The effect of a self-management program on hand-washing/mask-wearing behaviours and self-efficacy level in peritoneal dialysis patients: a pilot study


KARADAĞ E.

JOURNAL OF RENAL CARE, cilt.45, sa.2, ss.93-101, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 45 Sayı: 2
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1111/jorc.12270
  • Dergi Adı: JOURNAL OF RENAL CARE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Sayfa Sayıları: ss.93-101
  • Anahtar Kelimeler: Peritoneal dialysis, Self-management, Hand-washing, Mask-wearing behaviours
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Background Self-management of chronic kidney disease (CKD) is crucial for health outcomes. Objectives This study was conducted to demonstrate the effect of a self-management programme based on Bandura's self-efficacy theory offered to patients receiving peritoneal dialysis (PD) on behavioural changes regarding hand-washing/mask-wearing and self-efficacy level. Design In this study, the pretest-posttest design was used without a control group. Methods The sample of the study consisted of 30 patients who were receiving peritoneal dialysis. At the first interview conducted with patients, patients were given a Questionnaire Form on Socio-Demographic and Disease Characteristics and the Self-efficacy Scale. Following the 6-month self-management programme; the self-efficacy scale was applied again and the effectiveness of the self-management programme was evaluated by re-asking the questions on hand-washing and mask-wearing behaviours, and the two questions on the presence of peritonitis and leucocyte abnormality. The self-management programme in question in this study was comprised of multidisciplinary team collaboration, telephone contact, clinic interviews, use of reminders, training intervention based on Bandura's self-efficacy theory and enhancement of self-efficacy. Results A statistically significant difference was found between the pre-intervention and post-intervention self-efficacy scale mean scores of patients (t: -4,396, p < .001). Conclusions In this study, it was found that the self-management programme based on Bandura's self-efficacy theory caused a positive change in the hand-washing/ mask-wearing behaviours of patients and that it improved the self-efficacy level.