Effectiveness of Self-Care Training on the Hope of Hemo-dialysis Patients

Syede Mona Nemati · Reza Ghanei Gheshlagh · Shiva Salavati · Fazel Dehvan

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Optimism, Hope, and Well-being Dialysis and Renal Disease Management Nursing care and research

Abstract

Background and Objective: Inadequate knowledge of self-care in hemodialysis patients deteriorates the condition of their disease and reduces their life expectancy. Therefore, this study was conducted to determine the effect of self-care program training on hope among hemodialysis patients referring to Tohid Hospital in Sanandaj, in 2021. Materials and Methods: In the present quasi-experimental study, all patients who met the inclusion criteria were selected by the census method and then placed in two intervention and control groups. A demographic form and the Herth Hope Index were recorded in both groups before and one month after the intervention. The intervention included three face-to-face educational sessions about hemodialysis, drug treatment, fluid intake, and diet, which were provided during hemodialysis. Patients in the control group received the necessary care according to routine. The data were analyzed in SPSS16 software using paired t-test, independent t-test, and Chi-square tests. Results: The findings of the study showed that the mean hope score was 17.86±2.31 in the intervention group and 17.87±1.89 in the control group before the intervention (t=-1.817, P=0.710), demonstrating that both groups had poor hope levels. However, after the intervention, the mean score of hope was obtained at 20.16±4.43 in the intervention group and 17.96±2.41 in the control group, which had a statistically significant difference (t=1.493, P<0.001). Conclusion: Self-care training leads to increased awareness and improvement of the quality of care in patients and increases their hope. Therefore, improving the level of self-care in patients should always be a part of nursing care.

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References

2018Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017 2005The level of and relation between hope, hopelessness and fatigue in patients and family members in palliative care 2020The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes 2020The Effect of Peer Support on Hope Among Patients Under Hemodialysis 2015The relationship between spiritual well-being and hope in Hemodialysis patients referring to the Khatam Anbiya hospital in Zahedan 2013-2014 2020The Effect of a Spiritual Care on Hope in Patients Undergoing Hemodialysis: A Randomized Controlled Trial 2011A survey on relationship between religion, spiritual wellbeing, hope and quality of life in patients with cancer 2003The Sources of Inspiration and the Level of Hope among Cancer Patients

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