Effect of Educational Intervention on Knowledge and Level of Adherence among Hemodialysis Patients: A Randomized Controlled Trial.

IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Health Epidemiology and Genomics Pub Date : 2023-01-01 DOI:10.1155/2023/4295613

Brayal Dsouza, Ravindra Prabhu, B Unnikrishnan, Sudarshan Ballal, Suneel C Mundkur, Varalakshmi Chandra Sekaran, Avinash Shetty, Paulo Moreira

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引用次数: 4

Abstract

Purpose: The purpose of the study was to assess the impact of an educational intervention on the level of knowledge and adherence to the treatment regimen among hemodialysis (HD) patients as well as to describe the association between these variables.

Methods: In this randomized controlled trial, 160 HD patients at an HD centre of a 2030-bed tertiary teaching hospital in Southern India were randomly assigned into intervention (N = 80, received education and a booklet) and control (N = 80, received standard care) groups. Knowledge and adherence were measured preintervention and postintervention using a validated questionnaire for knowledge and the ESRD-AQ (End-Stage Renal Disease Questionnaire) for the level of adherence. The statistical analysis of the data was performed with the help of the Statistical Program SPSS version 19.0. The statistical significance level was set at 0.05.

Results: The increase in knowledge on disease management, fluid adherence, and dietary adherence in the intervention group was significantly higher compared to the control group. There was no significant correlation between knowledge and adherence. Adherence improved for all the domains, i.e., dialysis attendance, episodes of shortening, adherence to medication, fluid restriction, and dietary restriction. Adherence to fluid and dietary restriction was statistically significant. This trail is registered with https://clinicaltrials.gov/ct2/show/CTRI/2018/05/014166.

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教育干预对血液透析患者知识和依从性的影响:一项随机对照试验。

目的:本研究的目的是评估教育干预对血液透析(HD)患者的知识水平和治疗方案依从性的影响，并描述这些变量之间的关联。方法:在这项随机对照试验中，印度南部一家拥有2030个床位的三级教学医院的HD中心的160名HD患者被随机分为干预组(N = 80，接受教育和一本小册子)和对照组(N = 80，接受标准治疗)。采用有效的知识问卷和终末期肾病问卷(ESRD-AQ)测量干预前和干预后的知识和依从性水平。使用SPSS 19.0版统计软件对数据进行统计分析。统计学显著性水平设为0.05。结果:干预组在疾病管理知识、液体依从性和饮食依从性方面的增加明显高于对照组。知识与依从性无显著相关。所有领域的依从性都得到改善，即透析出席率、缩短发作、药物依从性、液体限制和饮食限制。坚持饮水和饮食限制有统计学意义。这条线索注册在https://clinicaltrials.gov/ct2/show/CTRI/2018/05/014166上。

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