TRAINING HEALTH-PROMOTING BEHAVIORS BASED ON PENDER'S MODEL ON PSYCHOLOGICAL WELL-BEING TO HEMODIALYSIS PATIENTS

Hemodialysis is one of the successful and common treatment methods in controlling chronic kidney failure; however, hemodialysis-dependent patients face many psychological problems along with numerous physiological changes. Therefore, psychological intervention in the treatment of these patients is necessary. The purpose of this research was to determine the effect of teaching health-promoting behaviors based on Pender's model on the psychological well-being of hemodialysis patients.

In this semi-experimental study, 90 patients undergoing hemodialysis were assigned randomly to control and intervention groups. The patients completed the demographic questionnaire as well as the 54-question form of the Ryff psychological well-being questionnaire before and one month after the intervention. The data was analyzed using SPSS 21 statistical software at a significant level of p<0.05.

The results showed the positive effect of teaching health-promoting behaviors based on Pender's model on psychological well-being. There were statistically significant differences in the dimensions of self-acceptance, positive relationships with others, environmental mastery, and personal growth (p<0.05), but there were not significant differences in the dimensions of purpose in life and autonomy between the two groups after the intervention (p > 0.05).

According to the obtained results, it is recommended to use this effective and affordable method in the care planning of chronic patients in order to improve their psychological well-being.