Mohadeseh Setayesh, Mahlagha Dehghan, Alireza Malakotikhoh, Mansooreh Azzizadeh forouzi
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Mohadeseh Setayesh1, Mahlagha Dehghan2, Alireza Malakotikhoh3, Mansooreh Azzizadeh forouzi4*
1Medical Surgical Nursing, Nursing Research Center, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
2Nursing Research Center, Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
3Nursing Research Center, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
4Nursing Research Center, Department of Medical Surgical Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Volume - 11,
Issue - 2,
Year - 2021
Background and Objective: Hemodialysis is the most common way to replace kidney function for patients with advanced kidney disease and it also needs their adherence to therapeutic regimen. Attitudes and behaviors of adherence to therapeutic regimen may have different consequences for patients and education can play an important role. The aim of this research was to study the effect of an educational program on attitudes and behaviors toward adherence to therapeutic regimen among hemodialysis patients. Methods: This study was a clinical trial, and the sample consisted of 60 patients (30 patients in each group) who assigned randomly into two groups (intervention or control). The data collection tools including demographic form, RAAQ (Renal Adherence Attitude Questionnaire) and RABQ (Renal Adherence Behavior Questionnaire), were completed with repeated measurements before, one month and three months after education. The SPSSv19 and (Mean, standard deviation, paired t test and repeated measures test were used for data analysis. Level of significance was considered 0.05. Results: In the intervention group, the mean scores of attitudes toward adherence to the therapeutic regimen increased towards the good range (113.68 - 155) one and three months after the intervention 124.23 ± 10.57, 113.83 ± 10.22, respectively. Finding regarding behaviors to ward adherence toward adherence to the therapeutic regimen showed in the intervention group, the mean scores of behaviours in one and three months after the intervention were significantly higher than before the intervention (P < 0.001). there was no significant difference in laboratory tests before and after education. Conclusion: the education program was effective on attitudes and behaviors of adherence to therapeutic regimen but not on the laboratory indices. Therefore, it is advised to develop the education program for patients under hemodialysis continually and design the content in order to see this effect on laboratory indices as well.
Cite this article:
Mohadeseh Setayesh, Mahlagha Dehghan, Alireza Malakotikhoh, Mansooreh Azzizadeh forouzi. Effect of an Educational Program on Attitudes and Behaviors toward Adherence to Therapeutic Regimen among Hemodialysis Patients: A Randomized Clinical Trials. Asian J. Nursing Education and Research. 2021; 11(2):163-168. doi: 10.5958/2349-2996.2021.00041.0
Mohadeseh Setayesh, Mahlagha Dehghan, Alireza Malakotikhoh, Mansooreh Azzizadeh forouzi. Effect of an Educational Program on Attitudes and Behaviors toward Adherence to Therapeutic Regimen among Hemodialysis Patients: A Randomized Clinical Trials. Asian J. Nursing Education and Research. 2021; 11(2):163-168. doi: 10.5958/2349-2996.2021.00041.0 Available on: https://ajner.com/AbstractView.aspx?PID=2021-11-2-1
1. Fuladvandi M, Alinejad M, Asadabadi A, Malekian L. Effect of adaptation program on accordance with stressors related to disease and quality of life in patients on the hemodialysis in bam pastor hospital 2014. Int J Biol Pharm Allied Sci. 2015;4(6):3903–15.
2. Davis RM, Wagner EH, Groves T. Managing chronic disease. BMJ. 1999 Apr 24;318(7191):1090–1.
3. Amini Z, Fazel A, Zeraati A, Esmaeili H. he Effect of Care Plan Based on the Roy Adaptation Model on Activities of Daily Living of hemodialysis Patients. J north khorasan Univ Med Sci. 2012;4(2(12)):145-154 (In Persian).
4. Abraham S, Ramachandran A, Raman S, Venu A, Chandran P. Assessment of quality of life in patients on hemodialysis and the impact of counseling. Saudi J Kidney Dis Transplant. 2012;23(5):953.
5. Wells SA. Determinants of adherence to living on dialysis for Mexican Americans. SAGE Open. 2015;5(1).
6. Nemadi VM, Movahhedpour A. Comparing Quality of life patients treated with hemodialysis and kidney transplant in the centers of Ardebil. J Ardabil Univ Med Sci. 2009;9(2):171-179 (In Persian).
7. Daugirdas JT, Finn WF, Emmett M, Chertow GM. The Phosphate Binder Equivalent Dose. Semin Dial. 2011;24(1):41–9.
8. Denhaerynck K, Manhaeve D, Dobbels F, Garzoni D, Nolte C, De Geest S. Prevalence and consequences of nonadherence to hemodialysis regimens. Am J Crit Care. 2007;16(3):222–36.
9. Alikari V, Matziou V, Tsironi M, Theofilou P, Zyga S. The Effect of Nursing Counseling on Improving Knowledge, Adherence to Treatment and Quality of Life of Patients Undergoing Hemodialysis. Int J Caring Sci. 2015;8(2):514–8.
10. Iranian Annual Dialysis Data Report, 2016. Iranian Consortium of Dialysis. 2017;7–9.
11. Thomas D, Joseph J, Francis B, Mohanta GP. Effect of patient counseling on quality of life of hemodialysis patients in India. Pharm Pract (Granada). 2009;7(3):181–4.
12. Rushe H, Mcgee HM. Assessing adherence to dietary recommendations for hemodialysis patients: The Renal Adherence Attitudes Questionnaire (RAAQ) and the Renal Adherence Behaviour Questionnaire (RABQ). J Psychosom Res. 1998;45(2):149–57.
13. Sud M, Tangri N, Pintilie M, Levey AS, Naimark DMJ. ESRD and death after heart failure in CKD. J Am Soc Nephrol. 2015;26(3):715–22.
14. Tareen N, Zadshir A, Martins D, Pan D, Nicholas S, Norris K. Chronic kidney disease in African American and Mexican American populations. Kidney Int Suppl. 2005;68(97).
15. Kim Y, Evangelista LS, Phillips LR, Pavlish C, Kopple JD. The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): testing the psychometric properties in patients receiving in-center hemodialysis. Nephrol Nurs J. 2010;37(4):377–93.
16. Moonaghi HK, Hasanzadeh F, Shamsoddini S, Emamimoghadam Z, Ebrahimzadeh S. A comparison of face to face and video-based education on attitude related to diet and fluids: Adherence in hemodialysis patients. Iran J Nurs Midwifery Res. 2012;17(5):360.
17. Parvan K, Hasankhani H, Seyyedrasooli A, Riahi SM, Ghorbani M. The effect of two educational methods on knowledge and adherence to treatment in hemodialysis patients: clinical trial. J Caring Sci. 2015;4(1):83–93.
18. Tahery N, Razavi Zadegan M, Kaiali M, Rashidi M, Yaghoobi M, Shirzaei K KZ. Importance of Patient education according Abadan nursing students’ opinions. Mod Care J. 2011; 8:100–6.
19. Deif HI, Elsawi K, Selim M, NasrAllah MM. Effect of an Educational Program on Adherence to Therapeutic Regimen among Chronic Kidney Disease Stage5 (CKD5) Patients under Maintenance Hemodialysis. J Educ Pract. 2015;6(5):21–33.
20. Hasanzadeh F, Shamsoddini S, Moonaghi HK, Ebrahimzadeh S. A Comparison of Face to Face and Video-based Education on Attitude Related to Diet and Fluids Adherence in Hemodialysis Patients. QHMS. 2011 Oct 1;17(3):34-43 (In Persian).
21. Asgari P, Bahramnezhad, Fatemeh, Zolfaghari M, Farokhnezhad Afshar P. A comparison of the impact of family-centered and patient-centered education methods on attitude toward and adherence to diet and fluid restriction in hemodialysis patients. Med - Surg Nurs J. 2015;3(4):195–202.
22. Zolfaghari M, Sookhak F, Asadi Noughabi A, Haghani H. Effect of cognitive-behavioral intervention on adherence to dietary and fluid-intake restrictions in hemodialysis patients. J-Nurs-Edu. 2013 Nov 1;2(3):9-17 (In Persian).
23. Merghati, Seyedeh Zahra, Hemmati M, Didarloo A, Gharehaghaji R. Assessment of the Effect of Basnef Model Based Education on the Attitudes, Subjective Norms, Behavioral Intention and Enabling Factors Regarding Healthy Lifestyle in Patients with Heart Failure. J Urmia Nurs Midwifery Fac. 2017;14(10):87 (In Persian).
24. Shabbidar S, Fathi B. Effects of nutrition education on knowledge and attitudes of type 2 diabetic patients. J Birjand Univ Med Sci. 2007;14(1 (30)):31-36 (In Persian).
25. Barnett T, Li Yoong T, Pinikahana J, Si-Yen T. Fluid compliance among patients having haemodialysis: Can an educational programme make a difference? J Adv Nurs. 2008;61(3):300–6.
26. Liu L, Liu YP, Wang J, An LW, Jiao JM. Use of a knowledge-attitude-behaviour education programme for Chinese adults undergoing maintenance haemodialysis: Randomized controlled trial. J Int Med Res. 2016;44(3):557–68.