Volume 8, Issue 1 (Summer 2022)
SJNMP 2022, 8(1): 15-34 |
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Bozoergzadeh M, Paryad E, Baghaei M, Ehsan Kazemkezhad Leili E, jahani sayad noveiri M. The effect of applying the Orem self-care model on self-efficacy of hemodialysis patients: a clinical trial study. SJNMP 2022; 8 (1) :15-34
URL: http://sjnmp.muk.ac.ir/article-1-474-en.html
URL: http://sjnmp.muk.ac.ir/article-1-474-en.html
Mozhgan Bozoergzadeh1 
, Ezzat Paryad2 , Mozhgan Baghaei3 , Ehsan Ehsan Kazemkezhad Leili4 , Marzieh Jahani sayad noveiri * 5
, Ezzat Paryad2 , Mozhgan Baghaei3 , Ehsan Ehsan Kazemkezhad Leili4 , Marzieh Jahani sayad noveiri * 5
1- School of Nursing and Midwifery, Guilan University of Medical Sciences
2- GI Cancer Screening and Prevention Research Center (GCSPRC), Department of Nursing (Medical-surgical), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
3- Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
4- Research Center for Social Factors Affecting Health, Department of Statistics, Guilan University of Medical Sciences, Rasht, Iran.
5- Department of Nursing (Medical-surgical), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran , jahanimzh@gmail.com
2- GI Cancer Screening and Prevention Research Center (GCSPRC), Department of Nursing (Medical-surgical), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
3- Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
4- Research Center for Social Factors Affecting Health, Department of Statistics, Guilan University of Medical Sciences, Rasht, Iran.
5- Department of Nursing (Medical-surgical), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran , jahanimzh@gmail.com
Abstract: (1205 Views)
Background & Aim: Self-efficacy in hemodialysis patients leads to more appropriate self-management of problems by these patients. Considering that the use of specific theories and models for self-care is one of the strategies that help these patients, the present study aimed to determine the effect of OREM self-care model on self-efficacy of hemodialysis patients.
Methods & Materials: The present study was conducted as a clinical trial on 150 hemodialysis patients in two experimental and control groups at Razi Educational-Medical Center in Rasht during 2015-2016. Data were collected using a three-part instrument that included a demographic and clinical information questionnaire, an instrument (CKD-SE), and an instrument (NKF-NUS) in two phases. Data were collected and collated after 4 weeks by a fellow researcher (without knowledge of the research design and the sample belonging to the groups). Data were analyzed using descriptive and inferential statistical tests (paired and independent t-tests, chi-square, logistic regression).
Results: The findings of the study showed a significant increase in the mean and standard deviation of the total score of self-efficacy and its domains in the experimental group in the post-intervention phase (P = 0.0001). Moreover, the results of the regression test showed the predictive power of the intervention for the self-efficacy score of the samples (CI: 49.30-38.78: 95%, OR = 123.72, p = 0.0001) by controlling the effect of each variable.
Conclusions: The results of this study show the positive effect of using the Orem self-care model on the self-efficacy level in hemodialysis patients. Therefore, nurses can increase the self-care capacity and self-efficacy of hemodialysis patients by applying the Orem self-care model.
Methods & Materials: The present study was conducted as a clinical trial on 150 hemodialysis patients in two experimental and control groups at Razi Educational-Medical Center in Rasht during 2015-2016. Data were collected using a three-part instrument that included a demographic and clinical information questionnaire, an instrument (CKD-SE), and an instrument (NKF-NUS) in two phases. Data were collected and collated after 4 weeks by a fellow researcher (without knowledge of the research design and the sample belonging to the groups). Data were analyzed using descriptive and inferential statistical tests (paired and independent t-tests, chi-square, logistic regression).
Results: The findings of the study showed a significant increase in the mean and standard deviation of the total score of self-efficacy and its domains in the experimental group in the post-intervention phase (P = 0.0001). Moreover, the results of the regression test showed the predictive power of the intervention for the self-efficacy score of the samples (CI: 49.30-38.78: 95%, OR = 123.72, p = 0.0001) by controlling the effect of each variable.
Conclusions: The results of this study show the positive effect of using the Orem self-care model on the self-efficacy level in hemodialysis patients. Therefore, nurses can increase the self-care capacity and self-efficacy of hemodialysis patients by applying the Orem self-care model.
Type of Study: Research |
Subject:
General
Received: 2022/03/23 | Revised: 2022/09/7 | Accepted: 2022/09/3 | Published: 2022/09/3 | ePublished: 2022/09/3
Received: 2022/03/23 | Revised: 2022/09/7 | Accepted: 2022/09/3 | Published: 2022/09/3 | ePublished: 2022/09/3
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