The effect of Self-Management Training on Self-Efficacy of Cirrhotic Patients Referring to Transplantation Center of Nemazee Hospital: A Randomized Controlled Clinical Trial.
Parisa Mansouri, Maryam Ghadami, Seid Saeed Najafi and 1 others
PMID 28698885WHAT IT FOUND
A six-session self-management training program significantly improved self-efficacy scores in patients with liver cirrhosis compared to routine care.
Benefits persisted one month after the intervention ended, with notable gains in stress reduction, decision-making, and positive attitude.
Key findings
01Self-management training led to statistically significant increases in total self-efficacy scores immediately after the intervention and one month later compared to the control group.
02The intervention group showed significant improvements in all subscales of self-efficacy, including stress reduction, decision-making, and positive attitude, while the control group showed no significant change.
03The training consisted of six 90-minute sessions covering disease management, problem-solving, cognitive-behavioral techniques, and relaxation methods, with family members involved to facilitate learning.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study had a small sample size, which may limit the generalizability of the findings. The follow-up period was short (one month), so long-term effects of the intervention are unknown. The study was conducted in a single center in Iran, which may affect the applicability of results to other cultural or healthcare settings. Blinding of participants and providers was not possible due to the nature of the educational intervention.
Declared interests
No specific funding sources or conflicts of interest were declared in the provided text.
The easy way to misread this
Do not assume this program improves clinical outcomes like survival or hospitalization rates. The study only measured self-efficacy, which is a patient's confidence in managing their condition, not a direct physiological or health outcome.