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ORIGINAL ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 1  |  Page : 65

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


1 Department of Health Education and Promotion, School of Public Health, Qom University of Medical Sciences, Qom, Iran
2 Department of Public Health, Islamic Azad University, Qom Branch, Qom, Iran
3 Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
4 Department of Gynecology and Obstetrics, Kermanshah University of Medical Sciences, Kermanshah, Iran

Correspondence Address:
Dr. Siamak Mohebi
Department of Health Education and Promotion, School of Public Health, Qom University of Medical Sciences, Qom
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jehp.jehp_148_18

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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.


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