title: The effect of community health nurse home visit on self-care self-efficacy of the elderly living in selected Falavarjan villages in Iran in 2010.
abstract: BACKGROUND
  Perceived self-efficacy is a strong predictor for behavior. Considering the importance of health-promoting self-care behaviors in increasing quality of life in the elderly, this study was aimed at defining the effect of nurse home visits on self-care self-efficacy of the elderly in rural areas.
  
  
  METHODS
  This is a pre and post quasi-experimental study conducted on 33 older adults randomly selected from five villages in Falavarjan province in Iran. Intervention program was in the direction of self-care self-efficacy in four domains including nutrition, health practice, physical activity, and well-being in the form of five home visit programs and one group session by a nurse during 6 weeks, and included two different sections of education and nursing interventions administered based on needs assessment and determination of the tasks for the clients and their families. Theoretical framework of this study was supported by Bandura's self-efficacy, Orem's self-care theory, and Pender's revised health promotion model. The data were collected by self-care self-efficacy and demographic information questionnaire before and after the intervention. Data were analyzed by descriptive statistics and paired t-test.
  
  
  RESULTS
  The mean elderly score in the four aforementioned domains increased after the home visit program. A significant difference was seen in the mean total scores of self-care self-efficacy and its subscales by paired t-test before and after intervention (P < 0.001).
  
  
  CONCLUSIONS
  It was observed that home visit program, integrated with the theories, had a positive influence on improving self-care self-efficacy of the elderly, and was supported by Bandura's theory of self-efficacy suggesting four sources of performance accomplishment, vicarious experience, verbal persuasion, and emotional arousal. With regard to the importance of self-care behavior in health promotion of the elderly, multifaceted low-cost interventions with the highest effect seem essential.
authors: Department of Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors: Habibollah
authors: H
authors: Hosseini
authors: Sara
authors: S
authors: Torkani
authors: Khosrow
authors: K
authors: Tavakol
keywords: Community health nursing; Iran; elderly; home visit; self-care; self-efficacy
references: Int J Nurs Stud. 2008 Nov;45(11):1690-9
references: 18501359
references: Public Health Nurs. 2004 May-Jun;21(3):247-56
references: 15144369
references: J Psychol. 2005 Sep;139(5):439-57
references: 16285214
references: Annu Rev Nurs Res. 2006;24:157-78
references: 17078414
references: J Community Health Nurs. 2005 Fall;22(3):169-78
references: 16083404
references: Int J Nurs Stud. 2006 Mar;43(3):293-300
references: 16105668