Effects of health education based on theory of planned behavior on treatment compliance among maintenance hemodialysis patients

Abstract

Objective To explore the effects of health education based on theory of planned behavior on treatment compliance among maintenance hemodialysis (MHD) patients. Methods We selected 68 patients with regular MHD in the First Affiliated Hospital of Zhengzhou University from January 2017 to April 2018 as subjects by convenience sampling, 34 cases in control group and observation group respectively. Control group carried out routine health education. On the basis of that in control group, observation group implemented health education based on the theory of planned behavior for three months. Finally, we compared the treatment compliance before and after intervention, and patient satisfaction with health education after intervention between two groups. Results Before intervention, there were no statistical differences in the dimension scores and total score of treatment compliance in two groups (P>0.05) . Three months after intervention, the dimension scores and total score of treatment compliance of observation group were statistically higher than those of control group (t=5.711, 5.523, 2.952, 4.396, 6.767; P<0.01) . After intervention, patient satisfaction with health education of observation group was 100.00%, higher than that of control group with a statistical difference (χ2=9.067, P<0.01) . Conclusions Health education based on theory of planned behavior can improve the treatment compliance and satisfaction with health education among MHD patients, which could be widely used in clinical application. Key words: Theory of planned behavior; Maintenance hemodialysis; Patient compliance; Satisfaction