Effectiveness of a nurse‐led intensive educational programme on chronic kidney failure patients with hyperphosphataemia: randomised controlled trial

Abstract

Chronic kidney failure patients with hyperphosphataemia are more likely to benefit from nurse-led intensive educational programmes.

Hyperphosphatemia in Hemodialysis Patients: Can an Educational Intervention Make a Difference?

“…The effectiveness of a nurse-led educational intervention was also demonstrated by a recent study by Shi et al (2013) that sought to determine the effect of an educational intervention on the knowledge of phosphorus and the management of hyperphosphatemia in patients with CKD. In that study, the knowledge score of the experimental group increased significantly (F= 207.44, p < 0.001) vs. (F= 37.98, p < 0.001) in the control group post nurse-led educational intervention.…”

“…Educating patients on dietary phosphorus control is especially important in light of studies such as Cupisti et al, (2010) which showed that phosphorus knowledge of hemodialysis patients is low in comparison to their knowledge of other nutrients such as protein and potassium. Furthermore various studies continue to show that due to the significant consequences of hyperphosphatemia, individualized and ongoing patient education is necessary to decrease this abnormality and its associated high mortality risk in hemodialysis patients (Shi et al, 2013;Satoh et al, 2009;Sandlin, Bennet, Ockerby & Corradini, 2013, Baldwin, 2013.…”

“…Kidney disease is a worldwide phenomenon affecting as many as 6-18% of people globally (Jha et al, 2013 (Shi et al, 2013). In patients with ESRD stages 3 and 4 who must obtain treatment for their failed kidneys, hemodialysis is the most common method of obtaining renal replacement treatment (Idier, Untas, Koleck, Chauveau & Rascle, 2011).…”

“…Obtaining and maintaining the serum phosphate level within recommended parameters is therefore vital in the treatment of ESRD patients on hemodialysis. Since the kidneys have lost their ability to successfully filter out excess phosphorus, HD patients depend on other means of controlling serum phosphate: 1) removal of serum phosphate during dialysis treatments, 2) phosphorus diet control and 3) the use of phosphorus binders (Shi et al, 2013;Satoh et al, 2009).…”

Health technology assessment of hyperphosphatemia management among hemodialysis patients in Lebanon

“…First, NEMO was implemented within the national health care setting, rather than operating in the idealized experimental environment, consequently generating "real life" useful and practical data [57]. Second, few specific exclusion criteria were applied, and the participants shared characteristics common to hyperphosphatemic hemodialysis patients reported from other areas of the world [7,[58][59][60][61][62][63]. These factors suggest that the results of this study are likely to be generalizable to this patient population.…”