IRCT20221015056175N1 IRCT 2022-12-24 Yasouj University of Medical Sciences The effect of Orem model on self-efficacy and fatigue severity in patients Under hemodialysis treatment The effect of using Orem self-care model on self-efficacy and fatigue severity in patients with renal failure Under hemodialysis treatment 2022-11-19 anticipated 70 Complete https://irct.ir/trial/66908 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: They are selected as study samples by random sampling from the list of patients available on the website . The samples are allocated to two groups (35 people in the control group and 35 people in the intervention group) using the random block method and the total sample size is 70 people Randomization through the table available on the website where the pre-test questionnaire is entered into the table as a control or intervention and is randomly selected. N/A Hemodialysis patients. Intervention 1: Intervention group: In the intervention group, after responding to the research tool in the first stage, the intervention based on the Orem self-care model (universal self-care need, growth and development, and deviation from health) is performed in addition to the usual care in the dialysis department. The researcher will design and compile a self-care program according to the needs of self-care based on the Orem model in the form of a supportive educational nursing system. The self-care training program will be implemented twice a week in 8 sessions in groups of 6-10 people during hemodialysis. The duration of each session will be a maximum of 45 minutes, and the intervention will be carried out for 2-3 weeks in hemodialysis centers, and if necessary, educational aids including educational videos, posters, and pamphlets will be used. Intervention 2: Control group: In the control group, no intervention will be done during the research, only after the end of the work, if the intervention is successful, a training session will be held for the control group in relation to the training given to the intervention group. 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 I have not yet consulted with the advisors and counselors