THE STUDY OF THE EFFECT OF OREM SELF CARE MODEL ON SELF EFFICACY IN HEMODIALYSIS PATIENTS IN URMIA MEDICAL SCIENCE HOSPITALS DURING 2011

Self- efficacy is the belief of a person on his ability in order to succeed in a
particular situation. It is essential to increase self-efficacy motivation on hemodialysis patients and
planning on it. Using nursing theories especially Orem theory could be effective in self-efficacy
improvement. So this study has been done in 2011 in order to evaluate the effect of Orem self care
model on self efficacy in hemodialysis patients.
Materials & Methods: This research is a quasi experimental case control study. Data were collected
through a questionnaire. Sixty patients were chosen according to none randomized method, and then
equally divided into two groups as case and control groups (30 patients in each group). After pretest,
the self care plan was done through three phases on case group as follows 1- Self care assessment 2-
intervention in physical, psychological and social domain of self care 3- Controlling patients for 45
days, then the post test was carried out. The data were analyzed with SPSS software, Independent T,
Chi-square and Mann-Whitney tests.
Result: Results showed that there was no significant difference between self care (P=0.77) and selfefficacy (p=0.95) mean scores. While in post test step there was a significant difference in self care
between two groups (P=0.04). But there was no significant difference between two groups in self
efficacy before and after the intervention (P=0.418).
Conclusion: According to the dependency to caring in hemodialysis patients, knowing their self care
needs according to the nursing theories and caring programs might help fit the patient's condition and
promote self efficacy activities