Journal of Health And Care
Volume 20, Issue 4 (winter 2019)
JHC 2019, 20(4): 342-353 |
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Ramezani T, Gharlipour Z, Sharifirad G, Mohebi S. Effect of the Education Based on the Self-Efficacy Theory on Skin and Fistula Care in Hemodialysis Patients. JHC 2019; 20 (4) :342-353
URL: http://hcjournal.arums.ac.ir/article-1-1005-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1005-en.html
Department of Health Education and Health Promotion, School of Health, Qom University of Medical Sciences, Qom, Iran
Abstract: (3829 Views)
Background & objectives: Skin problems and incidence of infection in the vascular access sites are two common problems in hemodialysis patients. Increasing the self-efficacy of patients can improve self-care behaviors. Considering the importance of patients training about skin and fistula care, the current study was performed with aiming of determining the effect of education based on the self-efficacy theory on the skin and fistula care in hemodialysis patients.
Methods: This interventional study was performed on 70 hemodialysis patients, in two groups of 35 persons, in Qom city, 2016. Data collection tools consisted of demographic characteristics form, researcher-made questionnaires of skin and fistula care, and self-efficacy standard questionnaire (SUPPH). Questionnaires were completed before and 3 months after the intervention in the sort of education based on the self-efficacy theory in 4 sessions of 15-20 minutes. Data were analyzed by Chi-square, independent T-test, Paired T-test, and Mann-Whitney test using SPSS 16.
Results: The difference between the two groups in terms of mean scores of self-efficacy and skin and fistula care was no significant before the intervention but it was significant after the intervention (p<0.001). Mean scores of self-efficacy and skin and fistula care of patients showed significant difference before and after the intervention (p<0.001).
Conclusion: According to the results of this research, implementation of proper education program using the self-efficacy theory can promote the self-efficacy of hemodialysis patients in the field of skin and fistula care.
Methods: This interventional study was performed on 70 hemodialysis patients, in two groups of 35 persons, in Qom city, 2016. Data collection tools consisted of demographic characteristics form, researcher-made questionnaires of skin and fistula care, and self-efficacy standard questionnaire (SUPPH). Questionnaires were completed before and 3 months after the intervention in the sort of education based on the self-efficacy theory in 4 sessions of 15-20 minutes. Data were analyzed by Chi-square, independent T-test, Paired T-test, and Mann-Whitney test using SPSS 16.
Results: The difference between the two groups in terms of mean scores of self-efficacy and skin and fistula care was no significant before the intervention but it was significant after the intervention (p<0.001). Mean scores of self-efficacy and skin and fistula care of patients showed significant difference before and after the intervention (p<0.001).
Conclusion: According to the results of this research, implementation of proper education program using the self-efficacy theory can promote the self-efficacy of hemodialysis patients in the field of skin and fistula care.
Type of Study: randomized clinical trial |
Received: 2018/10/15 | Accepted: 2019/01/20 | Published: 2019/01/20
Received: 2018/10/15 | Accepted: 2019/01/20 | Published: 2019/01/20
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