Volume 8, Issue 1 (Summer 2022)                   SJNMP 2022, 8(1): 15-34 | Back to browse issues page

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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
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
Abstract:   (1465 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.
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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

References
1. Mbeje PN, Mtshali NG. The quality of life of patients with end-stage renal disease on dialysis in South Africa: A grounded theory analysis. Nursing & Health Sciences Research Journal. 2019;2(1):41-8. [DOI:10.55481/2578-3750.1036]
2. Malekmakan L, Tadayon T, Roozbeh J, Sayadi M. End-stage renal disease in the Middle East: A systematic review and meta-analysis. Iranian journal of kidney diseases. 2018;12(4):195. [Persian]
3. Mousavi SSB, Soleimani A, Mousavi MB. Epidemiology of end-stage renal disease in Iran: a review article. Saudi Journal of Kidney Diseases and Transplantation. 2014;25(3):697. [Persian] [DOI:10.4103/1319-2442.132242]
4. Soodmand M, Ghasemzadeh G, Mirzaee S, Mohammadi M, Amoozadeh Lichaei N, Monfared A. Self-care Agency and Its Influential Factors in Hemodialysis Patients. Iran Journal of Nursing. 2019;32(118):86-95. [Persian]
5. Motedayen M, Sarokhani D, Ghiasi B, Khatony A, Dehkordi AH. Prevalence of hypertension in renal diseases in Iran: Systematic review and meta-analysis. International journal of preventive medicine. 2019;10. [Persian] [DOI:10.4103/ijpvm.IJPVM_522_18]
6. Helve J, Sund R, Arffman M, Harjutsalo V, Groop P-H, Grönhagen-Riska C, et al. Incidence of end-stage renal disease in patients with type 1 diabetes. Diabetes Care. 2018;41(3):434-9. [DOI:10.2337/dc17-2364]
7. 7 .Jung H-w, Choi IY, Shin DW, Han K, Yoo JE, Chun S, et al. Association between physical performance and incidence of end-stage renal disease in older adults: a national wide cohort study. BMC nephrology. 2021;22(1):1-10. [DOI:10.1186/s12882-021-02291-4]
8. Tel H. Determining quality of life and sleep in hemodialysis patients. Dialysis & Transplantation. 2009;38(6):210-15. [DOI:10.1002/dat.20296]
9. Griva K, Mooppil N, Seet P, Krishnan DSP, James H, Newman SP. The NKF-NUS hemodialysis trial protocol-a randomized controlled trial to determine the effectiveness of a self management intervention for hemodialysis patients. BMC nephrology. 2011;12(1):1-11. [DOI:10.1186/1471-2369-12-4]
10. Ghadam MS, Poorgholami F, Jahromi ZB, Parandavar N, Kalani N, Rahmanian E. Effect of self-care education by face-to-face method on the quality of life in hemodialysis patients (relying on Ferrans and Powers Questionnaire). Global journal of health science. 2016;8(6):121. [Persian] [DOI:10.5539/gjhs.v8n6p121]
11. 11 .Esmaili H, Majlessi F, Montazeri A, Sadeghi R, Nedjat S, Zeinali J. Dialysis adequacy and necessity of implement health education models to its promotion in Iran. International Journal of Medical Research & Health Sciences. 2018;5(10):116-21. [Persian]
12. Rahimi F, Gharib A, Beyramijam M, Naseri O. Effect of self-care education on self efficacy in patients undergoing hemodialysis. Life Science Journal. 2014;11(1 SPEC):136-40. [Persian]
13. Clarke AL, Jhamb M, Bennett PN, editors. Barriers and facilitators for engagement and implementation of exercise in end‐stage kidney disease: future theory‐based interventions using the behavior change wheel. Seminars in dialysis; 2019: Wiley Online Library. [DOI:10.1111/sdi.12787]
14. 14 .Ebrahimi H, Sadeghi M, Amanpour F, Dadgari A. Influence of nutritional education on hemodialysis patients' knowledge and quality of life. Saudi Journal of Kidney Diseases and Transplantation. 2016;27(2):250. [Persian] [DOI:10.4103/1319-2442.178253]
15. Rezasefat Balesbaneh A. The effect of self-efficacy-based intervention on self-care level in Diabetics adolescents referred to Pediatrics Center in Rasht: Guilan univercity of medical science; 2012. [Persian]
16. 16 .Smith MC. Nursing theories and nursing practice. FA Davis; 2019 Oct 2.
17. Shojaee Shad F, Rahnama M, Abdollahimohammad A, Ahmadi Dareh Sima S. An Investigation into the Impact of Orem's Self-Care Program on Life Satisfaction in Hemodialysis Patients: A Clinical Trial Study. Medical-Surgical Nursing Journal. 2018;7(4): e88795. [Persian] [DOI:10.5812/msnj.88795]
18. 18 .Fernandes S, Silva A, Barbas L, Ferreira R, Fonseca C, Fernandes MA, editors. Theoretical contributions from Orem to self-care in Rehabilitation Nursing. International Workshop on Gerontechnology; 2019: Springer. [DOI:10.1007/978-3-030-41494-8_16]
19. Hemmati M, Hashemlo L, Khalkhali H. The effect of implementing OREM'S self-care model on the self-esteem of Elderlies resident of nursing home in Urmia. Medical-Surgical Nurs J. 2012;1(1):18-23. [Persian]
20. 20 .Masinaienejad N, Abdollahi Mohammad A, Jahantigh F, Zamani Afshar M, Allahyari J. The Impact of Self-care Education Based on Orem's Model on Self-care Behaviors of Patients with β-Thalassemia Major: A Clinical Trial. Medical-Surgical Nursing Journal. 2019;8(3):e96823. [Persian] [DOI:10.5812/msnj.96823]
21. Gligor L, Domnariu CD. Patient Care Approach Using Nursing Theories-Comparative Analysis of Orem's Self-Care Deficit Theory and Henderson's Model. Acta Medica Transilvanica. 2020;25(2):11-14. [DOI:10.2478/amtsb-2020-0019]
22. Ghafourifard M, Ebrahimi H. The effect of Orem's self-care model-based training on self-care agency in diabetic patients. Avicenna Journal of Nursing and Midwifery Care. 2015;23(1):5-13. [Persian]
23. Ramezani T, Sharifirad G, Rajati F, Rajati M, Mohebi S. Effect of educational intervention on promoting self-care in hemodialysis patients: Applying the self-efficacy theory. Journal of education and health promotion. 2019;8(1):1-8. [Persian]
24. Shad FS, Rahnama M, Shahdadi H, Abdollahimohammad A. The effect of self-care program based on Orem model on the self-esteem of patients undergoing hemodialysis. Medical Science. 2018;22(93):462-67. [Persian]
25. Habibzade H, Davarpanah M, Khalkhali H. The Study of the Effect of Orem Self Care Model on Self Efficacy in Hemodialysis Patients in Urmia medical science Hospitals during 2011. Journal of Urmia Nursing & Midwifery Faculty. 2012;10(2):1-10. [Persian]
26. Lin C-C, Wu C-C, Anderson RM, Chang C-S, Chang S-C, Hwang S-J, et al. The chronic kidney disease self-efficacy (CKD-SE) instrument: development and psychometric evaluation. Nephrology Dialysis Transplantation. 2012;27(10):3828-34. [DOI:10.1093/ndt/gfr788]
27. Kim Y, Evangelista LS, Phillips LR, Pavlish C, Kopple JD. The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): testing the psychometric properties in patients receiving in-center hemodialysis. Nephrology nursing journal: journal of the American Nephrology Nurses' Association. 2010;37(4):377.
28. Ovayolu OU, Ovayolu N, Karadag G. The relationship between self‐care agency, disability levels and factors regarding these situations among patients with rheumatoid arthritis. Journal of clinical nursing. 2012;21(1‐2):101-10. [DOI:10.1111/j.1365-2702.2011.03710.x]
29. Chirondaᶦ G, Manwere A, Nyamakura R, Chipfuwa⁴ T. Perceived health status and adherence to haemodialysis by End Stage Renal Disease patients: A case of a Central hospital in Zimbabwe. 2014;3(1): 22-31. [DOI:10.9790/1959-03152231]
30. Weng LC, Dai YT, Huang HL, Chiang YJ. Self‐efficacy, self‐care behaviours and quality of life of kidney transplant recipients. Journal of advanced nursing. 2010; 66(4):828-38. [DOI:10.1111/j.1365-2648.2009.05243.x]
31. Nasiri M, Kheirkhah F, Rahimiyan B, Ahmadzadeh B, Hasannejad H, Mohamad JR. Stressful factors, coping mechanisms and quality of life in hemodialysis patients. Iran J Crit Care Nurs. 2013;6(2):119-126. [Persian]
32. Rayyani M, Malekyan L, Forouzi MA, Razban F. Self-care self-efficacy and quality of life among patients receiving hemodialysis in South-East of Iran. Asian J Nur Edu Res. 2014;4(1):165-71. [Persian]
33. Poorgholami F, Javadpour S, Saadatmand V, Jahromi MK. Effectiveness of self-care education on the enhancement of the self-esteem of patients undergoing hemodialysis. Global Journal of Health Science. 2016;8(2):132. [DOI:10.5539/gjhs.v8n2p132]
34. 3 .Jamieson NJ, Hanson CS, Josephson MA, Gordon EJ, Craig JC, Halleck F, et al. Motivations, challenges, and attitudes to self-management in kidney transplant recipients: a systematic review of qualitative studies. American Journal of Kidney Diseases. 2016;67(3):461-78. [DOI:10.1053/j.ajkd.2015.07.030]
35. Royani Z, Rayyani M, Vatanparast M, Mahdavifar M, Goleij J. The relationship between self-care and self-efficacy with empowerment in patients undergoing hemodialysis. Military Caring Sciences Journal. 2015;1(2):116-22. [Persian] [DOI:10.18869/acadpub.mcs.1.2.116]
36. Abbaszadeh A, Roshanzadeh M, Mohammadi S. Theories and Their Application in Nursing. Tehran: Jameenegar; 2014. [Persian]
37. Krespi-Boothby MR, Salmon P. Self-efficacy and hemodialysis treatment: a qualitative and quantitative approach. 2013;2(24):1-10. [DOI:10.1016/S0924-9338(12)74562-5]

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