Effects of a Self-efficacy Enhancing Program on Disease Control Behaviors, Interdialytic Weight Gain, and Predialysis Blood Pressure in Persons Receiving Hemodialysis
Keywords:
Enhancing self-efficacy program, Disease control behavior, Interdialytic weight gain, Predialysis blood pressure, Person receiving hemodialysisAbstract
Increased interdialytic weight gain (IDWG) is associated with increased predialysis blood pressure and mortality among hemodialytic patients. These conditions can be controlled by adopting regular healthy behavior. Promoting patients’ beliefs about their capabilities to perform at designated levels in controlling the conditions of their illness is very important. This quasi-experimental study aimed to examine the effects of a self-efficacy enhancing program on disease control behaviors, IDWG, and predialysis blood pressure among persons receiving hemodialysis. A purposive sample consisted of 36 hemodialysis patients receiving hemodialysis at Fort Kawila Hospital, Chiang Mai province. The participants were randomly assigned to be in either a control group (n = 18) or an experimental
(n = 18) group. The control group received usual care, while the experimental group received the self-efficacy enhancing program from the researcher along with usual care. The research instruments were composed of the self-efficacy enhancing program, developed by the researcher; the disease control behavior assessment; and the IDWG and predialysis blood pressure record form. Data were collected before entering the program and at the twelfth week after the completion of the program. Data were analyzed using descriptive statistics, repeated measure ANOVA, and paired t-test.
The results of the study revealed the following:
1. The hemodialysis persons who received the self-efficacy enhancing program with usual care had statistically significant higher disease control behavior than those who only received usual care(p < .001).
2. The hemodialysis persons who received the self-efficacy enhancing program with usual care had statistically significant lower IDWG than those who received usual care (p < .05).
3. The hemodialysis persons who received the self-efficacy enhancing program with usual care had no statistically significant different predialysis blood pressure from those who received usual care.
The results of this study confirmed the effectiveness of the self-empowerment program. It can be used in hemodialysis units to promote healthy behavior and control IDWG among persons receiving hemodialysis. Long term study is recommended to follow up on the sustainability of these results.
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