Patients with Chronic Kidney Disease Undergoing Hemodialysis: The Effectiveness of a Self-Management Education Program on Self-Care Behaviors in Controlling Hyperphosphatemia
Keywords:
Self-Management, Self-Care Behavior, Chronic Kidney Disease, Hemodialysis, HyperphosphatemiaAbstract
This quasi-experimental one-group pretest-posttest design study aimed to: 1) to compare self-care behaviors in controlling hyperphosphate in chronic renal failure patients undergoing hemodialysis before and after receiving a new self-management education program and 2) to compare the levels of phosphate in the blood of chronic renal failure patients undergoing hemodialysis before and after receiving the program. The sample was 32 patients with chronic renal failure who were selected according to specific qualifications. The research experimental tool were a teaching plan for patients’ self-management, and a manual of self-management for hyperphosphate control. The tool used for data collection was a questionnaire, including demographic data and health status, as well as self-care behavior. The content validity of the questionnaire was verified, obtaining a value of 0.98. Its reliability was tested, yielding a value of 0.86. Data were analyzed using descriptive statistics and paired t-test statistics.
1. After receiving the self-management education program, self-care behavior in controlling hyperphosphate among patients with chronic renal failure undergoing hemodialysis was higher than before (M=3.60, SD=.67, and M =3.21, SD=.94, respectively), with statistical significance, at a level of .01.
2. After receiving the self-management education program, serum phosphate levels in chronic renal failure patients undergoing hemodialysis was lower than before (M=5.13, SD=1.76, and M=5.85, SD=1.33, respectively), with statistical significance, at a level of .05.
Per findings, providing self-management education improved self-care behaviors in controlling hyperphosphatemia among patients with chronic renal failure undergoing hemodialysis. Therefore, nurses can use this program to encourage chronic renal failure patients undergoing hemodialysis, so to comply with phosphate control.
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