Effect of Self Care Education with and without Telephone Follow Up on the Level of Hope in Renal Dialysis Patients: A Single Blind Randomized Controlled Clinical Trial
Background: Various strategies such as teaching self care to hemodialysis patients have been employed to increase the level of their hope. This study aimed at examining the effects of a telephone follow up program on the level of hope in a self care education program. Methods: In this single blind randomized controlled clinical trial, 75 hemodialysis patients, selected by convenient sampling, were randomly assigned to 3 groups (n=25 each) including a control, a self care education, or a self care education with telephone follow up. The control group received the routine care. The self care education group received 5 instruction sessions. The telephone follow up group had similar instructional sessions followed by telephone calls during the subsequent 2 months. Data, collected using demographic information list and Miller's hope questionnaire, were analyzed using Chi Square, t test, and one way ANOVA followed by Scheffee test. Results: There was no significant difference among the scores of hope in the three groups before the intervention (P=0.40) However, after the intervention, the level of hope in the self care education group and self care education plus telephone follow up groups were significantly higher than that of the control group (P=0.001) Moreover, the level of hope in the group with self care education plus telephone follow up was significantly (P=0.001) more than that of the self care education group. Conclusion: Our findings indicated that teaching followed by telephone follow up was associated with higher levels of hope. Therefore, such a strategy may be employed to improve the quality of life of patients with renal dialysis. Trial Registration Number: IRCT2014042617440N1
International journal of community based nursing and midwifery