Abstract

Background and objective: hemodialysis patients are subject to various psychological problems including diminished self-esteem and personal independence, reducing their compliance to the treatment. Self-care is one of the solutions for reducing dependence and acquiring independence. Therefore, this study has been conducted with the aim of determining the effect of self-care program based on Orem model on the self-esteem of patients undergoing hemodialysis. Materials and methods: the present research is a clinical trial study, in which 59 patients undergoing hemodialysis visiting the center for special diseases in Zabol City were randomly assigned into intervention and control groups after available sampling and ensuring they had the inclusion criteria. The data collection instrument consisted of demographic information questionnaire, researcher-made questionnaire for self-care behaviors of hemodialysis patients according to Orem model, and Rosenberg self-esteem scale, which were completed before and after the intervention. After data collection, they were analyzed by SPSS 22. Results: according to independent t-test, before the intervention there was no significant difference between the intervention and control groups in terms of self-esteem score. However, after the intervention, the mean self-study score increased from 21.30 to 25.30 in the intervention group, which was statistically significant. This change according to Cohen coefficient was determined as 1.37 (p<0.001). Conclusion: self-care program based on Orem model can be effective to enhance the self-esteem of patients undergoing hemodialysis through promoting self-care power and reducing dependence. This program which has been designed based on educational needs and with a scientific model approach is recommended as a nursing intervention in these patients.