Volume 6, Issue 1 (Winter 2020)                   JCCNC 2020, 6(1): 65-76 | Back to browse issues page


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Aghajani M, Saeidnejad Z, Mirbagher Ajorpaz N. Empowerment Program Based on BASNEF Model and the General Health of Hemodialysis Patients. JCCNC. 2020; 6 (1) :65-76
URL: http://jccnc.iums.ac.ir/article-1-239-en.html
1- Department of Nursing and Midwifery, Autoimmune Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran. , aghajani1362@yahoo.com
2- Student Research Committee, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
3- Department of Psychiatric Nursing, Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Abstract:   (503 Views)
Background: Hemodialysis patients encounter various physical, mental, and social health problems. Empowerment programs may facilitate behavioral changes and improve general health. This study aimed to determine the effectiveness of the empowerment program on the general health of hemodialysis patients.
Methods: In this clinical trial, 60 patients undergoing hemodialysis were selected from Shahid Beheshti Hospital in Kashan City, Iran. The patients were randomly divided into two groups. In the intervention group, the empowerment program based on the BASNEF (belief, attitude, subjective norm, and enabling factors) model was implemented in 8 sessions. No intervention was performed for the control group. Before and after the intervention, Goldberg’s General Health Questionnaire (GHQ) was completed by the two groups and compared. The obtained data were analyzed using the independent-test, paired t-test, and Chi-square test in SPSS V. 13. 
Results: A significant decrease in the GHQ scores was observed after the intervention in the intervention group but the difference was not statistically significant between the groups (P=0.2). However, the difference between the scores of GHQ subscales, including “somatic symptoms”, “anxiety and insomnia”, and “social dysfunction” were significant (P<0.05). The paired t-test results showed significant differences in the mean scores of GHQ subscales in the intervention group before and after the intervention (P<0.05). But these differences were not significant in the control group (P=0.2). 
Conclusion: The BASNEF model empowerment was effective on the general health of patients undergoing hemodialysis. Using this program is suggested for these patients. 
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● Hemodialysis patients suffer from poor physical, mental, and social health conditions.
● The BASNEF (belief, attitude, subjective norm, and enabling factors) model is used to change the behavior and create new behavior in clients.
● The empowerment program based on the BASNEF model is effective on the general health of patients undergoing hemodialysis.
Plain Language Summary 
The health status of patients undergoing hemodialysis should be monitored in four areas of fluid restriction, special diet, avoiding addictive drugs, and regular dialysis. Patients should be involved in the process of self-care to control the side effects of their disease. According to the results of the empowerment program, BASNEF (belief, attitude, subjective norm, and enabling factors) model was effective on the general health of patients undergoing hemodialysis.
Type of Study: Research | Subject: General
Received: 2019/08/3 | Accepted: 2019/12/15 | Published: 2020/02/1

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