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EFFECT OF SELF MANAGEMENT PROGRAMS ON DIETARY ADHERENCE AND INTERDIALYTIC WEIGHT GAIN IN PATIENTS UNDERGOING HEMODIALYSIS.

医学 血液透析 透析 自我管理 干预(咨询) 经济短缺 物理疗法 描述性统计 体重增加 饮食限制 考试(生物学) 重症监护医学 内科学 护理部 体重 政府(语言学) 古生物学 哲学 机器学习 统计 生物 语言学 计算机科学 数学
作者
ES Baljani,Hossein Habibzadeh,Jaleh Rahimi,Afsaneh Azimpour,S H Salimi
出处
期刊:Journal of Urmia Nursing and Midwifery Faculty 卷期号:11 (4)
链接
摘要

Poor adherence to dietary among dialysis patients is a common and serious problem among patients. Despite of the effectiveness of self-management programs in chronic diseases, few studies have been conducted in the importance of self-management programs in patients treated with hemodialysis. This study tries to determine the effect of self-management programs on dietary adherence and interdialytic weight gain in patients undergoing hemodialysis. Materials & Methods: This is a quasi -experimental study. The sample included 82 hemodialysis patients referred to Taleghani dialysis center, Urmia. Eligible patients were randomly divided into two groups, control and experimental. Data were obtained by using a demographic data form, and Renal Adherence Behavior Questionnaire before and after ˺˻weeks of intervention and they were analyzed by using descriptive statistics, paired t-test and independent samples t-test. Results: There were no statistically significant differences Pre-test mean scores for adherence to dietary and fluid restriction and IDWG in both intervention and control groups. There was a significant difference between the experimental and control groups in terms of pre-to post-intervention changes in sub scale fluid restriction adherence potassium phosphate and sodium restrictions (p<0/05) but there were no statistically significant differences in sub scale of self-care and adherence in particular times. Conclusion: The results of this study showed the impact of self-management programs on controlling the disease in hemodialysis patients. Due to the shortage nursing staff, and the importance of participating patients in the management of chronic diseases, developing self-management programs can be an alternative to the traditional training methods as well as the mentioned challenges

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