Self-Efficacy and Blood Pressure Self-Care Behaviors in Patients on Chronic Hemodialysis

This study examined the effects of an educative, self-regulation intervention on blood pressure self-efficacy, self-care outcomes, and blood pressure control in adults receiving hemodialysis. Simple randomization was done at the hemodialysis unit level. One hundred eighteen participants were randomi...

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Bibliographic Details
Published in:Western journal of nursing research 2017-07, Vol.39 (7), p.886-905
Main Authors: Kauric-Klein, Zorica, Peters, Rosalind M., Yarandi, Hossein N.
Format: Article
Language:English
Subjects:
Activities of daily living
Blood pressure
Blood Pressure - physiology
Counseling
Dialysis
Female
Hemodialysis
Humans
Hypertension
Intervention
Kidney Failure, Chronic
Male
Medication Adherence
Middle Aged
Nursing
Patient Education as Topic - methods
Patients
Renal Dialysis - methods
Renal Dialysis - psychology
Salt
Self Care
Self Efficacy
Self regulation
Weight Gain
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Summary:This study examined the effects of an educative, self-regulation intervention on blood pressure self-efficacy, self-care outcomes, and blood pressure control in adults receiving hemodialysis. Simple randomization was done at the hemodialysis unit level. One hundred eighteen participants were randomized to usual care (n = 59) or intervention group (n = 59). The intervention group received blood pressure education sessions and 12 weeks of individual counseling on self-regulation of blood pressure, fluid, and salt intake. There was no significant increase in self-efficacy scores within (F = .55, p = .46) or between groups at 12 weeks (F = 2.76, p = .10). Although the intervention was not successful, results from the total sample (N = 118) revealed that self-efficacy was significantly related to a number of self-care outcomes including decreased salt intake, lower interdialytic weight gain, increased adherence to blood pressure medications, and fewer missed hemodialysis appointments. Increased blood pressure self-efficacy was also associated with lower diastolic blood pressure.
ISSN:0193-9459
1552-8456
DOI:10.1177/0193945916661322