Effectiveness of Family-Centered Care Education in Care Knowledge of Caregivers of Hemodialysis Patients

Narjes Tavakoli, Mohammad Kazem Momeni, H. Sarani, Salehoddin Bouya, J. Imani, H. Askari
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Abstract

Background: Many families of dialysis patients consider the lack of knowledge about the disease and type of care as the main reason for the difficulty in providing effective care to patients. Objectives: The present study aimed to assess the effectiveness of family-centered care education in the care knowledge of caregivers of hemodialysis patients. Methods: This quasi-experimental study was conducted on 80 primary caregivers of hemodialysis patients in two hospitals associated with Zahedan University of Medical Sciences, Zahedan, southeast Iran, in 2021. The family caregivers were randomly assigned to intervention and control groups (40 in each group) using permutation blocks. The experimental group received the family-based training program, and the control group received the usual care plan. The data were collected using the care knowledge questionnaire before and immediately after the intervention. Then, the data were analyzed using the chi-square test, independent t-test, paired samples t-test, and analysis of variance (ANOVA) by SPSS software (version 22) with a significance level of less than 0.05. Results: The mean scores of caregivers’ knowledge in the intervention group before and after the intervention were 10.42 ± 3.23 and 21.47 ± 3.21 (P = 0.001) and in the control group were 11.27 ± 3.90 and 12.45 ± 3.40 (P = 0.12). Furthermore, the results of the independent samples t-test showed that the care knowledge of the participants in the intervention group improved significantly after the intervention (P = 0.001), compared to that of the control group (P = 0.29). The results of ANOVA showed that the mean scores of care knowledge of caregivers in the two groups were significantly different after the intervention (P = 0.001) Conclusions: Providing family-centered care education with the involvement of family caregivers can improve the care knowledge of the caregivers of hemodialysis patients. Given the significant role of caregivers in providing care services to these patients, special attention needs to be paid to the education of caregivers in educational programs.
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以家庭为中心的护理教育对血液透析患者护理人员护理知识的影响
背景:许多透析患者的家庭认为缺乏对疾病和护理类型的了解是难以为患者提供有效护理的主要原因。目的:本研究旨在评估以家庭为中心的护理教育对血液透析患者护理人员护理知识的影响。方法:对伊朗东南部扎黑丹市扎黑丹医科大学附属两家医院2021年80名血液透析患者的主要护理人员进行准实验研究。采用排列块法将家庭照顾者随机分为干预组和对照组(每组40人)。实验组接受基于培训项目,对照组接受常规治疗计划。在干预前和干预后立即使用护理知识问卷收集数据。数据分析采用卡方检验、独立t检验、配对样本t检验和方差分析(ANOVA),采用SPSS (version 22)软件,显著性水平小于0.05。结果:干预组护理者知识得分分别为10.42±3.23分和21.47±3.21分(P = 0.001),对照组护理者知识得分分别为11.27±3.90分和12.45±3.40分(P = 0.12)。此外,独立样本t检验结果显示,干预组参与者的护理知识在干预后显著高于对照组(P = 0.29) (P = 0.001)。方差分析结果显示,干预后两组护理人员护理知识均分差异有统计学意义(P = 0.001)。结论:在家庭护理人员的参与下,开展以家庭为中心的护理教育,可提高血液透析患者护理人员的护理知识。鉴于护理人员在为这些患者提供护理服务方面的重要作用,需要特别注意在教育计划中对护理人员的教育。
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