The effects of an interventional program based on self-care model on health-related quality of life outcomes in hemodialysis patients

Abstract

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.

The effect of an educational program on quality of life in patients undergoing hemodialysis in western Saudi Arabia

“…Similar results were reported by Ghadam et al2016,9 showing QOL increased in all domains in face to face educational groups ( p <0.001) in HD patients following a self-care education program. Bahodri et al26 showed similar results in their study. Educational programs held through counseling patients have a positive effect on HRQOL and could help in providing mental support and understanding of the disease as well as improving the self-esteem of the patients undergoing HD.…”

Contributing factors for therapeutic diet adherence in patients receiving haemodialysis treatment: an integrative review

“…Moreover, the opinion of healthcare workers unconsciously influences the therapeutic decisions made by the patient (Tennankore, Hingwala, Watson, Bargman, & Chan, 2013). Similarly, Sohal et al (2015) reported that patient confidence in their healthcare team was a facili- Bahadori et al, 2014;Zolfaghari et al, 2015).…”

Testing the Feasibility and Usability of a Novel Smartphone-Based Self-Management Support System for Dialysis Patients: A Pilot Study

“…Improving self-management is an effective way to improve QOL for hemodialysis patients [13-15], raising the expectations that tools to help self-management may be effective in improving their QOL.…”