The effectiveness of self-management program on quality of life among haemodialysis patients

Abstract

The aim of this study was to evaluate the effects of the chronic disease self-management program on empowering haemodialysis patients and their quality of life (QoL). A before and after interventional approach with no control group was designed. Based on convenience sampling, 53 patients were selected with respect to the inclusion criteria. First, the information required for evaluating the QoL of patients was collected using kidney disease quality of life instrument. Next, the self-management program was implemented. Three months later, the effects of the intervention were assessed using the same questionnaire. Results indicated that the average of total scores of QoL (general and specific domains) increased after the intervention (P = 0.000). The relationships between the QoL scores and socio-demographic characteristics were not statistically significant. Moreover, it was found that the intervention had no effect on cognitive abilities, social interactions, and sexual performance (P > 0.05). This article outlined an organized approach for applying project management principles to quality improvement in health system. The program will be useful if it is accompanied by other therapeutic and welfare actions and comprehensive supports of public and private charity organizations.