Effect of Applying 5A’s Model on Self-Care Efficacy and Dependency Level among Patients with Liver Transplantation.

Mohamed Abdelrahman, Basma; Atta Mohammed, Wafaa; Fathy Mohey El-Deen, Hedya

doi:10.21608/jnsbu.2025.446467

Effect of Applying 5A’s Model on Self-Care Efficacy and Dependency Level among Patients with Liver Transplantation.

Authors

Assistant Professor of Community Health Nursing, Faculty of Nursing, Benha University, Egypt

10.21608/jnsbu.2025.446467

Abstract

Background: Liver transplantation operation encompasses a critical period in the patient’s life which comes with an increase in the risk of poor health outcomes, so self-efficacy plays a crucial role in shaping self-management behaviors. Aim: This study aimed to evaluate the effect of applying 5A’s model on self-care efficacy and dependency level among patients with liver transplantation. Design: A quasi-experimental research design was operated in this study. Setting: The study was done at the Outpatient Clinic within liver transplantation unit of the National Liver Institute affiliated to Menoufia University, Egypt. Sample: Purposive sample of 64 patients with liver transplantation were included. Tools: Three tools were used; I: A structured interviewing questionnaire to assess patients’ sociodemographic characteristics, previous and current medical history, knowledge and reported practices toward liver transplantation. II: Barthel index scale to assess patients’ dependency level in performing activities of daily living. III: Chronic disease self-efficacy scales to assess patients’ self-care efficacy regarding liver transplantation. Results: A statistically significant difference on the patients’ total levels of knowledge, reported practices, dependency of activities of daily living activities and self-care efficacy was observed post one and 3 months of 5A’s model application. Conclusion: 5A’s model application raised the studied patients’ total levels of knowledge, reported practices, dependency in performing activities of daily living and self-care efficacy regarding liver transplantation. Recommendations: Continuous application of 5A’s model for patients with liver transplantation to enhance their dependency level in performing activities of daily living and self-care efficacy in different settings.

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