title: The effects of an interventional program based on self-care model on health-related quality of life outcomes in hemodialysis patients.
abstract: BACKGROUND
  Hemodialysis patients have lower quality of life and one of the ways to improve their quality of life is providing self-care education to them using some models including self-care model. This study aimed to determine and evaluate the effects of using self-care model on health and quality of life outcomes in hemodialysis patients.
  
  
  METHODS
  This was a quasi-experimental study conducted in 2012 on the patients who were referred to a military hospital in Tehran, Iran to be treated with hemodialysis. All 32 patients referred to this hospital in 2012 were selected and studied. Required data were collected using the Short Form-36 (SF-36) standard questionnaire and a researcher-made questionnaire. The educational intervention was implemented using self-care model. Collected data were analyzed using SPSS for Windows version 18.0 and some statistical tests including paired samples t-test, Wilcoxon and McNemar tests.
  
  
  RESULTS
  The results showed that the mean and standard deviation (SD) of patients' parameters including weight and blood pressure improved significantly after the educational intervention compared to before the intervention (P < 0.001). Also, all dimensions of the quality of life of hemodialysis patients, including physical function, role physical, bodily pain, general health, vitality, social function, mental health, and role emotional improved compared to those before the intervention (P < 0.001).
  
  
  CONCLUSIONS
  Implementing the self-care model increased the quality of life of hemodialysis patients. Therefore, the use of this model in hemodialysis patients is recommended.
authors.affiliation: Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammadkarim
authors.initials: M
authors.lastname: Bahadori
authors.affiliation: Department of Nursing, School of Nursing and Midwifery, Tehran Medical Branch, Islamic Azad University, Tehran, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Ghavidel
authors.affiliation: Department of Nursing, School of Nursing and Midwifery, Tehran Medical Branch, Islamic Azad University, Tehran, Iran.
authors.forename: Shahla
authors.initials: S
authors.lastname: Mohammadzadeh
authors.affiliation: Department of Health Services Management, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Ramin
authors.initials: R
authors.lastname: Ravangard
keywords: Health-related quality of life; Iran; hemodialysis patients; self-care model