Effects of Self-Efficacy Promotion on a Fluid Control Program on the Fluid Control Behaviors and Body Weight Changes in End Stage Renal Disease Patients Undergoing Hemodialysis


  • รัตนา เสือสุ่ม Student, Master of Nursing Science Program in adult Nursing, Rangsit University
  • รัชนี นามจันทรา Assistant Professor, School of Nursing, Rangsit University


self-efficacy promotion on fluid control, fluid control behaviors, body weight changes, hemodialysis, end stage renal disease


        This quasi-experimental research with one-group time series design aimed to study the effects of self-efficacy promotion on a fluid control program on fluid control behaviors and body weight changes in end-stage renal disease (ESRD) patients undergoing hemodialysis. Ten ESRD patients undergoing hemodialysis at Pathumthani Hospital underwent purposive sampling. They received self-efficacy promotion on a fluid control program for 4 weeks. A personal and Illness related data record form, fluid control behaviors assessment form and a body weight changes record form were used for data collection. The patients’ fluid control behaviors were assessed before receiving the program and at the 4th and the 8th week after receiving the program. Body weight changes were recorded weekly for 4 weeks before the program and 8 consecutive weeks after the program. Data were analyzed by descriptive statistics and repeated-measure ANOVA.

        The results of the study found that after receiving self-efficacy promotion on fluid control program, the patients’ fluid control behaviors significantly increased and body weight changes significantly decreased compared to those prior receiving the program. The self-efficacy promoting program should be further developed for more efficient fluid control. In addition, the fluid control behaviors and body weight changes of the end-stage renal disease patients undergoing hemodialysis should be continually assessed.


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