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IRCT20190209042659N1 IRCT 2019-03-22 Bandare-abbas University of Medical Sciences The effect of self-care on stress, anxiety and depression in hemodialysis patients The effect of self-care program based on Orem model on stress , anxiety and depression level in hemodialysis patients of Farabi hospital in Bastak in 2018 2019-01-20 anticipated 40 Complete https://irct.ir/trial/37457 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Supportive, Other design features: -. N/A Reducing stress, depression and anxiety in hemodialysis patients. The present study is a quasi-experimental study of single-group intervention before and after studying the effects of Orem-based education curriculum on stress, anxiety and depression in hemodialysis patients. The number of 40 modal mortality patients referred to dialysis centers of Hormozgan Medical Sciences University, Farabi Hospital. Statistical population of this research The research will be carried out using the available sampling method. All patients who meet the criteria for participation in the study will be selected, and after obtaining their consent and informed written consent, which will be the Hormozgan Medical Sciences College's ethics committee,Will be studied.A DASS42 questionnaire, a demographic questionnaire and a demographic questionnaire, a demographic questionnaire completed by all patients under study, were completed by a DASS42 three-part questionnaire. The DASS42 scale is a self-report questionnaire developed by Lovibond in 1995, and the diagnostic and screening side of the signs of stress , Anxiety and depression during the past week. Studies conducted by Lewibond Shan showed that the retest reliability for sub-scales was 0.81 for stress, 0.79 for anxiety, 0.71 for depression. The scale validity of the Beck Anxiety and Depression Scale 14 with correlation coefficients was 0.71 and 0.74 respectively. Therefore, this scale has the appropriateness of applying for research and diagnostic activities.The third part of the questionnaire consisted of 20 questions about the educational needs of hemodialysis patients based on the ORM self-care model. This questionnaire was designed by Ramezani Badr and his colleagues in 1392. The validity of this questionnaire was determined through content validity and its reliability was calculated by calculating the alpha coefficient of cronbach (0.89). Scoring is based on the Likert scale and the answers to questions are high, medium, low and high, which points from the need for high education to no need for training, respectively. By convention, based on our own self-care model, the score is 10- 0, independent, 30-11, semi-dependent, and 31-60 dependent from the educational point of view. For the statistical community that has entered the study, the questions will be completed before interconnection.Then the patients will be trained for four sessions in different fields and based on their educational needs. Each training session lasts from 30 to 45 minutes and sessions within a week's time. In general, training sessions will continue for four weeks. Generally speaking, different training areas are based on the needs assessment including kidney failure, hemodialysis, fistula and catheter care, diet, sexual issues, sleep problems, anemia, activity and rest, shortness of breath, and nausea and vomiting. Be This training is given face-to-face and during dialysis.At the end of the training sessions, a booklet containing all the materials taught is given to the patients. One month, these patients will be given the opportunity to use the lessons learned in their daily activities. During this one month, patient referral was followed up by the use of trained material in everyday activities. If the self-care activities were not carried out, the cause of the study was resolved and resolved and, if continued, the sample would be excluded from the study. After a month after the intervention, the DASS questionnaire 42 is completed by patients again.. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Maintaining the secrets of the family
public ِDr.Aref faghih
Resalat Street, Faculty of Nursing
Bandar Abbas Iran (Islamic Republic of) 79671-34866 +98 76 4433 2632 najmamina.1368@gmail.com Bandare-abbas University of Medical Sciences scientific Dr.Areffaghih
latResa Street, Faculty of Nursing
Bandar Abbas Iran (Islamic Republic of) 79671-34866 +98 76 4433 2632 najmamina.1368@gmail.com Bandare-abbas University of Medical Sciences Iran (Islamic Republic of) Eighteen years old Regular visits to this center Satisfaction of the company in the research A record of at least three months of medication 18 years 85 years Both The history of hospitalization due to psychological problems Get the education program from the Hemodialysis Centers To do the transplant operation during the research Gain an independent score from a needle list Rehabilitation The present study is a quasi-experimental study of single-group intervention before and after studying the effects of Orem-based education curriculum on stress, anxiety and depression in hemodialysis patients. The number of 40 modal mortality patients referred to dialysis centers of Hormozgan Medical Sciences University, Farabi Hospital. Statistical population of this research The research will be carried out using the available sampling method. All patients who meet the criteria for participation in the study will be selected, and after obtaining their consent and informed written consent, which will be the Hormozgan Medical Sciences College's ethics committee,Will be studied.A DASS42 questionnaire, a demographic questionnaire and a demographic questionnaire, a demographic questionnaire completed by all patients under study, were completed by a DASS42 three-part questionnaire. The DASS42 scale is a self-report questionnaire developed by Lovibond in 1995, and the diagnostic and screening side of the signs of stress , Anxiety and depression during the past week. Studies conducted by Lewibond Shan showed that the retest reliability for sub-scales was 0.81 for stress, 0.79 for anxiety, 0.71 for depression. The scale validity of the Beck Anxiety and Depression Scale 14 with correlation coefficients was 0.71 and 0.74 respectively. Therefore, this scale has the appropriateness of applying for research and diagnostic activities.The third part of the questionnaire consisted of 20 questions about the educational needs of hemodialysis patients based on the ORM self-care model. This questionnaire was designed by Ramezani Badr and his colleagues in 1392. The validity of this questionnaire was determined through content validity and its reliability was calculated by calculating the alpha coefficient of cronbach (0.89). Scoring is based on the Likert scale and the answers to questions are high, medium, low and high, which points from the need for high education to no need for training, respectively. By convention, based on our own self-care model, the score is 10- 0, independent, 30-11, semi-dependent, and 31-60 dependent from the educational point of view. For the statistical community that has entered the study, the questions will be completed before interconnection.Then the patients will be trained for four sessions in different fields and based on their educational needs. Each training session lasts from 30 to 45 minutes and sessions within a week's time. In general, training sessions will continue for four weeks. Generally speaking, different training areas are based on the needs assessment including kidney failure, hemodialysis, fistula and catheter care, diet, sexual issues, sleep problems, anemia, activity and rest, shortness of breath, and nausea and vomiting. Be This training is given face-to-face and during dialysis.At the end of the training sessions, a booklet containing all the materials taught is given to the patients. One month, these patients will be given the opportunity to use the lessons learned in their daily activities. During this one month, patient referral was followed up by the use of trained material in everyday activities. If the self-care activities were not carried out, the cause of the study was resolved and resolved and, if continued, the sample would be excluded from the study. After a month after the intervention, the DASS questionnaire 42 is completed by patients again. Stress, anxiety and depression. Timepoint: In the study of the effect of health care on hemodialysis patients, measurements were done before intervention and one month after interventio. Method of measurement: DASS42 questionnaire. Bandare-abbas University of Medical Sciences Approved 2019-01-19 Ethics Committee of Hormozgan University of Medical Sciences Resalat Street, nursing school Bandar Abbas Hormozgan Iran (Islamic Republic of)