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Effects of Feedback-Based Self-Care Education and Dicare Software on Dialysis Adequacy in Hemodialysis Patients in selected Hospitals in Kerman
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Elham Vahidi1    , Zahra Farsi *2 , Seyeseh Azam Sajadi3 , Mohsen Torabikhah4 |
1- Critical Care Nursing Department, Nursing School, Aja University of Medical Sciences, Tehran, Iran
2- Research and Ph.D. Nursing Departments, Nursing School, Aja University of Medical Sciences, Tehran, Iran & Nursing School
3- Nursing Management Department, Nursing school, Aja University of Medical Sciences, Tehran, Iran & Nursing School
4- Nursing Department, Registered Nurse, Frimley Health NHS Foundation Trust, United Kingdom |
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Abstract: (286 Views) |
Introduction: Chronic kidney disease is a global public health issue associated with increased costs and mortality. While dialysis extends lifespan, dialysis insufficiency contributes significantly to mortality in hemodialysis patients.
Objective: The aim of this study was to compare the effects of feedback-based self-care education and Dicare software on dialysis adequacy in hemodialysis patients.
Martial and Methods: A randomized clinical trial was conducted in selected Kerman hospitals in 2013-2014, enrolling 60 hemodialysis patients purposefully. Participants were randomly assigned to one of three groups (n=20 each): feedback-based training, training with Diacare software, or a control group. Dialysis adequacy was measured using the Kt/v index and urea reduction ratio (URR) before, immediately after, and 8 weeks after the intervention. Data analysis was performed using SPSS software, with a significance level set at P< 0.05.
Results: At baseline, there were no significant differences in dialysis adequacy (Kt/v: 1.27±0.46, 1.26 ±0.37, and 1.35±0.25; P=0.674) or urea reduction ratio (URR: 0.63±0.11, 0.63±0.10, and 0.68 ± 0.07; P=0.263) among the feedback-based, Dcare software, and control groups, respectively. Immediately post-intervention, a significant difference was observed in Kt/v (1.34±0.15, 1.23±0.21, and 1.41±0.22; P=0.033), but this difference was not sustained at eight weeks (1.29±0.15, 1.24±0.16, and 1.44±0.35; P=0.237). No significant differences in URR were observed immediately post-intervention (0.68±0.04, 0.67±0.12, and 0.69±0.06; P =0.423) or at eight weeks (0.66±0.05, 0.65 ± 0.05, and 0.69 ± 0.07, P=0.581). Furthermore, neither Kt/v (P=0.903) nor URR (P=0.982) changed significantly over time within any of the three groups.
Conclusion: Although modern teaching methods benefit hemodialysis patients, self-care education using feedback and Dcare software did not significantly improve their dialysis adequacy. |
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| Keywords: Adequacy, Application, Adequacy of hemodialysis, Education, Hemodialysis, Self-care, Teach back |
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Full-Text [PDF 702 kb]
(121 Downloads)
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Type of Study: Research |
Subject:
Nursing education
Received: 2025/01/25 | Revised: 2025/02/17 | Accepted: 2025/02/9 | Published: 2025/03/30
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