Comparison of the efficacy of educational materials for chronic kidney disease during outpatient waiting time.

IF 1.1 4区 医学 Q3 UROLOGY & NEPHROLOGY Clinical nephrology Pub Date : 2024-11-01 DOI:10.5414/CN111413
Maiko Kimura, Daisuke Honda, Mizuyo Okura, Yuki Shiko, Yohei Kawasaki, Masashi Aizawa, Katsuhiko Asanuma
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Abstract

Aim: Patient education is crucial for preventing chronic kidney disease (CKD) progression, but adequate educational time is not always available in standard nephrology outpatient clinics. However, usefulness of educational materials provided by healthcare providers in educational settings has been reported. This study aimed to compare the efficacy of pamphlet and video materials in increasing CKD knowledge at a nephrology clinic using waiting time.

Materials and methods: 44 CKD stage 3 - 5 patients were randomly assigned to either pamphlet or video education group, receiving a single session during an outpatient visit. We evaluated the objective CKD knowledge score, perceived kidney disease knowledge score, self-care scores, and amount of estimated salt intake before and after the educational intervention.

Results: In both groups, the educational intervention significantly increased objective and perceived CKD knowledge scores (p < 0.001). No significant differences in increase in total knowledge scores between both groups were observed; however, different educational effects were observed in several individual knowledge items such as urinary protein and CKD stages. In both groups, self-care scores and amount of estimated salt intake did not change significantly before and after the intervention, but amount of estimated salt intake significantly decreased in patients with a history of dietary guidance (p = 0.044).

Conclusion: A single educational session with simple materials during outpatient waiting time at the nephrology clinic visit significantly improved patients' CKD knowledge, and suitable educational methods may differ according to knowledge items. Furthermore, patients who receive dietary guidance with specific instructions might exhibit salt reduction behavior through the use of educational materials.

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门诊候诊期间慢性肾病教育材料的效果比较。
目的:患者教育对预防慢性肾脏病(CKD)进展至关重要,但标准的肾脏病门诊并不总能提供充足的教育时间。不过,有报道称医疗服务提供者在教育环境中提供的教育材料非常有用。本研究旨在比较小册子和视频材料在肾科门诊利用候诊时间增加慢性肾脏病知识的效果。材料和方法:44 名慢性肾脏病 3-5 期患者被随机分配到小册子或视频教育组,在门诊就诊期间接受一次教育。我们评估了教育干预前后的客观肾脏病知识得分、感知肾脏病知识得分、自我护理得分以及估计的盐摄入量:在两组中,教育干预都显著提高了客观的肾脏病知识得分和感知的肾脏病知识得分(P < 0.001)。两组在知识总分的增加上无明显差异;但在尿蛋白和 CKD 分期等几个单项知识上,观察到了不同的教育效果。在干预前后,两组患者的自我护理得分和盐的估计摄入量没有明显变化,但有饮食指导史的患者盐的估计摄入量明显减少(p = 0.044):结论:在肾内科门诊候诊时间进行一次简单材料的教育可显著提高患者的慢性肾脏病知识水平,不同知识项目适合的教育方法可能不同。此外,接受有具体说明的饮食指导的患者可能会通过使用教育材料表现出减盐行为。
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来源期刊
Clinical nephrology
Clinical nephrology 医学-泌尿学与肾脏学
CiteScore
2.10
自引率
9.10%
发文量
138
审稿时长
4-8 weeks
期刊介绍: Clinical Nephrology appears monthly and publishes manuscripts containing original material with emphasis on the following topics: prophylaxis, pathophysiology, immunology, diagnosis, therapy, experimental approaches and dialysis and transplantation.
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