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A PRECEDE-PROCEED-based educational program: enhancing self-care and quality of life with implications for
Elly Lilianty Sjattar1, Andina Setyawati1, Aulia Insani Latif1
1Department of Medical and Surgical Nursing, Faculty of Nursing, Hasanuddin University, Makassar, South Sulawesi, Indonesia.
Objective:
This study evaluated the effectiveness of a health education program based on the PRECEDE-PROCEED model in improving self-care, QOL, and biochemical outcomes among HD patients in Indonesia.
Methods:
A quasi-experimental study was conducted involving 90 HD patients allocated to intervention (n = 45) and control (n = 45) groups using a systematic assignment approach. The intervention group received an eight-session PRECEDE-PROCEED-based education program over 4 weeks, while the control group received standard care. Self-care was measured using the Chronic Kidney Disease Self-Management (CKDSM) Questionnaire, QOL was assessed using the SF-36, and biochemical outcomes were evaluated via serum urea and creatinine levels. Data were analyzed using appropriate parametric and non-parametric statistical tests, and effect sizes were calculated using Cohen's d.
Results:
Post-intervention, the intervention group showed significantly greater improvements in self-care (mean difference = 18.33; p < 0.001), QOL (mean difference = 17.25; p < 0.001), and reductions in urea and creatinine levels (p < 0.001 and p = 0.006, respectively), compared to the control group. Large effect sizes were observed for self-care and QOL.
Conclusion:
The PRECEDE-PROCEED-based educational intervention was associated with improvements in self-care and quality of life, and with favorable short-term changes in selected clinical outcomes among patients undergoing hemodialysis.
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