Volume 4, Issue 2 (Autumn 2018)                   SJNMP 2018, 4(2): 59-70 | Back to browse issues page

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Evaluation of the Effect of Self-care Education on the Self-efficacy of Adolescents with Thalassemia Major
Tahereh Tarakmeh1 , Fatemeh Alaee Karahroudy * 2, Hayedeh Mamiyanloo yangejeh1 , Erfan Ghasemi1
1- Islamic Azad University of Medical Sciences, Tehran,
2- Islamic Azad University of Medical Sciences, Tehran, , fatemeha71@gmail.com
Abstract:   (4248 Views)
Background & Aim: Among the strategies to improve self-efficacy in the adolescents with Thalassemia major are empowering patients via self-care education to deal with the effects and complications of the disease, having more control over the disease, and maintaining the right way of life and daily functioning. This study aimed to determine the effect of self-care education via Tele Nursing method on the self-efficacy of the adolescents with Thalassemia major.
Materials & Methods: This interventional study was performed in 60 adolescents with Thalassemia major, who were randomly divided into two groups of intervention and control. Data were collected using self-efficacy questionnaire for children and adolescents. The educational intervention was performed with nutritional content, physical activity, and walking, stress management, and practice of stress relief through five Telegram communications in one month for the intervention group.
Results: In the intervention group, the mean score of social self-efficacy before and after education was 24.9 and 26.29, respectively (p=0.02). Meanwhile, the mean score of academic self-efficacy was 25.03 and 27.2 before and after the education, respectively (p=0.02), whereas the mean score of emotional self-efficacy was 21.46 and 22.1 before and after the education, respectively (p=0.004). Moreover, the mean total score of self-efficacy in the intervention group before and after education was 71.4 and 76.23, respectively (p=0.001).
Conclusion: According to the results of the study, self-efficacy training via the Tele Nursing method improved the self-efficacy of the adolescents diagnosed with Thalassemia major. Considering the interest of adolescents in the cyberspace and social media, it is suggested that this type of training be considered for adolescents with other chronic diseases as well.
Keywords: Tele Nursing, Self-efficacy, Self-care, Thalassemia Major, Adolescents.
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Type of Study: Qualitative study | Subject: Special
Received: 2018/09/11 | Revised: 2019/06/30 | Accepted: 2018/10/24 | Published: 2019/10/24 | ePublished: 2019/10/24
References
1. John K, Haliasos N. Depression and Thalassemia in Children, Adolescents and Adults. Health Science Journal. 2013; 7(3): 239-246.
2. Azami M, Parizad N, Sayehmiri K. Prevalence of Hypothyroidism, Hypoparathyroidism and Thefrequency of Regular Chelation Therapy in Patients with Thalassemia Major in Iran: A Systematic Review and Meta-Analysis Study. Iran J Ped Hematol Oncol. 2016; 6(4): 261-276. [Persian].
3. Sheibany B, Parvizy S, Haghani H, Borimnejad L. The Self-Efficacy of Adolescents with Major Thalassemia and Its Influencing Factors in Bandar Abbas. 2015; 1(3): 26-33. [Persian].
4. Parviniannasab Am, Rosta S, Vojdani Ma, Dehghani A, Keshtkaran Z, Shamsizade M, et al. the Effect of Partnership Care Model on Depression of Adolescents with Βthalassemia. Iranian Journal of Pn. 2014; 1(4): 24-35. [Persian].
5. Esmailpoor Zanjani S, Mashouf S, Safari Z, Abbasi M. The Relationship between Self-Efficacy and Spiritual Intelligence among Careers of the Elderly Family with Alzheimer's Disease. Figh of Medicine Journal. 2012; 11(12): 151-166. [Persian].
6. Soltannezhad F, Farsi Z, Jabarimoroei M. The Effect of Educating Health Promotion Strategies on Self-Care Self Efficacy in Patients Undergoing Kidney Transplantation: A Double Blind Randomized Trial. Nurs Midwifery Stud. 2013; 2(4): 64-70. [Persian]. [DOI:10.5812/nms.11874]
7. Ziaie Rad M, Mottaghi M. Tele Nersing in Chronic Diseases, International Symposium on Electronic Therapy and Telemedicine. Tehran University of Medical Sciences. 2010
8. Shojaei A, Naserir B, Naderi N, Zareian A. Effect of Patient Education and Telephone Follow Up by the Nurse on the Level of Hope in Patients Suffering from Heart Failure. Journal of Nursing Education. 2013: 2(1), 16-26. [Persian].
9. Fakharzadeh L, Shahbazian H, Salehinia H, Yaghoobi M, Haghighizadeh M.H. Karandish M. Effect of Telenursing on Glycosylated Hemoglobin (Hba1c) and Anthropometric Indexes in Type 2 Diabetic Patients. Mod Care J. 2013; 10(2): 101-107. [Persian].
10. Kamrani F, Nikkhah S, Borhani F, Jalali M, Shahsavari S, Nirumand-Zandi K. the Effect of Patient Education and Nurse-Led Telephone Follow-Up (Telenursing) on Adherence to Treatment in Patients with Acute Coronary Syndrome. Ijcn. 2015; 4(3): 16-24. [Persian].
11. Behnam Vashani HR, Hekmati Pour N, Vaghee S, Asghari Nekah S.M. Effect of Storytelling on Self-Efficacy in Children with Thalassemia: Application of Bandura's Social Cognitive Theory. Jhc. 2015; 17(3): 230-239. [Persian].
12. Tajvidi M, Zeighmi Mohammadi Sh. The Level of Loneliness, Hopelessness and Self-Esteem in Major Thalassemia Adolescents. Sci J Iran Blood Transfus Organ. 2012; 9(1): 36-43. [Persian].
13. Zeighami Mohammadi Sh, Tajvidi M. Relationship between Spiritual Well-Being with Hopelessness and Social Skills in Beta-Thalassemia Major Adolescents. The Scientific Journal of Iranian Blood Transfusion Organization. 2010; 9(1): 36-43. [Persian].
14. Cikkaleli O. The Relation Between Cognitive Flexibility and Academic, Social and Emotional Self- Efficacy Beliefs among Adolescents. Education and Science. 2014; 39(176): 347-54. [DOI:10.15390/EB.2014.3467]
15. Mickley Kl, Burkhart Pv, Sigler An. Promoting Normal Development and Self-Efficacy in School-Age Children Managing Chronic Conditions. Nursing Clinics of North America. 2013; 48(2): 319-328. [DOI:10.1016/j.cnur.2013.01.009]
16. Borimnejad L, Parvizi S, Haghaani H, Sheibani B. Investigating the Awareness and Educational Requirements of Adolescents with Thalassemia and Active Members of the Afflicted Families in Bandar Abbas, Irandsme. 2017; 4(1): 68-75. [Persian].
17. Kazemi Majd R, Hosseini M.A, Hadi Safi M, Norouzi K, Hoseinzadeh S. The Effect of Self-Care Education Based on Short Message Service on Self-Efficacy and Adherence to the Medication Regimen in Adolescents with Epilepsy Referred to Iran Epilepsy Association of in 2016. Jne. 2017; 4(3): 48-54. [Persian].
18. Gharaati F, Aghamolaei T, Hassani L, Mohamadi R, Mohsseni S. The Effect of Educational Intervention Using Mobile Phone on Self-Care Behaviors in Patients with Thalassemia Major. Jpm. 2016; 3(2): 58-72. [Persian].
19. Saeid N, Sarmadi Mr, Goodarzi M. Effect of Distance Education via Short Message Service of Mobile Phones on Self-Efficacy and Hba1c of Patients with Type 2 Diabetes Mellitus. Pcnm. 2015; 4(2): 1-13. [Persian].
20. Omidi A, Kazemi N, Khatiban M, Karami M. Effect of Self-Care Education on Self-Efficacy in Patients with Chronic Obstructive Pulmonary Disease in the Educational and Medical Centers of Hamadan University of Medical Sciences. Sci J Hamadan Nurs Midwifery Fac. 2015; 23(2): 74-84. [Persian]. 
21. Gardetto Nj. Self-Management in Heart Failure: Where Have We Been and Where Should We Go? Journal of Multidisciplinary Healthcare. 2011; 4(1): 39-43. [DOI:10.2147/JMDH.S8174]
22. Dehghan H, Khankeh H.R, Mohammadi Shahboulaghi F, Reza Soltani P. The Study of the Effect of Educational Intervention Based on the Self-Efficacy Theory on Diabetes Management among Patients who Attained in Diabetes Clinic of Aq Qala City. Journal of Prevention and Health. 2015; 1(1): 1-10. [Persian].
23. Parizad N, Hemmati Maslakpak M, Khalkhali Hr. Promoting Self-Care in Patients with Type 2 Diabetes: Tele-Education. Hakim. 2013; 16(3): 220-227. [Persian].
24. Davari L, Eslami A, Hasanzadeh A. Evaluation of Self-Care and its Relationship with Perceived Self-Efficacy in Patients Type 2 Diabetes in Khorramabad City. IJEM. 2015; 16(6): 402-410. [Persian].
25. Goodarzi M, Rabi A.R, Asghari Jafarabadi M, Ebrahimzadeh I, Saeidipour B. Assesment of Knowledge, Attitude, Practice and Self-efficacy of Diabetic Patients in Karaj, Iran. Iranian Journal Of Diabetes and Lipid Disorders. 2012; 11(3): 269-281. [Persian]. [DOI:10.1186/2251-6581-11-10]
26. Muris P. Relationship between Self-Efficacy and Symptoms of Anxiety Disorders and Depression in a Normal Adolescent Sample. Personality and Individual Differences. 2002; 32(1): 337-348. [DOI:10.1016/S0191-8869(01)00027-7]
27. Parizad N, Hemmati Maslakpak M, Khalkhali Hr. Promoting Self-Care in Patients with Type 2 Diabetes: Tele-Education. Hakim. HSR. 2013; 16(3): 220-227. [Persian].
28. Azizi M, Arsalani N, Mohammadi Shahboulaghi F, Hosseinzadeh S, Rajab A. The Effect of Self-Care Education on the Control of Diabetes Complications, Medications and Hba1c in Adolescents with Type 1 Diabetes. HAYAT. 2016; 22(4): 350-361. [Persian].
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