The Effects of Tailored Dietary Education among Role Failure Hemodialysis Patients on Self-care Compliance, Self-efficacy and Physiologic Indices

Kim, Sangsuk; Choi, Young-Sil

doi:10.7587/kjrehn.2021.46

Cited by 6 publications

(13 citation statements)

References 11 publications

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“…A study that evaluated the impact of pharmaceutical care among 120 patients with pre-dialysis CKD in Pakistan also noted significant knowledge improvement in the intervention group at the end of three months follow-up period [30]. [32]. Further, a prospective, pre-post study that enrolled 64 patients with dialysis CKD in Nepal also reported improved knowledge after pharmacistprovided counselling intervention [33].…”

Section: Discussionmentioning

confidence: 96%

evaluation-of-the-impact-of-clinical-pharmacists-educational-intervention-on-the-knowledge-of-patients-with-chronic-kidney-disease

et al. 2022

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Introduction: Chronic kidney disease (CKD) is a progressive disease associated with high morbidity and mortality at all stages. Objective: To determine the impact of pharmacists' educational interventions on the CKD knowledge and knowledge levels of patients with pre-dialysis CKD, and to identify potential predictors of good CKD knowledge. Method: Two main healthcare facilities in Maiduguri, Nigeria, were the study settings for this randomised, controlled, prospective study with a 12-month follow-up. Participants were randomised to the usual care (UC) and pharmacists' intervention (PI) groups on a 1:1 ratio. The PI group was offered usual care plus face-to-face CKD education and self-management of CKD, an educational CKD infographic leaflet, and telephonic interventions. Categorical data were compared using Chi-square or Fisher exact tests where relevant, while an independent sample T-test was used to compare the mean values of the two study groups. A p-value of less than 0.05 was considered to be statistically significant. Result: Baseline characteristics were similar between the PI (n = 73) and UC (n = 74) patients, although participants in the PI group were significantly more female (71.2% vs. 52.7%; p = 0.021). The overall mean knowledge score of the PI group was significantly higher than the UC group at 6 months (18.9 ± 3.4 vs.14.6 ± 4.4, p < 0.001), and at 12 months (19.5 ± 3.8 vs.16.8 ± 6.0, p < 0.001), respectively. At 6 months, a significant proportion of the participants in the intervention group had high knowledge compared with those in the UC group (16.4% vs. 9.0%, p < 0.001). At the end of the study, the adjusted analysis revealed that those between 40 and 64 years of age (AOR 26.3, and 65 years of age or more (AOR 10.1 95% CI 1.1 -89.7) were more likely to have good CKD knowledge. Also, participants in the intervention group (AOR 2.7, 95% CI1.0 -7.2) had a higher likelihood of having good CKD knowledge. Conclusion: Educational interventions provided by pharmacy students/clinical pharmacists resulted in significant improvements in the CKD knowledge of patients with pre-dialysis CKD.

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Section: Discussionmentioning

confidence: 96%

evaluation-of-the-impact-of-clinical-pharmacists-educational-intervention-on-the-knowledge-of-patients-with-chronic-kidney-disease

et al. 2022

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“…Previous studies utilized single therapies despite the pathophysiological complexity of vascular calcification; therefore, the therapy regimen in this study that combined exercise, dietary restriction, and vascular self-management was designed to comprehensively mediate factors related to vascular calcification in patients receiving hemodialysis. Additionally, given the low rate of self-management of patients receiving hemodialysis [ 18 ], self-monitoring was strengthened to enhance self-efficacy using a practice list to foster self-actualization, and text message support and feedback counseling were included to increase patients’ self-management practice. Therefore, in this study, upper extremity muscle strength and blood flow velocity (as clinical indicators of AVF stenosis), serum calcium and phosphorus (as risk indicators of vascular calcification), and self-efficacy were utilized as variables to understand the effects of the AVF program.…”

Section: Discussionmentioning

confidence: 99%

“…Blood calcium and phosphorus levels were measured using the results of routine monthly testing performed in a hemodialysis room. In patients receiving hemodialysis, the normal range for serum calcium is 8.5 to 10.2 mg/dL, and it is 3.5 to 5.5 mg/dL for serum phosphorus [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…Vascular calcification, which causes AVF stenosis, is common in these patients, with risk factors including sex, age, underlying disease, dialysis period, AVF type, and blood calcium and phosphorus levels [ 16 ]. Vascular calcification can be controlled by maintaining stable levels of calcium and phosphorus in the blood through dialysis while also incorporating exercise therapy and a healthy diet [ 17 , 18 ]. Education combined with exercise and diet increases the size and blood flow of AVFs and prevents hyperphosphatemia [ 11 , 15 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, muscle exercise using a gripper is more effective in increasing the venous size and blood flow of an AVF than simple repetitive training using a rubber ball with low elasticity [ 24 ]. Kim and Choi [ 18 ] also conducted a survey on a phosphorus-restricted diet and related patient knowledge and self-monitoring of one’s eating habits using a journal; their intervention also involved diet education and counseling to demonstrate the effects of calcium and phosphorus levels.…”

Section: Introductionmentioning

confidence: 99%

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Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis

Lee

Baek

Lee³

2023

PHRP

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Objectives: To increase the efficiency of hemodialysis, an appropriate vascular pathway must be created, and its function must be maintained. This study aimed to identify the effects of an arteriovenous fistula (AVF) stenosis prevention program on upper muscular strength, blood flow, physiological indexes, and self-efficacy among patients receiving hemodialysis.Methods: The participants were patients receiving hemodialysis at Keimyung University Dongsan Medical Center in Daegu, Republic of Korea. They were divided into experimental and control groups based on the day of the week they received hemodialysis at the outpatient department and included 25 participants each. The study was conducted for 8 weeks.Results: The AVF stenosis prevention program was effective in improving upper extremity muscle strength (F=15.23, p<0.001) and blood flow rate (F=36.00, p<0.001). As a result of the program, the phosphorus index level, which is a physiological indicator in hemodialysis patients, decreased (F=8.64, p<0.001). Encouragement and support through text messages and practice lists also resulted in an increase in self-efficacy (F=18.62, p<0.001).Conclusion: The AVF stenosis prevention program in this study resulted in an increase in upper extremity muscle strength through grip strength exercises and was effective in preventing AVF stenosis by increasing the blood flow rate.

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The Effects of a Tailored Dietary Education Program for Older Adult Patients on Hemodialysis: A Preliminary Study

Park,

Choi

2023

Healthcare

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This study aimed to investigate the overall effects of a tailored dietary education program for older adult patients on hemodialysis (HD) based on self-efficacy theory, dietary knowledge and habits, nutritional intake, and biochemical parameters. A nonequivalent control group pre-test–post-test design was conducted for 8 weeks. The experimental and control groups received a weekly nutritional program and standard nursing care with an additional educational session, respectively. A clinical survey was conducted before and after the intervention. After the intervention, self-efficacy, dietary knowledge, and dietary habits were higher in the experimental group than in the control group. Moreover, carbohydrate, phosphorus, and sodium intake significantly decreased post-intervention in the experimental group but not in the control group. The dietary education program for older HD patients showed positive effects on boosting their self-efficacy, increasing dietary knowledge, improving dietary habits, and decreasing carbohydrate, calcium, phosphorus, and sodium intake.

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The Effects of Tailored Dietary Education among Role Failure Hemodialysis Patients on Self-care Compliance, Self-efficacy and Physiologic Indices

Cited by 6 publications

References 11 publications

evaluation-of-the-impact-of-clinical-pharmacists-educational-intervention-on-the-knowledge-of-patients-with-chronic-kidney-disease

evaluation-of-the-impact-of-clinical-pharmacists-educational-intervention-on-the-knowledge-of-patients-with-chronic-kidney-disease

Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis

The Effects of a Tailored Dietary Education Program for Older Adult Patients on Hemodialysis: A Preliminary Study

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