Effect of face-to-face and distance training (Telenursing) versus control group on Self-efficacy of hemodialysis patients: a randomized clinical trial

To assess the effect of face-to-face and distance training (Telenursing) versus control group on Self-efficacy of hemodialysis patients

This is a randomized clinical trial, in which 180 eligible patients will be randomly assigned to the intervention and control groups

The eligible hemodialysis patients referring to the Imam Reza Hospital in Kermanshah city during the study period will be enrolled in the trial and will be randomly assigned to the intervention and control groups.

Inclusion criteria: Age of 18 to 65 years; Chronic renal failure; Under hemodialysis for at least 6 months; Literate; Access to phone call or cell phone; Exclusion criteria: Speech or hearing impairment; Hospitalization during stud period; Failure to answer the phone for 3 times

Intervention group 1: Routine treatment plus face-to-face training (including encouraging the patient to study and exercise, energy conservation methods, side effects and symptoms of fluid accumulation in the body, nutritional management, restriction of taking sodium, potassium and fluids, signs and symptoms of hypertension, definition of fistula and how it works, how to control infection, and how to take medications) two 45-minute sessions weekly for 4 weeks Intervention group 2: Routine treatment plus distance training (Telenursing) (including encouraging the patient to study and exercise, energy conservation methods, side effects and symptoms of fluid accumulation in the body, nutritional management, restriction of taking sodium, potassium and fluids, signs and symptoms of hypertension, definition of fistula and how it works, how to control infection, and how to take medications) two 45-minute sessions weekly for 4 weeks Control group: Just routine treatment

Primary outcome: Self-efficacy

The patients will be randomly assigned to intervention and control groups using block randomization. For this purpose, we will prepare six sheets of paper, writing on two sheets the name of the intervention 1 and on two other sheets the name of the intervention 2 and on the third two sheets the name of the control. The paper sheets will be pooled, placed in a container, and randomly drawn one at a time for each patient without replacement until all six sheets are drawn. The six paper sheets will be then placed back into the container, and this action repeated until the sample size is reached.