Germany Journal

Document Type : Original Article

Authors

1 M.S. candidate of Health Education, Faculty of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Associate professor of General Health Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 Assistant professor of Epidemiology Department, Faculty of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Professor of general Health Department, Faculty of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

Background and purpose:  Chronic diseases need to care for increasing and improving quality of life. The chronic kidney disease is increasing in all over the world and is a public problem for worldwide health and some hemodialytic patients need an arteriovenous fistula. Self-care with arteriovenous fistula has a long history and several studies have investigated it, but health belief model (HBM) has not been investigated. Seemingly, the HBM can improve it. This study aimed to investigate the effect of educational interventions based on NBM for promoting fistula care behaviors of hemodialysis patients. 
Materials and Methods:  Seventy hemodialytic patients with arteriovenous fistula were assigned into two groups of control and intervention. A questionnaire designed by the authors was prepared and included awareness, perceived susceptibility, severity, barriers and benefits and self-efficacy. Questionnaire was distributed before intervention (Pre-test), immediately and 2 month after intervention (Post-test). Instructional media and individual consultations were used as intervention period.
Results:  The results showed that the educational intervention did not have significant effect on awareness (P>0.05), but increased perceived susceptibility, severity, barriers and benefits, and self-efficacy (P<0.05).
Conclusion:  In sum, the educational interventions based on HBM promoted fistula healthcare behaviors among hemodialytic patients. It can be advised to apply educational interventions based on HBM for promoting fistula healthcare behaviors among hemodialytic patients. 

Keywords