Oshvandi Khodayar, Moradi Hossein, Khazaei Salman, Azizi Azim
Mother and Child Care Research Center, Institute of Health Sciences and Technologies, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Contemp Clin Trials Commun. 2025 Feb 27;44:101459. doi: 10.1016/j.conctc.2025.101459. eCollection 2025 Apr.
Self-care and self-efficacy are crucial in managing kidney failure requiring hemodialysis. However, traditional education methods have not effectively improved self-care and self-efficacy. Therefore, utilizing more effective models, such as the partnership care model, is essential. This study aimed to determine the impact of the partnership care model on self-care and self-efficacy in hemodialysis patients.
This quasi-experimental study was conducted with 74 hemodialysis patients at Shahid Beheshti Hospital in Hamadan. Patients were divided into control and intervention groups. The control group received only routine care, while the intervention group received nursing care based on the partnership care model in addition to routine care. This included eight educational sessions over one month, with two sessions per week. Data were collected using self-care and Sherer self-efficacy questionnaires before and two months after the intervention. Data were analyzed using SPSS version 16.
The study demonstrated significant improvements in self-care and self-efficacy among hemodialysis patients following the collaborative care intervention. Post-intervention, the experimental group showed substantial benefits with an effect size of 1.41 for self-care (95 % CI: 0.87-1.95, p < 0.001) and an effect size of 1.55 for self-efficacy (95 % CI: 0.99-2.10, p < 0.001), highlighting the effectiveness of the intervention.
The study demonstrated that the partnership care model, through comprehensive education and social and motivational support, significantly improved self-care and self-efficacy in hemodialysis patients. Therefore, it is recommended that hospitals and nurses adopt this model to enhance the health and quality of life of patients.
自我护理和自我效能在管理需要血液透析的肾衰竭患者中至关重要。然而，传统教育方法并未有效提高自我护理和自我效能。因此，采用更有效的模式，如伙伴关系护理模式，至关重要。本研究旨在确定伙伴关系护理模式对血液透析患者自我护理和自我效能的影响。
本准实验研究在哈马丹的沙希德·贝赫什提医院对74名血液透析患者进行。患者分为对照组和干预组。对照组仅接受常规护理，而干预组除常规护理外，还接受基于伙伴关系护理模式的护理。这包括在一个月内进行八次教育课程，每周两次。在干预前和干预后两个月使用自我护理和谢勒自我效能问卷收集数据。使用SPSS 16版软件进行数据分析。
研究表明，协作护理干预后血液透析患者的自我护理和自我效能有显著改善。干预后，实验组显示出显著益处，自我护理的效应大小为1.41（95%置信区间：0.87 - 1.95，p < 0.001），自我效能的效应大小为1.55（95%置信区间：0.99 - 2.10，p < 0.001），突出了干预的有效性。
该研究表明，伙伴关系护理模式通过全面教育以及社会和激励支持，显著提高了血液透析患者的自我护理和自我效能。因此，建议医院和护士采用这种模式来提高患者的健康水平和生活质量。
