Effects of A Nursing Intervention to Control Phosphate in Patients Undergoing Hemodialysis: A Randomized Controlled Trial
Keywords:
nursing intervention to control phosphate, hyperphosphatemia, patients undergoing hemodialysisAbstract
The current research was an experimental research. The objective was to examine the effects of a nursing intervention to control phosphate in patients undergoing hemodialysis on phosphate control adherence behavior and blood phosphate level. The sample group were patients with end-stage chronic kidney disease who receiving hemodialysis. They were randomly assigned to the experimental group and the control group, 36 patients per group. The control group received standard nursing care model while the experimental group received standard nursing care and a nursing intervention tailored for controlling phosphate via the LINE application for a period 12 weeks. The pre- and post-experimental follow-up was done with a phosphate control adherence behavior assessment form by an independent investigator and blood phosphate levels. Data were analyzed using t-tests.
The pre-experimental research results showed that the experimental and control groups had no different characteristics. After the experiment, the phosphate control adherence behavior of the experimental group was significantly higher than the control group (p < .05). The mean blood phosphate level of the experimental group was lower than the control group, but not different. Within the experimental group, the mean phosphate control adherence behavior increased significantly (p < .05). The mean blood phosphate level decreased but was not different. Nurses can use this nursing intervention can be used as a guideline to promote phosphate control adherence behavior to prevent hyperphosphatemia in patients undergoing hemodialysis.
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