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The effect of self- management program on the self-efficacy in elderly patients undergoing hemodialysis
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Marziyeh Mahdifarani    , Nahid Rejeh * , Majideh Heravi-Karimooi , Seyed Davood Tadrisi , Baharh Marghob |
| Shahed University , nrejeh@yahoo.com |
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Abstract: (2572 Views) |
Introduction: Elderly patients with end‑stage renal disease who undergoing hemodialysis confront the burdens of long‑term illness and numerous physical problems. The empowerment of these patient is based on individual`s partnership in treatment process. Since patients` participation in self-care activities requires self- efficacy and belief in their ability, so this study was conducted to determine the effect of self-management program based of self-empowerment on self-efficacy elderly patients undergoing hemodialysis.
Methods: This was a quasi‑experimental study. The elderly patients undergoing hemodialysis from Hasheminejad hospital who were selected by convenience sampling in two groups. Patients were assigned into an experimental group (n=48) and a control group (n=48). Pre-intervention, questionnaires were completed with interviews then
in the experimental group, self-management programs were conducted based self-empowerment. The control group received routine hospital and did not receive the intervention. Instrument comprised Sherers’ questionnaire. Data were collected y at baseline and at 4 weeks following the intervention in two groups. Data using SPSS 21 software and were analyzed with Chi-square, U MannWhitney, and T tests.
Results: The findings showed that the most of patients were male, married and retired. The mean age of patients was 69.42±8.39 years. The mean scores in all aspects of self-efficacy was higher in the group experimental after completion of intervention than the control group (P ≤ 0.001).
Conclusion: This study demonstrated that self-management program self- management program on the self-efficacy of elderly patients undergoing hemodialysis in the study period has effectiveness. There was a significant relation between self-efficacy and self- management program. Therefore, it is concluded that the diabetic individuals can be significantly improved following instruction by nurses. |
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| Keywords: elderly, hemodialysis, self- management, self-efficacy. |
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Full-Text [PDF 275 kb]
(1265 Downloads)
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Type of Study: Geriatric Nursing |
Subject:
nursing
Received: 2019/10/31 | Accepted: 2020/04/29 | Published: 2020/04/29
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