Effect of the Education Based on the Self-Efficacy Theory on Skin and Fistula Care in Hemodialysis Patients

Background & Skin problems and incidence of infection in the vascular access sites are two common problems in hemodialysis patients. Increasing the self-efficacy of patients can improve self-care behaviors. Considering the importance of patients training about skin and fistula care, the current study was performed with aiming of determining the effect of education based on the self-efficacy theory on the skin and fistula care in hemodialysis patients.
This interventional study was performed on 70 hemodialysis patients, in two groups of 35 persons, in Qom city, 2016. Data collection tools consisted of demographic characteristics form, researcher-made questionnaires of skin and fistula care, and self-efficacy standard questionnaire (SUPPH). Questionnaires were completed before and 3 months after the intervention in the sort of education based on the self-efficacy theory in 4 sessions of 15-20 minutes. Data were analyzed by Chi-square, independent T-test, Paired T-test, and Mann-Whitney test using SPSS 16. 
The difference between the two groups in terms of mean scores of self-efficacy and skin and fistula care was no significant before the intervention but it was significant after the intervention (p<0.001). Mean scores of self-efficacy and skin and fistula care of patients showed significant difference before and after the intervention (p<0.001).
According to the results of this research, implementation of proper education program using the self-efficacy theory can promote the self-efficacy of hemodialysis patients in the field of skin and fistula care.