title: Self-Efficacy and Blood Pressure Self-Care Behaviors in Patients on Chronic Hemodialysis.
abstract: This study examined the effects of an educative, self-regulation intervention on blood pressure self-efficacy, self-care outcomes, and blood pressure control in adults receiving hemodialysis. Simple randomization was done at the hemodialysis unit level. One hundred eighteen participants were randomized to usual care ( n = 59) or intervention group ( n = 59). The intervention group received blood pressure education sessions and 12 weeks of individual counseling on self-regulation of blood pressure, fluid, and salt intake. There was no significant increase in self-efficacy scores within ( F = .55, p = .46) or between groups at 12 weeks ( F = 2.76, p = .10). Although the intervention was not successful, results from the total sample ( N = 118) revealed that self-efficacy was significantly related to a number of self-care outcomes including decreased salt intake, lower interdialytic weight gain, increased adherence to blood pressure medications, and fewer missed hemodialysis appointments. Increased blood pressure self-efficacy was also associated with lower diastolic blood pressure.
authors.affiliation: 1 Wayne State University, Detroit, MI, USA.
authors.forename: Zorica
authors.initials: Z
authors.lastname: Kauric-Klein
authors.affiliation: 1 Wayne State University, Detroit, MI, USA.
authors.forename: Rosalind M
authors.initials: RM
authors.lastname: Peters
authors.affiliation: 1 Wayne State University, Detroit, MI, USA.
authors.forename: Hossein N
authors.initials: HN
authors.lastname: Yarandi
mesh_terms: D001794:Blood Pressure / Q000502:physiology*; D005260:Female; D006801:Humans; D006973:Hypertension; D007676:Kidney Failure, Chronic; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D006435:Renal Dialysis / Q000379:methods* / Q000523:psychology; D012648:Self Care; D020377:Self Efficacy; D015430:Weight Gain
keywords: blood pressure; hemodialysis; self-care; self-efficacy; self-regulation