Introduction: Exploring different intervention methods is crucial to improve the selfefficacy of patients undergoing hemodialysis.
Objective: This study aimed to assess the effects of face-to-face and distance education on the self-efficacy of patients undergoing hemodialysis.
Materials and Methods: In the current quasi-experimental study, 180 hemodialysis patients from Imam Reza Kermanshah Hospital in 2021 were chosen through convenience sampling and then randomly divided into three groups: Face-to-face training, telephone follow-up, and control. The face-to-face training group participated in 8 sessions, each lasting 45 minutes. The telephone follow-up group received the same educational content twice a week for four weeks, delivered through face-to-face training with phone calls lasting 10 to 15 minutes. After the training concluded, demographic information (age, gender, marital status, number of children, education, occupation, financial support), disease specifics (duration of illness, number of dialysis sessions), and self-efficacy questionnaires were filled out by all three groups. Data analysis was performed using SPSS 23 software, utilizing paired t-test, analysis of covariance, and one-way analysis of variance, with a significance level of 0.05.
Results: The paired t-test showed a significant difference in mean self-efficacy score before the intervention across all three groups (P<0.001). After the intervention, covariance analysis, accounting for pre-intervention self-efficacy score, found that patients in the face-to-face training group had an average of 38.09 units higher than those in the control group, whereas patients in the non-attendance group had an average of 43.05 units higher than the control group. These disparities in self-efficacy scores were statistically significant (P<0.001)
Conclusion: Tele-nursing, when combined with face-to-face training, is effective in enhancing the self-efficacy of patients.