The Effect of Self-Care Program Training on Self-Efficacy in Veteran with Spinal Cord Injury: A Randomized Clinical Trial Study

Advances in surgicalandmedicalmanagementhave significantly reduced the length of time that patients with spinal cord injury have to stay in hospital; however, less attention has been paid to their psychological issues. This study aimed to determine the effect of self-care program training on self-efficacy in veteran with spinal cord injury. This study is a randomized control trial study that in that pre-test/post-test plan with the control group was used. All of the veterans with paraplegia spinal cord injury,whoreferred to a private hospital in 2017 - 2018, were our statistical study population. Sixty veterans were selected based on the inclusion criteria and purposive sampling method and randomly divided into two groups of experimental and control by using a table of random numbers. For the intervention group, six sessions of a 60 - 45-minute selfcare education were performed. Patients filled Moorong self-efficacy scale before, one week and one month after the intervention. SPSS statistical software version 19 was used to analyze the data using chi-square, Fisher’s exact test, independent t-test, and repeated measures. The results showed that no significant difference was between the two groups of the intervention and control in terms of demographic characteristics. Themeanself-efficacy score was 39.264.03 in the intervention group, and 38.563.99 in the control group before the intervention, which reached to 43.865.15 and 38.363.89 one week and 51.165.36 and 39.264.16 one month after the implementation of the intervention, respectively and this difference was significant in the intervention group (P0.001). According to the results, self-care program training is effective in self-efficacy of veterans with spinal cord injury. Therefore, this method is simple, non-invasive, low-cost, and effective in increasing self-efficacy and the treatment of these veterans, which may be applied to nurses.