Effect of educational intervention on promoting self-care in hemodialysis patients: Applying the self-efficacy theory

Tahereh Ramezani, Gholamreza Sharifirad, Fatemeh Rajati, Mojgan Rajati, Siamak Mohebi, Tahereh Ramezani, Gholamreza Sharifirad, Fatemeh Rajati, Mojgan Rajati, Siamak Mohebi

Abstract

Background: Hemodialysis patients experience many issues in self-care behavior. Patients require to control of manage the issue to improve the self-care. Educational intervention to behavior change can be effective on self-care behavior. This study was conducted to investigate the effect of an educational intervention, based on the self-Efficacy theory on promoting self-care in hemodialysis patients.

Materials and methods: Seventy hemodialysis patients recruited in this study and divided randomly into intervention group (n = 35) and control group (n = 35) with convenience sampling in 2016 from Qom city, Iran. Data were collected before and 3 months after education using demographic questionnaire, self-efficacy, a valid researcher-made questionnaire regarding to awareness and self-care. The educational intervention was performed for the intervention group in 4 1-h sessions over 2 months. The data were analyzed through Paired t-test, Independent t-test, Chi-square, and Mann-Whitney at the significant level of 0.05.

Results: While variables in two groups did not show significant difference before education (P > 0.05), a significant increase was observed in variables of self-efficacy (P < 0.001), awareness (P < 0.001), and self-care dimensions (P < 0.05) between two groups after 3 months education.

Conclusion: The results of this research suggested that employing educational programs based on the self-efficacy theory can lead to the improvement of the self-care behaviors in hemodialysis patients.

Keywords: Education; hemodialysis; self-care; self-efficacy.

Conflict of interest statement

There are no conflicts of interest.

Figures

Chart 1
Chart 1
The flow diagram chart of the study

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