Abstract
Background: The quality of life of patients undergoing hemodialysis is lower; to improve their living conditions, patients need further training. This study conducted to compare the effectiveness of two methods of text messaging and face to face education on knowledge and quality of life of patients under hemodialysis. Methods: Undergoing in a clinical trial study, 60 patients undergoing hemodialysis in Sina-teaching hospital of Tabriz, Iran were selected by convenience sampling and randomly allocated into three groups: two intervention groups: text massaging (P=20), face to face group (n=20) and one control group (n=20). Their knowledge and quality of life were assessed and compared by Chronic Hemodialysis Knowledge Survey (CHeKS) and Kidney Disease Quality of Life-short form (KDQOL-SF) questionnaires. Data were analyzed by SPSS version 13. Results: After intervention, the knowledge of text messaging and face to face groups were significantly more than the control group, but the quality of life scores after intervention had not any significant difference among the three groups. Intra-group comparisons showed that quality of life in face to face group have been significantly increased. Conclusion: Text messaging and face to face teaching were effective on improving knowledge of patients undergoing hemodialysis. However, the effectiveness of these methods on quality of life needs further evaluations in different setting for longer times in hemodialysis patients.
Highlights
The quality of life of patients undergoing hemodialysis is lower; to improve their living conditions, patients need further training
The results showed that the patients' knowledge scores among the three groups had not any significant difference at the beginning of the study (P=0.64); but after educational program in the intervention groups, the knowledge of participants in the face to face and text messaging group were significantly more than the control group (P=0.001)
The results in table 2 showed that the total scores of quality of life among the three groups had no significant difference at the beginning of the study (P=0.909); and after the intervention the quality of life among three groups had no significant differences (P=0.762), too
Summary
The quality of life of patients undergoing hemodialysis is lower; to improve their living conditions, patients need further training. Dialysis and kidney transplantation are two common methods in the renal replacement therapy.[4] Hemodialysis is associated with many problems and low quality of life.[5] In order to increase the knowledge of patients undergoing hemodialysis, teaching can be an appropriate manner. In this regard, studies have presented the positive impact of training on reducing the patients' difficulties.[6]
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