Background and Aim: Chronic renal failure and hemodialysis affect patients' ability due to its debilitating nature. It can cause numerous self-care deficits for patients. Promoting self-care behaviors can help patients to maintain their health and well-being. The present study was performed to determine the effect of educational plan based on Teach Back method on hemodialysis patients' self-care deficits.
Materials and Methods: In this quasi-experimental study carried out in 2012, thirty-six hemodialysis patients were selected through convenience sampling method from the hemodialysis ward of Birjand Vali-e -asr hospital. Necessary data was collected using self-care deficits questionnaire whose validity had been approved. The questionnaire was filled out through live interview, and an educational plan was carried out using teach-back method considering the deficits diagnosed. One month, after intervention, the questionnaire was filled out again. The obtained data was analysed by means of SPSS software (V: 17) using Wilcoxon test at the significant level P<0.05.
Results: The findings showed that mean of patients' self-care deficits in seven domains before the intervention were 4.05 ± 1.85, 2.19 ± 1.89, 3 ± 2.17, 1.11 ± 1.23, 2.97 ± 1.34, 2.52 ± 2.41, and 2.80 ± 2.68 in nutrition, skin care, activity and rest, elimination, fluid and electrolytes, drug taking, and mental health respectively. But, after the intervention mean self-care deficits in the seven domains changed to 1.97 ± 1.69 (P<0/001), 0.97 ± 1.59 (P<0/001), 1.58 ± 1.71 (P<0.001), 0.30 ± 0.66 (P<0.001), 0.91 ± 1.50 (P<0.001), 2.52 ± 2.41 (P<0.001), and 2.80 ± 2.68 (P<0.001) respectively. The results revealed that the educational plan had been positively effective in patients' self-care deficits.
Conclusion: The present study showed that an educational plan based on Teach-Back method can significantly reduce hemodialysis patients' physical and psychological self-care deficits. Therefore, nurses can apply this educational strategy to improve their health.