Evaluation of efficiency in patients with a chronic renal disease undergoing hemodialysis in Jahrom University, 2018

ABSTRACT

Introduction:Patients with a chronic renal failure are confronted with many physical and psychological stresses. One of the effective factors in improving the quality of hemodialysis patients is self-efficacy, which means one's confidence in the capability of carrying out self-care behaviors in a particular condition. Considering the importance of self-efficacy in patients' coping with the illness and having a successful life, the researchers decided to put in necessary plans to improve the level of self-efficacy in this population of patients and increase their self-confidence in the treatment plan.Method:The present study is an analytical descriptive study. It includes all patients over 18 years with a chronic renal illness , reading and writing skills, auditory, verbal and caution ability to answer the patients' questions who have at least undergone of one year of treatment by hemodialysis and coverage of dialysis center at Shahid Motahhari Educational Hospital Under the supervision of Jahrom University of Medical Sciences. Sampling was done by census method. A 2-part questionnaire was used to collect information. The first part consists of demographic information. The second part consists of a self-efficacy questionnaire consisting of 29 questions of 5 options. In order to determine the self-efficacy score, the mean and standard deviation of scores were calculated first and then, taking into account the upper limit and the lower limit, the sum and subtraction of the mean and the standard deviation scoring were made. After collecting the data, by using the SPSS21 software, the data were analyzed.Results:56% of the samples were male and the rest were female. Most(about 87%) were married and the average age was 60.9 ± 1.4.Self-efficacy scorein the samples was 56.6 ± 1.2. Self-efficacy score in married people (57.5 ± 11.5) was higher than single ones (44.2 ± 6.0 and p less than 0.001). Self-efficacy was significantly higher in people over 60 years than those under 60 years. Self-efficacy score was higher in those without a history of renal disease (62.3 ± 11.5) than those with a history of renal disease (55.5 ± 11.8 and p less than 0.05).However, there was no significant relationship between the self-efficacy score with sex, number of children, the cause of renal disease, economic status, occupational status, history of renal disease in the family, duration of the disease and duration of treatment with hemodialysis. Evaluation of efficiency in patients with a chronic renal disease undergoing hemodialysis in Jahrom University,2018Zeinijahromi M, et al. 2Conclusion: Due to the low self-efficacy score in people under 60 years, single and with longer illness, we can conclude that it should be given more attention and therapeutic plans to thesethree groups to improve self-efficacy in patients undergoing hemodialysis in Jahromcity.