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Submitted: 09 Dec 2019
Accepted: 20 Oct 2021
ePublished: 24 Apr 2022
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J Renal Inj Prev. Inpress.
doi: 10.34172/jrip.2022.15657
  Abstract View: 847

Original

The effect of educational intervention based on encourage autonomous self-enrichment program on dialysis adequacy in patients undergoing hemodialysis

Hossein Jafarizadeh 1 ORCID logo, Yaser Moradi 1 ORCID logo, Javad Rasouli 2 ORCID logo, Naseh Khezrzadeh 3* ORCID logo

1 Patient Safety Research Center, Clinical Research Institute, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2 Department of Epidemiology and Biostatistics, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
3 Nursing and Midwifery School, Urmia University of Medical Sciences, Urmia, Iran
*Corresponding Author: *Corresponding authors: Naseh Khezrzadeh, Email: Nasehk00@gmail.com, , Email: khezrzadeh.n@umsu.ac.ir

Abstract

Introduction: One of the essential criteria for managing the disease in a hemodialysis patient is the adequacy of dialysis. Patient education, as an alternative method, can be useful to improve the adequacy of dialysis.

Objectives: The present study aimed to investigate the effect of educational intervention based on EASE (Encourage Autonomous Self-Enrichment) program on dialysis adequacy in patients undergoing hemodialysis.

Patients and Methods: The target population included the patients referred to the hemodialysis ward of Imam Khomeini hospital of Piranshahr. A total of 74 hemodialysis patients were randomly allocated into the intervention (n=37) and the control (n=37) groups. Data collection was conducted using a researcher-made checklist including demographic information and dialysis adequacy. Independent t-test and repeated measures ANOVA were used to test statistical differ.

Results: We found a significant difference in dialysis adequacy between the two groups (P<0.05). Furthermore, the difference between the mean scores of dialysis adequacy before and after the intervention was statistically significant in the intervention group. Repeated measures ANOVA at four-time points of pre-test and one month, two months and three months after the intervention showed that the difference in dialysis adequacy mean scores were not similar in the two groups and also showed improvement in dialysis adequacy mean score in the intervention group compared to the control group.

Conclusion: Based on the results of our study, EASE program made improvements in dialysis adequacy.


Implication for health policy/practice/research/medical education:

The EASE (encourage autonomous self-enrichment) program can be useful as a method of patient education in hemodialysis wards to reduce costs and improve the quality of care and dialysis adequacy.

Please cite this paper as: Jafarizadeh H, Moradi Y, Rasouli J, Khezrzadeh N. The effect of educational intervention based on encourage autonomous self-enrichment program on dialysis adequacy in patients undergoing hemodialysis. J Renal Inj Prev. 2022; 11(x): 15657. doi: 10.34172/jrip.2022.15657.

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