Introduction: Hemodialysis (HD) patients encounter several challenges. They require strong
attention to behavioral and lifestyle changes.
Objectives: The purpose of this study was identifying factors that influence the improvement
of self-management behavior in a group of HD patients.
Patients and Methods: This is a cross-sectional survey conducted with participation of 420
patients in HD centers in Urmia University of Medical Sciences in 2017. For data collection, a
self-designed questionnaire was designed.
Results: The most important factors which are effective to improve self-management behavior
were related to psychosocial support (4.66), patient education and empowerment programs
(4.58), religious beliefs (4.50), active participation of family members (4.43), expanding
role providers for self-management patient (4.36), and patient literacy and readiness (4.30)
Conclusion: For the promotion of self-management behavior, healthcare providers should
increase the abilities of patients for disease management. Therefore, it seems that selfmanagement
training for HD patients is a crucial element of the care process.