Ramezani Tahereh, Sharifirad Gholamreza, Rajati Fatemeh, Rajati Mojgan, Mohebi Siamak
Department of Health Education and Promotion, School of Public Health, Qom University of Medical Sciences, Qom, Iran.
Department of Public Health, Islamic Azad University, Qom Branch, Qom, Iran.
J Educ Health Promot. 2019 Mar 14;8:65. doi: 10.4103/jehp.jehp_148_18. eCollection 2019.
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.
Seventy hemodialysis patients recruited in this study and divided randomly into intervention group ( = 35) and control group ( = 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 -test, Independent -test, Chi-square, and Mann-Whitney at the significant level of 0.05.
While variables in two groups did not show significant difference before education ( > 0.05), a significant increase was observed in variables of self-efficacy ( < 0.001), awareness ( < 0.001), and self-care dimensions ( < 0.05) between two groups after 3 months education.
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.
血液透析患者在自我护理行为方面存在诸多问题。患者需要控制和管理这些问题以改善自我护理。行为改变的教育干预对自我护理行为可能有效。本研究旨在调查基于自我效能理论的教育干预对促进血液透析患者自我护理的效果。
2016年从伊朗库姆市采用便利抽样法招募了70名血液透析患者,并随机分为干预组(n = 35)和对照组(n = 35)。在教育前和教育后3个月使用人口统计学问卷、自我效能感、一份由研究者编制的关于认知和自我护理的有效问卷收集数据。干预组在2个月内分4次进行每次1小时的教育干预。数据通过配对t检验、独立t检验、卡方检验和曼-惠特尼检验进行分析,显著性水平为0.05。
两组变量在教育前未显示出显著差异(P > 0.05),但在3个月教育后,两组之间自我效能感(P < 0.001)、认知(P < 0.001)和自我护理维度(P < 0.05)的变量均有显著增加。
本研究结果表明,采用基于自我效能理论的教育项目可导致血液透析患者自我护理行为的改善。