Effect of Educational Intervention on Adherence of Treatment in Hemodialysis Patients

Abstract

Background: Adherence to treatment plans and prescribed drugs is considered an important challenge in chronic patients, and non-adherence to the treatment plan in these patients causes worsening of the condition of the disease and a decrease in their quality of life. Therefore, this study was conducted with the aim of determining the effect of self-care program training on treatment compliance in hemodialysis patients. Methods: The present study was a Quasi-experiment study in which all eligible patients of the hemodialysis department of Sanandaj were selected by census method in two intervention and control groups. In two groups, before and one month after the intervention, a demographic questionnaire and a questionnaire of adherence to the treatment of kidney patients were completed. The intervention included three training sessions as well as a training booklet for the ward. But in the control group, the patients received the necessary care according to routine. Data were analyzed using spss-16 software and descriptive tests and Wilcoxon and Mann-Whitney non-parametric tests. Results: The results of the study showed that the average age and standard deviation of the participants was 51.71±15.85 years and the participants were homogenous in both groups. The average total score of treatment adherence in the intervention group increased from 93.03±12.77 before the intervention to 105.23±24.39 after the intervention (P<0.05); However, in the control group before and after the intervention, the results of the Wilcoxon test did not show a significant difference. Conclusion: The program training and training for patients has led to an increase in patients’ awareness, improved patient care, and comprehensively and accurately points out all the information related to the patient’s condition, and provides them with the opportunity to ask and answer questions with nurses.