Effect of Self Care Empowerment Program on Quality of Life and Functional Independence of the Older Adult Undergoing Hemodialysis

INTERVENTION: Intervention 1: Intervention group:First, quality of life questionnaire, Barthel inde Xand Lawton inde Xwill be provided to the patients, then people with low scores will be selected as samples. The program is supposed to be presented in groups of 3‐4 people. The grouping of the participants will be adjusted based on their opinion to participate in empowerment missions (from Saturday to Wednesday every week). Self‐care empowerment program by holding 6‐8 sessions for the intervention group, each session will be around 60‐70 minutes. In this study, the content of the program will be compiled from a combination of two components, for the empowerment component, the BASNEF model will be used, and for the self��care component, the self‐care questionnaire of patients with chronic kidney failure will be used for needs assessment. The empowerment program for these patients will include diet training, exercise, ways to prevent and control hemodialysis complications, anxiety control, stress management, and self‐care.The training will be held face‐to‐face, discussion and exchange of ideas and using educational media such as video projector and PowerPoint.In the first to third sessions, the importance of changing wrong behaviors and its effects on health and improving the quality of life (belief structures, attitudes, mental norms) will be mentioned.The second session will be held with the presence of a doctor and nurse, and in the third session, a member of the patient's family who lives with him and plays an essential role in the patient's care will also participate.In addition, for the better effectiveness of the empowerment program, a booklet will be given to the family members of the patients. At the end of each session, homework is given to the patients, which includes the ma CONDITION: End–Stage Renal Disease; ESRD. ; Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease I12.0 PRIMARY OUTCOME: Functional Independence score in Barthel index (Basic Activities Daily of Living) and Lawton index (Instrumental Activities Daily of Living). Timepoint: Completing the Barthel index and the Lawton index at the beginning of the study (before the start of the intervention) and one month after the end of the intervention. Method of measurement: Barthel index (Basic Activities Daily of Living) and Lawton index (Instrumental Activities Daily of Living). Quality of life score in SF‐36 questionnaire. Timepoint: Completing the SF‐36 quality of life questionnaire at the beginning of the study (before the start of the intervention) and one month after the end of the intervention. Method of measurement: Quality of life questionnaire SF‐36 (36 Item Health Survey SF‐36). INCLUSION CRITERIA: Be 60 years old or older Si Xmonths have passed since the start of hemodialysis Not suffering from cognitive disorders (based on the AMTS criteria and scoring at least 7 out of 10) To have the ability to communicate and to be able to complete questionnaires Have the ability to participate in the self‐care empowerment program