Document Type : Original Article


1 Department of Public Health, Islamic Azad University, Qom Branch, Qom

2 Research Center for Environmental Determinants of Health

3 Department of Gynecology and Obstetrics, Kermanshah University of Medical Sciences, Kermanshah, Iran


BACKGROUND: Hemodialysis patients experience many issues in self‑care behavior. Patients
require to control of manage the issue to improve the self‑care. Educational intervention to behavior
change can be effective on self‑care behavior. This study was conducted to investigate the effect of
an educational intervention, based on the self‑Efficacy theory on promoting self‑care in hemodialysis
MATERIALS AND METHODS: Seventy hemodialysis patients recruited in this study and divided
randomly into intervention group (n = 35) and control group (n = 35) with convenience sampling in
2016 from Qom city, Iran. Data were collected before and 3 months after education using demographic
questionnaire, self‑efficacy, a valid researcher‑made questionnaire regarding to awareness and
self‑care. The educational intervention was performed for the intervention group in 4 1‑h sessions
over 2 months. The data were analyzed through Paired t‑test, Independent t‑test, Chi‑square, and
Mann–Whitney at the significant level of 0.05.
RESULTS: While variables in two groups did not show significant difference before education (P > 0.05),
a significant increase was observed in variables of self‑efficacy (P < 0.001), awareness (P < 0.001),
and self‑care dimensions (P < 0.05) between two groups after 3 months education.
CONCLUSION: The results of this research suggested that employing educational programs based
on the self‑efficacy theory can lead to the improvement of the self‑care behaviors in hemodialysis


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