Predictors of Self-care in Patients Undergoing Hemodialysis: An Application of the PRECEDE Model
Background and Aims: Patients undergoing hemodialysis are exposed to various physical, psychological, and social stressors. Self-care activities can play a significant role in adapting to the disease process and improving their quality of life. In addition, using the PRECEDE-PROCEDE model, an approp...
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| Format: | Article |
| Language: | fas |
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Shahrekord University of Medical Sciences
2020-09-01
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| Series: | Majallah-i Bālīnī-i Parastārī va Māmāyī |
| Subjects: | |
| Online Access: | http://jcnm.skums.ac.ir/article-1-1158-en.html |
| _version_ | 1819003795997196288 |
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| author | fateme aliakbari leili rabiei fariba mosavi |
| author_facet | fateme aliakbari leili rabiei fariba mosavi |
| author_sort | fateme aliakbari |
| collection | DOAJ |
| description | Background and Aims: Patients undergoing hemodialysis are exposed to various physical, psychological, and social stressors. Self-care activities can play a significant role in adapting to the disease process and improving their quality of life. In addition, using the PRECEDE-PROCEDE model, an appropriate scale can be obtained from these patients chr('39')perceptions, knowledge and attitudes toward their self-care and self-care knowledge, and based on this model, the relationship between factors and patientschr('39') self-care ability can be assessed. Therefore, the researchers decided to conduct a study predicting PRECEDE model constructs with self-care in patients undergoing hemodialysis.
Methods:This cross sectional study was performed on 80 patients referred to the Lordegan hospital. Life, health status, predisposing factors (knowledge and attitude), enabling, and enhancing along with self-care behaviors of hemodialysis patients were completed by interview. The reliability and validity of the questionnaires were confirmed. Data were analyzed by SPSS software using Pearson correlation coefficient, ANOVA, t-test, and regression analysis.
Results: The mean and total deviation of self-care behaviors score was 32.38 12 12.83. 56.5% of people had poor self-care, 42.5% had moderate self-care, and 0.2% had good self-care. In addition, Pearson correlation test showed a significant relationship between PRECEDE-PROCEDE model items (reinforcing factors, enabling factors, and predisposing factors) and self-care (P <0.05). According to the results of regression analysis, the predictive power of the items of precession-process model (reinforcing factors, enabling factors and predisposing factors) was found to be 0.419.
Conclusion: Considering the lack of self-care, behavior of hemodialysis patients and the need for a direct correlation between PRECEDE model constructs, appropriate interventions are recommended, especially educational interventions to promote self-care and increased emphasis on self-care. |
| first_indexed | 2024-12-20T23:26:41Z |
| format | Article |
| id | doaj.art-1bafa18d51264aec8c23662d07626be4 |
| institution | Directory Open Access Journal |
| issn | 2322-4703 2345-6884 |
| language | fas |
| last_indexed | 2024-12-20T23:26:41Z |
| publishDate | 2020-09-01 |
| publisher | Shahrekord University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Bālīnī-i Parastārī va Māmāyī |
| spelling | doaj.art-1bafa18d51264aec8c23662d07626be42022-12-21T19:23:23ZfasShahrekord University of Medical SciencesMajallah-i Bālīnī-i Parastārī va Māmāyī2322-47032345-68842020-09-0192634641Predictors of Self-care in Patients Undergoing Hemodialysis: An Application of the PRECEDE Modelfateme aliakbari0leili rabiei1fariba mosavi2 Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran Background and Aims: Patients undergoing hemodialysis are exposed to various physical, psychological, and social stressors. Self-care activities can play a significant role in adapting to the disease process and improving their quality of life. In addition, using the PRECEDE-PROCEDE model, an appropriate scale can be obtained from these patients chr('39')perceptions, knowledge and attitudes toward their self-care and self-care knowledge, and based on this model, the relationship between factors and patientschr('39') self-care ability can be assessed. Therefore, the researchers decided to conduct a study predicting PRECEDE model constructs with self-care in patients undergoing hemodialysis. Methods:This cross sectional study was performed on 80 patients referred to the Lordegan hospital. Life, health status, predisposing factors (knowledge and attitude), enabling, and enhancing along with self-care behaviors of hemodialysis patients were completed by interview. The reliability and validity of the questionnaires were confirmed. Data were analyzed by SPSS software using Pearson correlation coefficient, ANOVA, t-test, and regression analysis. Results: The mean and total deviation of self-care behaviors score was 32.38 12 12.83. 56.5% of people had poor self-care, 42.5% had moderate self-care, and 0.2% had good self-care. In addition, Pearson correlation test showed a significant relationship between PRECEDE-PROCEDE model items (reinforcing factors, enabling factors, and predisposing factors) and self-care (P <0.05). According to the results of regression analysis, the predictive power of the items of precession-process model (reinforcing factors, enabling factors and predisposing factors) was found to be 0.419. Conclusion: Considering the lack of self-care, behavior of hemodialysis patients and the need for a direct correlation between PRECEDE model constructs, appropriate interventions are recommended, especially educational interventions to promote self-care and increased emphasis on self-care.http://jcnm.skums.ac.ir/article-1-1158-en.htmlprecede model– self-care- predictive -chronic kidney failurehemodialysis |
| spellingShingle | fateme aliakbari leili rabiei fariba mosavi Predictors of Self-care in Patients Undergoing Hemodialysis: An Application of the PRECEDE Model Majallah-i Bālīnī-i Parastārī va Māmāyī precede model– self-care- predictive -chronic kidney failure hemodialysis |
| title | Predictors of Self-care in Patients Undergoing Hemodialysis: An Application of the PRECEDE Model |
| title_full | Predictors of Self-care in Patients Undergoing Hemodialysis: An Application of the PRECEDE Model |
| title_fullStr | Predictors of Self-care in Patients Undergoing Hemodialysis: An Application of the PRECEDE Model |
| title_full_unstemmed | Predictors of Self-care in Patients Undergoing Hemodialysis: An Application of the PRECEDE Model |
| title_short | Predictors of Self-care in Patients Undergoing Hemodialysis: An Application of the PRECEDE Model |
| title_sort | predictors of self care in patients undergoing hemodialysis an application of the precede model |
| topic | precede model– self-care- predictive -chronic kidney failure hemodialysis |
| url | http://jcnm.skums.ac.ir/article-1-1158-en.html |
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