{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T06:59:32Z","timestamp":1780901972898,"version":"3.54.1"},"reference-count":27,"publisher":"Korean Society for Preventive Medicine","issue":"3","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["jpmph.org"],"crossmark-restriction":true},"short-container-title":["JPMPH"],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:p>Objectives: Patients undergoing hemodialysis encounter a wide range of complex challenges, underscoring the essential role of self-care in disease management. The present study aimed to examine the effectiveness of an educational intervention grounded in Orem\u2019s self-care model for enhancing treatment adherence, self-care behaviors, and quality of life among hemodialysis patients in southern Iran.Methods: This single-blind randomized controlled trial included 120 hemodialysis patients who met the predetermined eligibility criteria. Data were collected between April 2023 and August 2023 at 2 university-affiliated teaching hospitals located in southern Iran. After providing informed consent, participants were randomly allocated to either the intervention group (n=60) or the control group (n=60) through a simple randomization procedure. Three psychometrically robust instruments were used to collect data: the End-Stage Renal Disease Adherence Questionnaire, the Kidney Disease Quality of Life Short Form, and the Self-Management Behavior Scale. Statistical analyses were performed using SPSS version 23, and p-values&lt;0.05 were considered statistically significant.Results: At baseline, no statistically significant differences were observed between the intervention and control groups in the mean scores of the measured variables. However, immediately following the intervention and at the 3-month follow-up, the intervention group demonstrated statistically significant improvements across all 3 variables.Conclusions: The findings underscore the effectiveness of an educational program based on Orem\u2019s self-care model in significantly improving self-care behaviors, treatment adherence, and quality of life among hemodialysis patients.<\/jats:p>","DOI":"10.3961\/jpmph.25.727","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T23:20:06Z","timestamp":1770333606000},"page":"249-257","update-policy":"https:\/\/doi.org\/10.3961\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of an Educational Program Based on Orem\u2019s Self-care Model on Treatment Adherence, Self-care Behaviors, and Quality of Life in Hemodialysis Patients in Iran: A Randomized Controlled Clinical Trial"],"prefix":"10.3961","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6069-6465","authenticated-orcid":true,"given":"Samira","family":"Rezaei","sequence":"first","affiliation":[{"name":"Student Research Committee, Fasa University of Medical Sciences, Fasa, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7990-662X","authenticated-orcid":true,"given":"Mostafa","family":"Bijani","sequence":"additional","affiliation":[{"name":"Department of Medical Surgical Nursing, School of Nursing, Fasa  University of Medical Sciences, Fasa, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7345-0796","authenticated-orcid":true,"given":"Azizallah","family":"Dehghan","sequence":"additional","affiliation":[{"name":"Noncommunicable Diseases Research Center (NCDRC), Fasa University of Medical Sciences, Fasa, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3345-0513","authenticated-orcid":true,"given":"Zhila","family":"Fereidouni","sequence":"additional","affiliation":[{"name":"Department of Medical Surgical Nursing, School of Nursing, Fasa  University of Medical Sciences, Fasa, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2350","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfab170"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2023027"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.88"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-024-03530-0"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-023-03336-6"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.3390\/uro1010003"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.88740"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.22087\/ijac.2025.526186.1062"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.18502\/ijph.v51i2.8688"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.61882\/jgbfnm.21.4.2"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.51253\/pafmj.v71i3.3082"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.2147\/IJNRD.S511221"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12191958"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2021.08.007"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1177\/08943184211051369"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.313.7057.570"},{"key":"ref17","first-page":"e93608","volume-title":"Effect of applying self-care Orem model on quality of life in the patient under hemodialysis","author":"Naroie","year":"2011"},{"key":"ref18","first-page":"377","volume-title":"The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): testing the psychometric properties in patients receiving in-center hemodialysis","author":"Kim","year":"2010"},{"key":"ref19","first-page":"278","volume-title":"The association between social-psychological factors and treatment adherence behaviors among maintenance hemodialysis patients in Isfahan, Iran: a conceptual framework based on social cognitive theory","author":"Khalili","year":"2011"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1007\/BF00451725"},{"key":"ref21","first-page":"261","volume-title":"Validity and reliability of the kidney disease quality of life-short form (KDQOL-SFTM 1.3) in Iranian patients","author":"Yekaninejad","year":"2012"},{"key":"ref22","first-page":"13","volume-title":"The relationship between self-care and depression in patients undergoing hemodialysis","author":"Sajjadi","year":"2008"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1590\/1983-1447.2020.20190220"},{"key":"ref24","first-page":"419","volume-title":"Dorthea Orem\u2019s self care theory as related to nursing practice in hemodialysis","author":"Simmons","year":"2009"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.15207\/JKCS.2019.10.6.381"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/1416404"},{"key":"ref27","first-page":"71","volume-title":"Relationship between quality of life and self-care ability in patients receiving hemodialysis","author":"Heidarzadeh","year":"2010"}],"container-title":["Journal of Preventive Medicine and Public 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