KSPM
Search
- Page Path
- HOME > Search
Original Articles
- The Effect of an Educational Program Based on Orem’s Self-care Model on Treatment Adherence, Self-care Behaviors, and Quality of Life in Hemodialysis Patients in Iran: A Randomized Controlled Clinical Trial
- Samira Rezaei, Mostafa Bijani, Azizallah Dehghan, Zhila Fereidouni
- J Prev Med Public Health. 2026;59(3):249-257. Published online December 12, 2025
- DOI: https://doi.org/10.3961/jpmph.25.727
- 2,174 View
- 195 Download
-
Abstract
Summary
PDF - Objectives
Patients undergoing hemodialysis encounter a wide range of complex challenges, underscoring the essential role of self-care in disease management. The present study aimed to examine the effectiveness of an educational intervention grounded in Orem’s self-care model for enhancing treatment adherence, self-care behaviors, and quality of life among hemodialysis patients in southern Iran.
Methods
This single-blind randomized controlled trial included 120 hemodialysis patients who met the predetermined eligibility criteria. Data were collected between April 2023 and August 2023 at 2 university-affiliated teaching hospitals located in southern Iran. After providing informed consent, participants were randomly allocated to either the intervention group (n=60) or the control group (n=60) through a simple randomization procedure. Three psychometrically robust instruments were used to collect data: the End-Stage Renal Disease Adherence Questionnaire, the Kidney Disease Quality of Life Short Form, and the Self-Management Behavior Scale. Statistical analyses were performed using SPSS version 23, and p-values<0.05 were considered statistically significant.
Results
At baseline, no statistically significant differences were observed between the intervention and control groups in the mean scores of the measured variables. However, immediately following the intervention and at the 3-month follow-up, the intervention group demonstrated statistically significant improvements across all 3 variables.
Conclusions
The findings underscore the effectiveness of an educational program based on Orem’s self-care model in significantly improving self-care behaviors, treatment adherence, and quality of life among hemodialysis patients. -
SummaryKey Message
Patients undergoing hemodialysis encounter a wide range of complex challenges, underscoring the essential role of self-care in disease management. The findings underscore the effectiveness of an educational program based on Orem’s self-care model in significantly improving self-care behaviors, treatment adherence, and quality of life among hemodialysis patients. The results of this trial carry implications for clinical practice and health policy. It is recommended that contemporary educational methodologies—particularly those grounded in well-established nursing theories such as Orem’s model—be systematically integrated into nursing curricula. Additionally, structured training workshops emphasizing the clinical utility and outcomes of Orem-based self-care education should be incorporated into hospital-based educational programs.- The Relationship Between Social Support and Health-promoting Behaviors Among Older Adults in Fasa, Iran: A Cross-sectional Study
- Afsaneh Ghasemi, Zhale Zandieh, Zahra Khiyali, Navid Alinejad, Ramin Hayati, Azizallah Dehghan, Zahra Hosseini Nejad, Mohammadreza Keshtkar
- J Prev Med Public Health. 2026;59(3):239-248. Published online December 1, 2025
- DOI: https://doi.org/10.3961/jpmph.25.502
- 65,535 View
- 301 Download
-
Abstract
Summary
PDF
- Objectives
Health-promoting behaviors are essential for maintaining independence and enhancing quality of life in aging populations. This study aimed to investigate the relationship between social support and health-promoting behaviors among older adults in Fasa, Iran in 2020.
Methods
A cross-sectional study was conducted involving 300 older adults attending a specialized outpatient clinic in Fasa, Iran. Data were collected using a demographic questionnaire, the Walker Health-Promoting Lifestyle Profile, and the Canty Perceived Social Support Scale, administered either through self-report or structured interviews. Statistical analyses were performed using SPSS version 25 and included descriptive statistics, analysis of variance, the chi-square test, and multiple linear regression analyses.
Results
The mean age of participants was 68.9±7.8 years. Most participants were women (56.6%), married (81.7%), and had less than a high school education (41.3%). The mean scores for health-promoting behaviors and perceived social support were 124.2±31.3 and 24.4±9.4, respectively. A statistically significant positive association was observed between perceived social support and health-promoting behaviors (r=0.10, p=0.04). Social support, gender, and education level were identified as significant predictors of health-promoting behaviors, collectively explaining 34% of the variance.
Conclusions
These findings emphasize the pivotal role of social support in promoting health-related behaviors among older adults. Interventions that strengthen social support networks, foster enabling environments, and address gender and educational disparities are recommended to improve health outcomes and quality of life in aging populations. Policymakers and healthcare planners should incorporate these determinants into the design of targeted, evidence-based interventions for older adults. -
SummaryKey Message
This study highlights that perceived social support is significantly associated with health-promoting behaviors among older adults in Fasa, Iran. Higher levels of social support, along with demographic factors such as gender and education, significantly predict engagement in healthier lifestyle behaviors. These findings underscore the importance of strengthening social support networks and developing targeted interventions to improve health behaviors and enhance quality of life in aging populations
First
Prev
