title: EFFECTS OF HOME-CARE TRAINING ON THE SELF-EFFICACY OF PATIENTS WITH BETA THALASSEMIA MAJOR.
abstract: BACKGROUND
  The self-efficacy of thalassemia patients is an important factor in creating behavioral changes in such patients. Home-care training reduces hospitalization duration as well as relevant costs and improves disease outcomes. This study was designed to assess the effect of home-care training on the self-efficacy of patients with beta thalassemia major.
  
  
  METHODS
  This was a quasi-experimental, case-control, before and after intervention study conducted on 136 thalassemia cases from January 2014 to October 2015. Data was collected through Shere general self-efficacy questionnaire (SGSES). Home-care trainings were provided in the form of training courses with respect to the training needs of thalassemia major cases. Two (2) months after the end of training courses, SGSES questionnaire was filled again and the obtained data was analyzed by SPSS 21 as well as descriptive-inferential statistics (significance level=P≤0.05).
  
  
  RESULTS
  The results of this study revealed that the mean self-efficacy score of control group was 48.69±6.82 before intervention which increased to 46.69±6.81 after intervention. The mean self-efficacy score of case group was 44.58±5.23 before intervention which increased to 49.5±6.66 after intervention. The rise of self-efficacy score, after intervention, was significantly higher in the case group compared with the control group (P≤.001).
  
  
  CONCLUSIONS
  According to results, home-care training can develop self-efficacy in thalassemia patients. In home-care training procedure patients play an active role. By providing home-care trainings, therefore, an effective step should be taken to promote the self-efficacy of the patients and to decrease associated problems.
authors.affiliation: Department of Nursing, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.
authors.forename: Mahdieh Poodineh
authors.initials: MP
authors.lastname: Moghadam
authors.affiliation: Department of Nursing, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran; Student Research Committee, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.
authors.forename: Hajar
authors.initials: H
authors.lastname: Nourisancho
authors.affiliation: Department of Nursing, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.
authors.forename: Hossein
authors.initials: H
authors.lastname: Shahdadi
authors.affiliation: Student Research Committee, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.
authors.forename: Sohila
authors.initials: S
authors.lastname: Shahraki
authors.affiliation: Student Research Committee, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.
authors.forename: Batoul
authors.initials: B
authors.lastname: Azarkish
authors.affiliation: Student Research Committee, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.
authors.forename: Abbas
authors.initials: A
authors.lastname: Balouchi
keywords: Home-Care Training; Patients; Self-Efficacy; Thalassemia Major