The effect of teach-back versus pictorial image educational methods on knowledge of renal dietary restrictions in elderly hemodialysis patients with low baseline health literacy

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY Hemodialysis International Pub Date : 2023-10-09 DOI:10.1111/hdi.13114

Mohammad Sadegh Mozafari, Fereshteh Besharati, Parand Pourghane, Bahareh Gholami-Chaboki

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Abstract

Introduction

Adherence to renal dietary restrictions is an important method for minimizing complications in dialysis patients. This study aimed to investigate the effect of teach-back versus pictorial image educational methods on knowledge of renal dietary restrictions among elderly hemodialysis patients in Iran. Selected markers of diet and kidney function were also measured.

Methods

Sixty-nine elderly hemodialysis patients with a low level of health literacy were randomly divided into three groups: pictorial image education, teach-back education, and usual care (controls). The intervention groups received diet education comprising four 20–30 min sessions. Subsequently, nutrition knowledge was assessed in each of the three groups by questionnaire before and 2 months after the intervention. Blood laboratory indices were obtained from the patients' medical records and compared before and 2 months after the educational intervention.

Findings

There were significant differences in the mean nutritional knowledge scores between the two intervention groups and the controls (p < 0.001). Nutrition knowledge scores were higher after educational sessions incorporating images compared to those using a teach-back strategy.

Discussion

Nutrition educational strategies utilizing either pictorial images or teach-back techniques increased knowledge relating to renal nutrition.

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在基线健康素养较低的老年血液透析患者中，背授与图像教育方法对肾脏饮食限制知识的影响。

引言：坚持肾脏饮食限制是减少透析患者并发症的重要方法。本研究旨在调查在伊朗老年血液透析患者中，图像教学法与图像教学法对肾脏饮食限制知识的影响。还测量了选定的饮食和肾功能标志物。方法：将69名健康文化水平较低的老年血液透析患者随机分为三组：形象教育组、教返教育组和日常护理组（对照组）。干预组接受了包括四个20-30岁的饮食教育分钟会话。随后，在干预前和干预后2个月，通过问卷调查对三组的营养知识进行评估。从患者的医疗记录中获得血液实验室指标，并在教育干预前和教育干预后2个月进行比较。结果：两个干预组的平均营养知识得分与对照组相比有显著性差异（p 讨论：营养教育策略利用图片或教学技术增加了与肾脏营养有关的知识。

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.