The purpose of this study is to evaluate the impact of a self-care and self-efficacy-based hybrid education program implemented for individuals receiving hemodialysis treatment on their clinical findings, psychosocial status (dialysis distress), and comfort levels during the dialysis process.
For this purpose, the most important questions to be answered in the study are as follows:
* What are the clinical findings, psychosocial status (dialysis distress), and comfort levels of hemodialysis patients at the beginning of the study? * Does the self-care and self-efficacy-based hybrid education have an impact on the clinical findings, psychosocial status (dialysis distress), and comfort levels of hemodialysis patients?
Participants:
The intervention group will receive a structured hybrid education program based on self-care and self-efficacy. The control group will not receive any intervention during this period and will continue with routine nursing care (standard treatment).
Individuals aged 18 and over
Patients who have been receiving hemodialysis treatment for at least 6 months
Those with stable clinical findings
Those who have not previously received professional training in self-care and self-sufficiency
Under 18 years of age
Patients receiving hemodialysis treatment for less than 6 months
Those whose clinical findings fluctuate to the point of being life-threatening
Those who have previously received professional training on self-care and self-sufficiency
Parallel
Experimental
Other interventionA structured hybrid training program based on self-care and self-efficacy will be implemented for the intervention group. The training will be conducted in two sessions, one day per week, over a total of two weeks.
Control
Other interventionThe control group will not receive any different intervention and will continue the process with routine nursing care (standard treatment).
Self-Care Self-Efficacy Scale
Each item is rated on a 5-point Likert-type scale, ranging from 1 (not at all confident) to 5 (completely confident). The total score, consisting of four subscales and 10 items, ranges from 10 to 50. Higher scores indicate higher self-care and self-efficacy levels during treatment.
Haemodialysis Distress Thermometer Scale
The scale includes a thermometer image, rated from 0 to 10. The participant indicates the overall level of distress they have felt over the past week on this scale. 0 = No distress at all, 10 = Unbearable distress. In the Turkish validation study, scores of 5 and above are generally considered clinical distress.
Hemodialysis Comfort Scale
The scale, consisting of two subscales, is rated on a 5-point Likert-type scale (1 = never, 5 = always). The total score from the scale ranges from 9 to 45. Higher scores indicate a higher level of comfort for the individual.
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