Volume 6, Issue 1 (2018)                   Health Educ Health Promot 2018, 6(1): 31-38 | Back to browse issues page


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Ramezani T, Sharifirad G, Gharlipour Z, Mohebi S. Effect of Educational Intervention Based on Self-efficacy Theory on Adherence to Dietary and Fluids-intake Restriction in Hemodialysis Patients. Health Educ Health Promot 2018; 6 (1) :31-38
URL: http://hehp.modares.ac.ir/article-5-13138-en.html
1- Health Education & Health Promotion Department, Health Faculty, Qom University of Medical Sciences, Qom, Iran
2- Health Education & Health Promotion Department, Health Faculty, Qom University of Medical Sciences, Qom, Iran , mohebisiamak@yahoo.com
Abstract:   (8494 Views)
Aims: Hemodialysis patients experience numerous problems in the fields of self-care in adherence to dietary and fluids-intake restriction. For increasing their self-care, they require controlling these problems. This can be done with the education based on a behavior change theory, this study attempted to determine the effect of the educational intervention based on SET (Self-efficacy Theory) on adherence to diet and fluid-intake restriction in patients with hemodialysis.
Materials & Methods: The present study is a randomized clinical trial that was conducted on 70 hemodialysis patients of Qom City in 2016 (35 in the trial group, 35 in the control group). The data were collected by demographic questionnaire, self-efficacy (SUPPH) and researcher-made validated and relied questionnaire of adherence to dietary and fluids-intake restriction (8 and 6 questions, respectively) in two steps (before and three months after education). The educational program was performed for the trial group in two half-hour sessions. The data were analyzed by SPSS 16, using paired-test, Independent t-test, Chi-square and Mann-Whitney test.
Findings: Before the test, there was no significant difference in adherence to dietary (p=0.49) and fluids-intake restriction (p=1.00). After training, significant differences were observed between the two groups in adherence to dietary (p<0.001) and fluids-intake restriction (p<0.001). There was significant difference between pre-test and post-test in the control group (p<0.05).
Conclusion: The educational intervention based on Self-efficacy Theory has the effect on adherence to diet and fluid-intake restriction in patients with hemodialysis.
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Article Type: Original Article | Subject: Health Communication
Received: 2017/07/30 | Accepted: 2017/11/6 | Published: 2018/12/1
* Corresponding Author Address: Health Education & Promotion Department, Health Faculty, Qom University of Medical Sciences, Shahid Lavasani Street, Qom, Iran. Postal Code: 3713649373

References
1. Royani Z, Rayyani M, Behnampour N, Arab M, Goleij J. The effect of empowerment program on empowerment level and self-care self-efficacy of patients on hemodialysis. Iran J Nurs Midwifery Res. 2013;18(1):84-7. [Link]
2. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgical nursing. 12th Edition. Philadelphia: Lippincott Williams & Wilkins; 2010. [Link]
3. Kazemi M, Nasrabadi AN, Hasanpour M, Hassankhani H, Mills J. Experience of Iranian persons receiving emodialysis: A descriptive, exploratory study. Nurs Health Sci. 2011;13(1):88-93. [Link] [DOI:10.1111/j.1442-2018.2011.00586.x]
4. Nasiri A, Poodineh Moghadam M. Effect of an educational plan based on Teach-Back method on hemodialysis patients' Self-care deficits. Mod Care J. 2012;9(4):344-54. [Persian] [Link]
5. Cicolini G, Palma E, Simonetta C, Nicola M. Influence of family cares on haemodialyzed patients adherence to dietary and fluid restrictions: An observational study. J Adv Nurs. 2012;68(11):2410-17. [Link] [DOI:10.1111/j.1365-2648.2011.05935.x]
6. Tsay SL. Self-efficacy training for patients with end-stage renal disease. J Adv Nurs. 2003;43(4):370-5. [Link] [DOI:10.1046/j.1365-2648.2003.02725.x]
7. Welch JL, Davis J. Self-care strategies to reduce fluid intake and control thirst in hemodialysis patients. Nephrol Nurs J. 2000;27(4):393-5. [Link]
8. Rahimi Zh. Evaluation of perceived social support of patients undergoing hemodialysis and its relation to treatment adherence and clinical outcomes in educational institution in West Azerbaijan province 2016. J Urmia Nurs Midwifery. 2017;14(11):952-9. [Persian] [Link]
9. Atabak SH, Aghayani K, Tamaddondar M, JalalZadeh M, Hakem M, Rajolani H, et al. Nursing and dialysis. 2nd Edition. Tehran: Ministry of Health and Medical Education; 2009. pp. 117-8. [Persian] [Link]
10. Kara B, Caglar K, Kilic S. Nonadherence with diet and fluid restrictions and perceived social support in patients receiving hemodialysis. J Nurs Scholarsh. 2007;39:243-8. [Link] [DOI:10.1111/j.1547-5069.2007.00175.x]
11. Sathvik B, Narahari M, Gurudev K, Parthasarathi G. Impact of clinical pharmacist-provided education on medication adherence behaviour in Esrd patients on haemodialysis. Iran J Pharm Sci. 2009;5(1):21-30. [Link]
12. Morante JJH, Sánchez-Villazala A, Cutillas RC, Fuentes MCC. Effectiveness of a nutrition education program for the prevention and treatment of malnutrition in end-stage renal disease. J Renal Nutr. 2014;24(1):42-9. [Link] [DOI:10.1053/j.jrn.2013.07.004]
13. Garagarza CA, Valente AT, Oliveira TS, Caetano CG. Effect of personalized nutritional counseling in maintenance hemodialysis patients. Hemodial Int. 2015;19(3):412-9. [Link] [DOI:10.1111/hdi.12260]
14. Aujoulat I, D'Hoore W, Deccache A. Patient empowerment in theory and practice: Polysemy or cacophony?. Patient Educ Couns. 2007;66(1):13-20. [Link] [DOI:10.1016/j.pec.2006.09.008]
15. Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, New Jersey: Prentice-Hall; 1986. [Link]
16. Tsay SL, Healsted M. Self-care self-efficacy, depression, and quality of life among patients receiving hemodialysis in Taiwan. Int J Nurs Stud. 2002;39(3):245-51. [Link] [DOI:10.1016/S0020-7489(01)00030-X]
17. Zolfaghari M, Sookhak F, AsadiNoughabi A, Haghani H. Effect of cognitive-behavioral intervention on adherence to dietary and fluid-intake restrictions in hemodialysis patients. J Nurs Educ. 2013;2(3):9-17. [Persian] [Link]
18. Lev EL, Owen SV. A measurement of self-care self-efficacy. Res Nurs Health. 1996;19(5):421-9. https://doi.org/10.1002/(SICI)1098-240X(199610)19:5<421::AID-NUR6>3.0.CO;2-S [Link] [DOI:10.1002/(SICI)1098-240X(199610)19:53.0.CO;2-S]
19. Khalili F, Eslami AA, Farajzadehan Z, Hassanzadeh A. The association between social-psychological factors and treatment adherence behaviors among maintenance hemodialysis patients in Isfahan, Iran: A conceptual framework based on social cognitive theory. Health Syst Res. 2011;7(3):278-90. [Persian] [Link]
20. Poorshaban M, Parsayekta Z, Gholamnejad M, Payravi H. The effect of nutrition training on food diet adherence in non-dialysis chronic kidney patients. J Nurs Educ. 2013;2(4):23-32. [Persian] [Link]
21. Hasanzadeh F, Shamsoddini S, Karimi Moonaghi H, Emamimoghadam Z, Ebrahimzadeh S. A comparison of face to face and video-based education on attitude related to diet and fluids: Adherence in hemodialysis patients. Iran J Nurs Midwifery Res. 2012;17(5):360-4. [Persian] [Link]
22. Estaji Z, Hejazi SS, Tabarraie Y, Saedi M. The Effects of training through text messaging via cell phones on the compliance of patients undergoing hemodialysis. J North Khorasan Univ Med Sci. 2016;8(2):203-13. [Persian] [Link] [DOI:10.18869/acadpub.jnkums.8.2.203]
23. Durose CL, Holdsworth M, Watson V, Przygrodzka F. Knowledge of dietary restrictions and the medical consequences of noncompliance by patients on hemodialysis are not predictive of dietary compliance. J Am Diet Assoc. 2004;104(1):35-41. [Link] [DOI:10.1016/j.jada.2003.10.016]
24. Barnett T, Li Yoong T, Pinikahana J, Si‐Yen T. Fluid compliance among patients having haemodialysis: Can an educational programmed make a difference?. J Adv Nurs. 2008;61(3):300-6. [Link] [DOI:10.1111/j.1365-2648.2007.04528.x]
25. Rahimi A, Ahmadi F, Ghalyaf M. Effects of applying continuous care model on blood pressure & weight control in hemodialysed patients. Arch Rehabil. 2006;6(4):34-41. [Link]
26. Baraz SH, Mohammadi I, Boroumand B. The effect of dietary regimen education on the laboratory variables and interdialytic weight gain in hemodialytic patients. J Shahrekord Univ Med Sci. 2006;8(1):20-7. [Persian] [Link]
27. Abbasi M, Mirzaei I, MousaviMovahed SM, Sho'ouri A, NorouzZadeh R. The effects of education methods on body weight and some of serum indices in hemodialysis patients referred to Qom Kamkar Hospital in 2007. Qom Univ Med Sci J. 2008;1(3):45-51. [Persian] [Link]
28. Ahangarzadeh Rezaei S, Rahmani AR, Hemmati Maslak Pak M, Nosrati M, Nanbakhsh ZH, KhalilZadeh H. Effects of home education on physical health status of hemodialysied patients. J Urmia Nurs Midwifery Fac. 2006;4(3):116-23. [Persian] [Link]
29. Baraz SH, Mohammadi E, Boroumand B. The effect of self-care educational program on decreasing the problems and improving the quality of life of dialysis patients. Hayat. 2005;11(24):51-62. [Persian] [Link]
30. Jafari F, Hashemi N, Reisi M. The effect of diet training on variations in blood pressure, weight, and some biochemical factors in hemodialysis patients: A clinical trial. J Clin Nurs Midwifery. 2015;4(3):13-9. [Persian] [Link]
31. Skorecki K, Green J, Brenner M. Chronic renal failure. In: Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson JL. Harrison's principles of internal medicine. Kasper DL, editor. 16th Edition. New York: McGraw Hill Company; 2005. p. 1890. [Link]
32. 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. J Urmia Nurs Midwifery. 2012;10(2):191-9. [Persian] [Link]
33. Tayyebi A, Shasti S, Eynollahi B, Tadrisi S. The relationship between blood pressure and dialysis adequacy in dialysis patients. J Crit Care Nurs. 2006;5(1):e7048. [Link]
34. Esmaeili R, Ahmadi H, Jannati Y, Khalilian A, Espabodi F. The relationship between perceived social support and self-efficacy with diet adherence among hemodialysis patient. Sci J Hamadan Nurs Midwifery Fac. 2013;21(3):59-67. [Persian] [Link]
35. Rambod M, Peyrovi H, Sareban MT, Rafii F. Relationship of self-efficacy with therapeutic regimen and clinical/laboratory outcomes in hemodialysis patient. Iran J Nurs. 2010;22(62):41-7. [Persian] [Link]
36. Aliasgharpour M, Shomali M, Moghaddam MZ, Faghihzadeh S. Effect of a self-efficacy promotion training programe on the body weight changes in patients undergoing hemodialysis. J Renal Care. 2012;38(3):155-61. [Link] [DOI:10.1111/j.1755-6686.2012.00305.x]
37. Soltani-Nejad S, Abbasi Dolatabadi Z, Mahmoudi M. The effect of quality of life training on self-efficacy in patients under hemodialysis treatment. Med Surg Nurs J. 2013;2(1-2):33-8. [Persian] [Link]
38. Lii YC, Tsay SL, Wang TJ. Group intervention to improve quality of life in hemodialysis patients. J Clin Nurs. 2007;16(11C):268-75. [Link] [DOI:10.1111/j.1365-2702.2007.01963.x]
39. Chen HY, Chiang CK, Wang HH, Hung KY, Lee YJ, Peng Ys, et al. Cognitive behavioral therapy for sleep disturbance in patients undergoing peritoneal dialysis: A Pilot randomized controlled trial. Am J Kidney Dis. 2008;52(2):314-23. [Link] [DOI:10.1053/j.ajkd.2008.03.012]

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