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

• 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
• ISSN: 0193-9459; 1552-8456
• DOI: 10.1177/0193945916661322

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.