The effectiveness of training based on Bandura’s self-efficacy theory on hemodialysis patients’ resilience during the COVID-19 outbreak: A quasi-experimental study

The COVID-19 outbreak has caused many psychological problems among different groups of society, particularly hemodialysis patients. There is little data on the benefits of resilience as a protective factor for adaptation to specific and threatening situations in such patients. Hence, this study aimed to examine the effects of training based on Bandura’s self-efficacy theory on the resilience of hemodialysis patients in the southeast of Iran in 2020 during the COVID-19 outbreak.

This quasi-experimental study was conducted on 140 hemodialysis patients in southeast Iran. The participants were selected by convenient sampling and randomly assigned to control (n = 70) and experimental (n = 70) groups. Educational content was provided over ten sessions of face-to-face 20-30 minutes to the experimental group, and the control group received routine training. Data were collected via the Connor-Davidson Resilience Scale and analyzed by SPSS version 16 using descriptive and inferential statistics.

The mean resilience scores in the experimental and control groups before the intervention were 51.94 ± 11.11 and 53.79 ± 16.04, and after the intervention, 53.27 ± 10.39 and 73.86 ± 13.16, respectively. There was a significant difference between the two groups after the intervention (P < 0.05).

The findings denote the self-efficacy training program based on Bandura’s theory improved resilience in the patients undergoing hemodialysis during the COVID-19 outbreak. Hence, nursing planners and policymakers are recommended to develop some measures for facilitating self-efficacy training programs for hemodialysis patients.