THE EFFECT OF EDUCATION BASED ON HEALTH BELIEF MODEL ON THE QUALITY OF SLEEP IN HEMODIALYSIS PATIENTS REFERRED TO SHAHID MADANI HOSPITAL OF KHOY IN 2018

Chronic renal failure is an irreversible and progressive kidney disease in the world
and also in Iran. Hemodialysis is the most common protective treatment in these patients and it has a
significant impact on the patient's life. Sleep disorders in these patients are associated with physical,
behavioral, and psychological problems. The aim of this research was to examine the effect of applying
the health belief model on sleep quality in patients undergoing hemodialysis at Khoy Shahid Madani
Hospital in 2018.
Materials & Methods: This study was a quasi-experimental research with a pretest-posttest design and
subjects were selected by random sampling from the available population (70 eligible patients) and then
patients were assigned to the intervention and control groups. The Demographic Questionnaire and
Pittsburgh Sleep Quality Questionnaire were completed by the researcher for both groups during the
first session. Then, for the intervention group, the health belief model training program was performed
in six stages (perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, guidelines
for practice, and perceived self-efficacy) in the form of eight one-hour sessions (one session per week)
in groups and followed up for two months. In the control group, routine care was performed and no
special intervention was performed. The sleep quality questionnaire was completed by the researcher
for both groups. Descriptive and inferential statistics were used to analyze the data. Data were analyzed
by SPSS software version 24 using independent t-test, Chi-square, Mann-Whitney, and Wilcoxon tests.
Results: Based on the findings, the difference between the mean score of total sleep quality in the two
groups of intervention and control before the intervention was not statistically significant (p> 0.05), but
after the intervention, the difference in the mean score of sleep quality in all dimensions was statistically
significant except for the use of hypnotics in the intervention and control groups (p <0.05).
Conclusion: Training based on the stages of the health belief model can be effective in improving and
enhancing the sleep quality of patients undergoing hemodialysis. Training nurses about the use of this
model can improve the sleep quality of patients. Therefore, the use of this model is recommended for
the care of these patients and similar patients.