Effect of education based on “PRECEDE” model on self‑care behavior in hemodialysis patients
نویسندگان
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3 Health School, Shahrekord University of Medical Science, Shahrekord, Iran
doi
چکیده
BACKGROUND AND OBJECTIVE: Patients undergoing hemodialysis due to multiple drug therapies,special diet plans, and need to acquire the ability to adapt to physical and mental disabilities requirespecial monitoring. The PRECEDE‑PROCEED model is a process for behavior change and canlead to the promotion of self‑care behavior. The aim of this study was to evaluate the effect of ahealth promotion program based on the PRECEDE‑PROCEED model on self‑care behaviors inhemodialysis patients.METHODS: This was a clinical trial study that was performed on 67 patients undergoing hemodialysisin Lordegan Hospital that has been distributed in two groups randomly. Data were collected usingself‑care assessment form according to the PRECEDE‑PROCEED model. Based on the results ofthis questionnaire, five educational sessions were held in the fields of knowledge, attitude, enablingfactors, reinforcement, and behavioral factors for the samples. Data were analyzed using descriptiveand analytical statistics with SPSS version 21 software.RESULTS: According to statistical analysis before intervention, no significant difference was observedbetween the mean scores of self‑care among the two groups. However, instantly and 3 months afterintervention, the mean score of self‑care (P = 0/03), knowledge, attitude, reinforcement factors, andbehavioral factors (P < 0.05) significantly increased in the experimental group.CONCLUSION: Based on the results of this study PRECEDE‑PROCESS model, the health promotionprogram increased the mean self‑care score of hemodialysis patients. This program has been able toimprove their self‑care behaviors by changing knowledge, attitudes, and reinforcement and behavioralfactors of patients and is recommending as an application in the nursing of these patients.