Hoseinian Masoumeh, Mohebi Mahsa, Sadat Zohreh, Ajorpaz Neda Mirbagher
Trauma Nursing Research Center, Nursing and Midwifery Department, Kashan University of Medical Sciences, Kashan, Iran.
Autoimmune Diseases Research Center, Nursing and Midwifery Department, Kashan University of Medical Sciences, Kashan, Iran.
J Educ Health Promot. 2023 Apr 28;12:139. doi: 10.4103/jehp.jehp_793_22. eCollection 2023.
After kidney transplantation, older adults encounter numerous problems which can negatively affect their self-care self-efficacy. According to studies, behavior modeling training has an effect on patient's self-care. Therefore, the present study was conducted to determine the effect of implementing health promotion strategies on self-care self-efficacy in older adults undergoing kidney transplantation.
This quasi-experimental study was conducted on 60 older adults undergoing kidney transplantation in Tehran's Shahid Doctor Labbafinejad Hospital in 2020. Patients were randomly divided into intervention and control groups by using block randomization method. For the patients of the intervention group, the educations were provided based on the model of individual health promotion strategies in eight sessions (i.e., 8 weeks, one session per week) for 40-60 minutes. The subjects of the control group received only their routine care. The two groups completed on-line the self-care self-efficacy questionnaire, before, immediately after and one month after the intervention. The results were analyzed by Chi-square, -test and repeated measures analysis of variance in SPSS v19.
According to the results, no significant difference was observed between the two groups in terms of demographic characteristics and the mean score of self-care self-efficacy before the intervention ( > 0.05). The mean score of self-care self-efficacy ( = 0.001) and some of its dimensions including stress reduction ( = 0.01) and adaptability ( = 0.01) was significantly different in the two groups in the three time intervals. Moreover, the two dimensions of decision making ( = 0.07) and enjoying the life ( = 0.20) were not significant.
According to the results, education based on health promotion strategies can effectively improve self-care self-efficacy and some its dimensions. Therefore, teaching health promotion strategies as a low-cost and simple method can positively affect self-care self-efficacy in older adults undergoing kidney transplantation.
肾移植后，老年人会遇到许多问题，这些问题会对他们的自我护理自我效能产生负面影响。根据研究，行为示范训练对患者的自我护理有影响。因此，本研究旨在确定实施健康促进策略对肾移植老年患者自我护理自我效能的影响。
本准实验研究于2020年在德黑兰沙希德·多拉特·拉巴菲内贾德医院对60名接受肾移植的老年人进行。采用区组随机化方法将患者随机分为干预组和对照组。对于干预组的患者，基于个体健康促进策略模型进行了八次教育课程（即8周，每周一次），每次40 - 60分钟。对照组的受试者仅接受常规护理。两组在干预前、干预后立即以及干预后一个月在线完成自我护理自我效能问卷。结果在SPSS v19中通过卡方检验、t检验和重复测量方差分析进行分析。
根据结果，两组在人口统计学特征和干预前自我护理自我效能的平均得分方面没有显著差异（P>0.05）。在三个时间间隔内，两组的自我护理自我效能平均得分（P = 0.001）及其一些维度（包括压力减轻，P = 生0.01）和适应性（P = 0.01）存在显著差异。此外，决策制定（P = 0.07）和享受生活（P = 0.20）这两个维度不显著。
根据结果，基于健康促进策略的教育可以有效提高自我护理自我效能及其一些维度。因此，将健康促进策略作为一种低成本且简单的方法进行教学可以对肾移植老年患者的自我护理自我效能产生积极影响。
