Investigating the Effects of Educational Intervention on Self-Care Behaviors and the Constructs of Perceived Benefits and Perceived Barriers in Hemodialysis Patients, Iran, Zahedan, 2016



Seraji M¹ ; Rakhshani F² ; Sadeghi R¹ ; Mohammadi M³ ; Shojaeizadeh D¹
Source: Annals of Tropical Medicine and Public Health Published:2018

Abstract

Introduction and objective: one of the chronic diseases known as a worldwide and general health problem is end-stage renal disease (ESRD). Self-care behaviors are considered as significant aspects of treatment in hemodialysis patients, and it is essential that self-care education be implemented for these patients. Therefore, the present study was an attempt to investigate the effects of education on self-care behaviors and the benefits or barriers related to such behaviors in hemodialysis patients. Methods: This was an interventional and quasi-experimental study in which 70 intervention cases and 70 control cases were selected via random sampling from among the hemodialysis patients hospitalized in Khatam-al-anbia and Ali-ebn-abitaleb hospitals in 2016. Receiving educational packages (educational pamphlet and film) in four sessions lasting 30 to 45 minutes, the patients in the intervention group were provided with required education. Through a self-developed questionnaire and conducting interviews with the patients before and after the intervention, the researchers collected the data in three phases: one month, three months, and six months. Finally, the data was analyzed by the use of SPSS software, version 18, specially covariance and chi-square tests. Results: The study's results indicated that after intervention, the scores of self-care behaviors and the perceived benefits or barriers had an increasing trend in both groups during the three time periods (1 month, 3 months, 6 months). The mean score changes were statistically significant in both intervention and control group (p? 0.05); however, the mean score changes in control group was lower than that the intervention group (p? 0.05). Discussion and conclusion: The educational programs implemented in this study had a positive impact on the improvement of patients' self-care behaviors and the patients took a positive attitude toward benefits and barriers of such behaviors. The officials in healthcare services can draw upon such educational programs in order to improve the self-care behaviors in hemodialysis patients and promote their health status; consequently, these issues can enhance the patients' quality of life (QOL) and life span. © 2018 Wolters Kluwer Medknow Publications. All rights reserved.