Effect of a Mobile Application Health Program on Knowledge, Self-care, and Self-efficacy of Children Undergoing Hemodialysis

Document Type : Original Article

Authors

1 Assistant Professor of pediatric Nursing, Faculty of Nursing, Cairo University, Egypt.

2 Assistant Professor of pediatric Nursing, Faculty of Nursing, Cairo University, Assistant Professor of pediatric Nursing. Faculty of Nursing, Six October University Egypt.

3 Professor of pediatric Nursing, Faculty of Nursing, Cairo University, Egypt, Professor of child Health Nursing, Faculty of Nursing, Badr University in Cairo, Egypt

Abstract

Background: Due to physical restrictions and dependence on others, children undergoing hemodialysis experience a decrease in their self-efficacy and self-care. Aim: assess the impact of a mobile health application program on the knowledge, self-care, and self-efficacy of children undergoing hemodialysis. Design: a pre-posttest quasiexperimental one-group study. Sample: Thirty children receiving HD included in the study as a purposive sample. The study was carried out at El-Monira Children Hospital's Pediatric Nephrology and Transplantation Center. Tools: The first tool is a questionnaire for bio-social data; the second is a children's knowledge questionnaire; the third is a self-care assessment questionnaire; and the fourth is a self-efficacy assessment scale. Results: The knowledge totals mean score of the children under study before, immediately after, and one month after to participating in the mobile application health program showed a very statistically significant difference. The children's overall mean scores before, immediately after, and one month after the intervention on their self-care performance were highly statistically significant (P <0.001). Additionally, the results demonstrated improvement with highly significant statistical difference (P <0.001) in the mean total score of self-efficacy and one month after the intervention compared to before and after program implementation, Conclusions: Educational mobile application health program had positive improvements on children’ knowledge, self-care and self-efficacy over time. Recommendation: Develop mobile apps self-care training courses to increase the levels of knowledge and awareness among children undergoing hemodialysis and improve their self- efficacy.

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