Masoudi Reza, Lotfizade Masood, Gheysarieha Mohammad Reza, Rabiei Leili
Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
J Educ Health Promot. 2020 Aug 31;9:197. doi: 10.4103/jehp.jehp_747_19. eCollection 2020.
Health promotion through lifestyle improvement is an important topic that has received considerable attention from the scientific community worldwide. This study aimed to determine the effect of Pender's health promotion model on self-efficacy and treatment adherence behaviors of hemodialysis patients in Shahrekord, Iran, in 2018-2019.
This quasi-experimental study was performed on 70 hemodialysis patients who were attending routine hemodialysis sessions in Hajar hospital in Shahrekord. Individuals were selected by simple random sampling and randomly assigned to two groups of control and intervention. In the preintervention stage, all patients completed a questionnaire that was prepared to collect demographic information and measure health-promoting behaviors, self-efficacy, and treatment adherence. The intervention group participated in eight sessions of a health promotion model-based education program. Both groups were asked to complete the questionnaire again immediately after the intervention and also 2 months later.
The repeated measures analysis of variance (ANOVA) showed a significant difference between the two groups in terms of the extent of change in mean scores over the three measurement stages (before the intervention, after the intervention, and 2 months after the intervention) ( < 0.001). A statistically significant difference was observed between the two groups in terms of self-efficacy scores in the postintervention and follow-up stages ( < 0.05). The repeated measures ANOVA also revealed a significant difference between the two groups in terms of the extent of change in mean treatment adherence scores over the three measurement stages ( < 0.001).
Considering the positive effects of the program on patients undergoing hemodialysis, it is recommended to use the program to promote the well-being of these patients without time restrictions.
通过改善生活方式促进健康是一个重要课题，已受到全球科学界的广泛关注。本研究旨在确定彭德健康促进模式对2018 - 2019年伊朗设拉子市血液透析患者自我效能感和治疗依从行为的影响。
本准实验研究对70名在设拉子市哈贾尔医院接受常规血液透析治疗的患者进行。通过简单随机抽样选取个体，并随机分为对照组和干预组。在干预前阶段，所有患者完成一份问卷，该问卷用于收集人口统计学信息并测量健康促进行为、自我效能感和治疗依从性。干预组参加了八次基于健康促进模式的教育课程。两组均被要求在干预后立即以及2个月后再次完成问卷。
重复测量方差分析显示，两组在三个测量阶段（干预前、干预后和干预后2个月）的平均得分变化程度上存在显著差异（<0.001）。在干预后和随访阶段，两组在自我效能感得分方面存在统计学显著差异（<0.05）。重复测量方差分析还显示，两组在三个测量阶段的平均治疗依从性得分变化程度上存在显著差异（<0.001）。
鉴于该项目对血液透析患者的积极影响，建议无时间限制地使用该项目来促进这些患者的健康。
