Document Type : Original Article


1 Department of Nursing, School of Nursing and Midwifery, Tehran Medical Branch, Islamic Azad University, Tehran

2 Department of Health Services Management, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran


Background: Hemodialysis patients have lower quality of life and one of the ways to improve
their quality of life is providing self‑care education to them using some models including self‑care
model. This study aimed to determine and evaluate the effects of using self‑care model on
health and quality of life outcomes in hemodialysis patients. Materials and Methods: This was
a quasi‑experimental study conducted in 2012 on the patients who were referred to a military
hospital in Tehran, Iran to be treated with hemodialysis. All 32 patients referred to this hospital in
2012 were selected and studied. Required data were collected using the Short Form‑36 (SF‑36)
standard questionnaire and a researcher‑made questionnaire. The educational intervention was
implemented using self‑care model. Collected data were analyzed using SPSS for Windows
version 18.0 and some statistical tests including paired samples t‑test, Wilcoxon and McNemar
tests. Results: The results showed that the mean and standard deviation (SD) of patients’
parameters including weight and blood pressure improved significantly after the educational
intervention compared to before the intervention (P < 0.001). Also, all dimensions of the quality
of life of hemodialysis patients, including physical function, role physical, bodily pain, general
health, vitality, social function, mental health, and role emotional improved compared to those
before the intervention (P < 0.001). Conclusion: Implementing the self‑care model increased
the quality of life of hemodialysis patients. Therefore, the use of this model in hemodialysis
patients is recommended.


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