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Investigating the Effect of Continuous Care Model on the Self-Efficacy of Hemodialysis Patients in a Selected Military Hospital in Tehran
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Seyedeh Masoomeh Mosavi1    , Effat Afaghi *2 , Seyed Amir Hosein Pishgooei2 , Nasrin Jafari- Golestan3 |
1- Critical Care Nursing Department, Student Research Committee, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
2- Critical Care Nursing Department, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
3- Nursing Management Department, School of Nursing, Aja University of Medical Sciences, Tehran, Iran |
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Abstract: (275 Views) |
Introduction: Hemodialysis its associated challenges significantly affect patients’ lives, requiring their active participation in self-care during treatment. Self-efficacy plays a critical role in empowering patients undergoing hemodialysis to better manage their condition
Objective: This study was aimed to investigate the effect of continuous care model on the self-efficacy in patients undergoing hemodialysis
Materials and Methods: This randomized clinical trial was conducted in 2023 on 74 hemodialysis patients at Shahid Chamran Hospital in Tehran, Iran. Participants were selected through convenience sampling and randomly assigned to intervention and control groups using a coin toss. In the intervention group, in addition to routine care, the continuous care model was implemented. Self-efficacy was measured before the intervention, immediately afterward, and one month later using a demographic questionnaire and the General Self-Efficacy Scale (GSES) developed by Sherer. Data were analyzed using SPSS version 23, with a significance level set at P< 0.05.
Results: At baseline, there were no significant differences between the two groups in demographic characteristics or mean self-efficacy scores (intervention: 36.67±4.49; control: 34.62±5.44; P>0.05). After the intervention, the mean self-efficacy score significantly increased in the intervention group (62.35±8.37) compared to the control group (34.13±2.18; P<0.001). This improvement was sustained at follow-up; with the intervention group maintaining significantly higher scores (P<0.001).
Conclusion: The continuous care model was effective in enhancing self-efficacy among patients undergoing hemodialysis. It is recommended that this model be incorporated into routine care for these patients to improve their treatment outcomes and self-management capabilities. |
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| Keywords: Continuous Care Model, Hemodialysis, Self- Efficacy |
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Full-Text [PDF 654 kb]
(127 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2024/04/14 | Revised: 2025/08/20 | Accepted: 2024/08/11 | Published: 2025/03/30
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