Evaluating the Effect of Family-Centered Intervention Program on Care Burden and Self-Efficacy of Hemodialysis Patient Caregivers Based on Social Cognitive Theory: A Randomized Clinical Trial Study / 가정의학회지

Background@#Caregivers of hemodialysis patients spend a large amount of time providing care to these patients while tolerating fatigue and stress. This study evaluated a family-centered empowerment program on the care burden and self-efficacy of hemodialysis patient caregivers based on social cognitive theory. @*Methods@#In this randomized clinical trial, 70 family caregivers of hemodialysis patients in Isfahan, Iran, were selected and randomly allocated to intervention and control groups, in 2015–2016. Two questionnaires were used to collect the family caregivers’ characteristics, care burden, and self-efficacy, and patients’ negative and positive outcomes expectancies. Data were analyzed using SPSS before, immediately after, and 2 months after the intervention. @*Results@#There was no significant difference in the mean scores of care burden, positive outcomes expectancies, negative outcomes expectancies, and self-efficacy between the two groups before the intervention. However, there were significant differences in the post-test and follow-up data analyses (P<0.05). @*Conclusion@#Given the degenerative nature of chronic kidney disease, it can be considered as a source of long-term and chronic stress for caregivers. Therefore, by implementing an empowerment program, caregiving behaviors can be improved, positive outcomes expectancies can be increased, and negative outcomes expectancies can be reduced.

Experience of nursing students about the barriers to patient education: a qualitative study in Iran / 한국의학교육

PURPOSE: Patient education is a dynamic and continuous process that should be implemented during the entire time of hospital stay and even afterward. Studies have shown the typically poor quality of patient education in Iran and its failure to convey the required knowledge and skills to patients. The purpose of this study was to survey the experience of nursing students in regard to the challenges of patient education in hospitals. METHODS: This qualitative study was conducted using the conventional qualitative content analysis approach on a sample of 21 undergraduate nursing students (4th semester and beyond), which was drawn from the Qom Nursing and Midwifery School through purposive sampling with maximum variation. Data were collected through semi-structured interviews conducted over a period of 45 to 75 minutes, and were analyzed using the conventional qualitative content analysis. RESULTS: Results were derived from the experiences of 21 nursing students (nine males, 12 females) about the research subject. The primary themes identified in the study were the student-related, patient-related, instructor-related, education environment-related, and curriculum-related barriers to patient educations. CONCLUSION: Participants believed that patient education in Iranian hospitals is faced with many challenges. Nursing instructors and curriculum planners should ensure more emphasis on patient education at the initial semesters of nursing education curriculum and make sure that it is included in the evaluation of students. Hospital officials should provide a dedicated education environment with suitable facilities, tools, and atmosphere for patient education. Also, special education programs need to be developed for less educated patients.

effect of family-centered empowerment model on quality of life and self efficacy of multiple sclerosis patients family care givers

Introduction: Family is primary source for caring of patients. The caregivers make patients in family with economical, affective and health care support

The needs for caregiver's family increased with hospital - central care to community - center care. Community center care makes increase of knowledge of the care givers on the patients in house. This study with objective of family - center empowerment model was done on the quality of life and self efficacy of the care - givers of multiple sclerosis patients

Methods: This study is clinical trial with 70 multiple sclerosis patients that enrolled in the multiple sclerosis society of Iran classified in two groups based on random allocation [35 patients care givers case and 35 patients care givers in control group]. The eight sessions of educational program based on educational needs of caregivers done for three months and matured with checklist of self reported for applied of programs

After three months of program done measured quality of life and self efficacy with questionnaire in case and control groups. Data analyzed with deductional satisfaction tests. Results: Results showed no significant difference on the quality of life and self efficacy in two groups of the case and control before intervention based on independent t-test [P?0.05] whereas t-test showed significant difference in two groups of case and control after intervention [P=0.001]. Pairs t-test showed significant difference in increased of the quality of life and self efficacy in care givers of case group after three mounths of intervention [P=0.001] where as t-test showed no significant difference in all above factors in care-givers of control group after three mounts [P>/=0.05]

Conclusion: The care - givers of chronic patients considered high risk tendency for covered disease that tolerates high tension

The interaction such as empowerment based on educational needs for them improves attitudes on the sign of disease changed, behavioral signs and also intervention in low - economic safe and affective method for care - givers of multiple sclerosis patients helps them to manage stress and spiritual tensions and increases quality of life