Predictors of Self-care in Patients Undergoing Hemodialysis: An Application of the PRECEDE Model

Background and Aims: Patients undergoing hemodialysis are exposed to various physical, psychological, and social stressors. Self-care activities can play a significant role in adapting to the disease process and improving their quality of life. In addition, using the PRECEDE-PROCEDE model, an appropriate scale can be obtained from these patients chr('39')perceptions, knowledge and attitudes toward their self-care and self-care knowledge, and based on this model, the relationship between factors and patientschr('39') self-care ability can be assessed. Therefore, the researchers decided to conduct a study predicting PRECEDE model constructs with self-care in patients undergoing hemodialysis. Methods:This cross sectional study was performed on 80 patients referred to the Lordegan hospital. Life, health status, predisposing factors (knowledge and attitude), enabling, and enhancing along with self-care behaviors of hemodialysis patients were completed by interview. The reliability and validity of the questionnaires were confirmed. Data were analyzed by SPSS software using Pearson correlation coefficient, ANOVA, t-test, and regression analysis. Results: The mean and total deviation of self-care behaviors score was 32.38 12 12.83. 56.5% of people had poor self-care, 42.5% had moderate self-care, and 0.2% had good self-care. In addition, Pearson correlation test showed a significant relationship between PRECEDE-PROCEDE model items (reinforcing factors, enabling factors, and predisposing factors) and self-care (P <0.05). According to the results of regression analysis, the predictive power of the items of precession-process model (reinforcing factors, enabling factors and predisposing factors) was found to be 0.419. Conclusion: Considering the lack of self-care, behavior of hemodialysis patients and the need for a direct correlation between PRECEDE model constructs, appropriate interventions are recommended, especially educational interventions to promote self-care and increased emphasis on self-care.