The effect of an educational app on hemodialysis patients' self-efficacy and self-care: A quasi-experimental longitudinal study.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2023-06-01 DOI:10.1177/17423953211073365

Amin Hosseini, Alun C Jackson, Najmeh Chegini, Mohsen Fooladzadeh Dehghan, Danyal Mazloum, Shima Haghani, Fatemeh Bahramnezhad

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引用次数: 3

Abstract

Objective: Adequate self-care and exploring ways to improve it is imperative for patients with hemodialysis in order to meet the challenges arising from hemodialysis. This study aimed to determine the effect of an educational app on patients with hemodialysis' self-efficacy and self-care.

Methods: The present study is a quasi-experimental longitudinal single-group study, carried out from October 2020 to March 2021 with the participation of 60 Patients with hemodialysis. Simple random sampling was used to sample patients. The intervention included an educational application, and participants completed questionnaires on self-efficacy and self-care performance at four points including baseline and at one, three, and six-month intervals post- intervention. Two-way ANOVA with repeated measures was used to examine the impact of the intervention. Bonferroni's posthoc test was also used for in-class calculation and comparison of changes over various periods.

Results: The results of this study showed that the self-care performance of patients at different times was statistically significant (P <0.001). Also, the results showed that the mean total score of self-efficacy in the second period compared to the first was significantly improved (P <0.001). But the trend of changes in the third period compared to the second and the fourth to the third was not significant (p = 0.1 and p = .82). Also, a significant change was observed in the fourth period compared to the first (p = .029).

Conclusions: The study showed that education through a mobile app can result in significant improvements in these patients' self-care behaviors and self-efficacy over time. The educational intervention should be provided to patients with hemodialysis over a several-month period to allow for proper integration of the learning.

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教育app对血液透析患者自我效能感和自我护理的影响:一项准实验纵向研究。

目的:充分提高血液透析患者的自我护理水平，探索提高自我护理水平的途径，以应对血液透析带来的挑战。本研究旨在确定教育应用程序对血液透析患者自我效能感和自我护理的影响。方法:本研究为准实验纵向单组研究，于2020年10月至2021年3月进行，60例血液透析患者参与。采用简单随机抽样对患者进行抽样。干预包括一个教育应用程序，参与者在四个点完成自我效能感和自我护理表现的问卷，包括基线和干预后的1、3和6个月的间隔。采用重复测量的双向方差分析来检验干预的影响。Bonferroni's posthoc test也被用于课堂计算和比较不同时期的变化。结果:本研究结果显示，患者在不同时间的自我护理表现具有统计学意义(P)。结论:本研究表明，通过移动应用程序进行教育，可以使患者的自我护理行为和自我效能感随着时间的推移得到显著改善。对血液透析患者进行为期数月的教育干预，使其能够适当地整合所学知识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.