a tertiary care institute. The study finding revealed that overall mean HPLP score was 62.27 and majority (71.77% ) of the subjects had good HPLP score (47-69).

CONCLUSION:

The finding of present study revealed that more than half of subjects n (57.0%) had average health promoting lifestyle practices, n (39.5%) subjects had good and 2.5% subjects had excellent whereas only 1.0% subjects had poor health promoting lifestyle practices. The overall Mean±S.D of health promoting lifestyle practices was 128±21.02. The study finding revealed that most of subjects had good nutritional practices and spiritual growth.

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Received on 10.02.2020 Modified on 15.03.2020

Int. J. of Advances in Nur. Management. 2020; 8(3):187-190.

DOI: 10.5958/2454-2652.2020.00044.X