The effect of educational intervention based on encourage autonomous self-enrichment program on dialysis adequacy in patients undergoing hemodialysis

Abstract

Introduction: One of the essential criteria for managing the disease in a hemodialysis patient is the adequacy of dialysis. Patient education, as an alternative method, can be useful to improve the adequacy of dialysis. Objectives: The present study aimed to investigate the effect of educational intervention based on EASE (Encourage Autonomous Self-Enrichment) program on dialysis adequacy in patients undergoing hemodialysis. Patients and Methods: The target population included the patients referred to the hemodialysis ward of Imam Khomeini hospital of Piranshahr. A total of 74 hemodialysis patients were randomly allocated into the intervention (n=37) and the control (n=37) groups. Data collection was conducted using a researcher-made checklist including demographic information and dialysis adequacy. Independent t-test and repeated measures ANOVA were used to test statistical differ. Results: We found a significant difference in dialysis adequacy between the two groups (P<0.05). Furthermore, the difference between the mean scores of dialysis adequacy before and after the intervention was statistically significant in the intervention group. Repeated measures ANOVA at four-time points of pre-test and one month, two months and three months after the intervention showed that the difference in dialysis adequacy mean scores were not similar in the two groups and also showed improvement in dialysis adequacy mean score in the intervention group compared to the control group. Conclusion: Based on the results of our study, EASE program made improvements in dialysis adequacy.