Volume 10, Issue 4 (Summer 2024)
IJRN 2024, 10(4): 49-58 |
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Pirayandeh A, Khankeh H R, Arslani N, Vahedi M. The effect of the implementation of the 5A self-management program on the self-care ability of hemodialysis patients admitted to Hazrat Rasool Akram (PBUH) hospital in Kalaleh city. IJRN 2024; 10 (4) :49-58
URL: http://ijrn.ir/article-1-829-en.html
URL: http://ijrn.ir/article-1-829-en.html
Professor of Nursing, Department of Clinical Sciences, University of Rehabilitation Sciences and Social Health, Tehran, Iran
Abstract: (572 Views)
Introduction: Autonomy in hemodialysis patients leads to more appropriate self-management of patients' problems. One of the ways to increase self-care ability is the short and simple 5A model, which helps patients in self-care, and as much as possible, disease management is left to the patients themselves. The purpose of the present study was to investigate the effect of implementing the 5A self-management program on the self-care ability of hemodialysis patients admitted to Hazrat Rasool Akram (PBUH) hospital in Kalaleh city.
Methods: This semi-experimental study was conducted on patients referred to hemodialysis in Hazrat Rasool Akram (PBUH) hospital in Kalaleh City. 60 patients were selected into intervention and control groups. After completing the demographic and self-care questionnaire (SCA), routine measures were performed in the control group, and the 5A nursing model was implemented for three months in the intervention group, and the self-care program was implemented in person or through phone calls and text messages. Finally, data analysis was done in SPSS software version 23 (the significance level in this study was considered less than 0.5)
Results: The results of the demographic characteristics showed that there is no significant difference between the two groups in terms of age, gender, education, marriage, and dialysis time after the intervention, while after the intervention, the self-care ability score in the intervention group was 126.76 ± 13.88 and compared to the control group, a significant difference was observed between the two groups: 138.96 ± 0.18 (P<0.05).
Conclusion: The implementation of the self-management program based on the 5A nursing model increased the care capacity of hemodialysis patients. Therefore, drawing the current situation in the field of increasing self-care capacity using the 5A method can help nurses, lecturers educational planners, and nursing managers to have access to a suitable model for providing care and education according to the conditions of patients and their needs.
Methods: This semi-experimental study was conducted on patients referred to hemodialysis in Hazrat Rasool Akram (PBUH) hospital in Kalaleh City. 60 patients were selected into intervention and control groups. After completing the demographic and self-care questionnaire (SCA), routine measures were performed in the control group, and the 5A nursing model was implemented for three months in the intervention group, and the self-care program was implemented in person or through phone calls and text messages. Finally, data analysis was done in SPSS software version 23 (the significance level in this study was considered less than 0.5)
Results: The results of the demographic characteristics showed that there is no significant difference between the two groups in terms of age, gender, education, marriage, and dialysis time after the intervention, while after the intervention, the self-care ability score in the intervention group was 126.76 ± 13.88 and compared to the control group, a significant difference was observed between the two groups: 138.96 ± 0.18 (P<0.05).
Conclusion: The implementation of the self-management program based on the 5A nursing model increased the care capacity of hemodialysis patients. Therefore, drawing the current situation in the field of increasing self-care capacity using the 5A method can help nurses, lecturers educational planners, and nursing managers to have access to a suitable model for providing care and education according to the conditions of patients and their needs.
Type of Study: Research |
Subject:
Rehabilitation Nursing
Received: 2023/06/15 | Accepted: 2024/01/5 | Published: 2024/07/27
Received: 2023/06/15 | Accepted: 2024/01/5 | Published: 2024/07/27
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