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Information Journal Paper

Title

SELF-EFFICACY FOLLOWING THE SELF-MANAGEMENT TRAINING PROGRAM IN PATIENTS WITH SICKLE CELL DISEASE (24 WEEKS OF FOLLOW-UP)

Pages

 Start Page 12 | End Page 22

Abstract

 Background: Patients with SICKLE CELL disease suffer from various complications during their lifetime and have to adapt themselves to this chronic disease through promoting their SELF-MANAGEMENT and preventing complications of the disease. Chronic disease SELF-MANAGEMENT programs are a combination of strategies that increase self-efficacy and promote SELF-MANAGEMENT behaviors. The present study aimed to determine the effectiveness of SELF-MANAGEMENT programs on self-efficacy in patients with SICKLE CELL disease.Methods: In the present quasi-experimental study, 53 patients with SICKLE CELL disease admitted to the Thalassemia Clinic of Shafa Hospital of Ahwaz entered the study through the census method. The SELF-MANAGEMENT program was implemented in two individual training sessions, a large group training session and two small group training sessions over 12 weeks. The patients' self-efficacy was assessed before the intervention, at the twelfth week and then the thirty-sixth week using the SICKLE CELL self-efficacy scale (SCSES). Data were analyzed in SPSS/19 using descriptive statistics, including the chi-squared test, the t-test and the repeated measures test.Result: The repeated measures test and the analysis of variance showed a significant difference between the overall scores and the scores obtained for the self-efficacy sub-groups in the twelfth week and the thirty-sixth week following the intervention compared to before (P<0.001).Conclusion: The results of this study showed that SELF-MANAGEMENT interventions are effective in promoting self-efficacy in patients with SICKLE CELL disease. The use of SELF-MANAGEMENT programs is therefore recommended for changing behaviors and promoting self-efficacy in these patients.

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