Abstract
Background: Promoting the level of knowledge of patients through education is one of the effective factors in increasing the patient responsibility in eliminating or changing unhealthy behaviors. Also, improving self-management of hemodialysis patients needs empowering the patients through educational program. Aim: to assess the effect of structured teaching program on knowledge and self-management behaviors for hemodialysis patients. Subjects and method: Design: A quasi-experimental (pre- post-test) design was used. Setting: The study was conducted in hemodialysis unit at Qena General Hospital. Subjects: A convenient sample consisted of 100 adult patients were selected based on the following inclusion criteria; their age between 18-65 years, and able to provide oral consent they were followed up for three months. Tools: Three tools were used for data collection; (I) patient's assessment sheet, (II) the hemodialysis knowledge questionnaire and (III) the hemodialysis self-management instrument. Results: Main results for this study showed that only 17% of studied patients had satisfactory level of knowledge in pretest, which increased to 93% in post-test. There was a statistically significant difference as regard hemodialysis self-management behaviors post implementing the structured teaching program P- value <0.001*. Recommendations: Continuous educational programs should be planned and offered to patients on regular basis in hemodialysis units. Also, further studies about home self- management of hemodialysis patients should be conducted.
Highlights
Chronic Renal Failure (CRF) is a progressive irreversible decline in renal function in which body is unable to keep metabolic fluid and electrolyte balance resulting in uremia and azotemia (1)
Study Setting: The study was conducted in hemodialysis unit at Qena General Hospital
The present study revealed that hypertension was the main etiology of chronic renal failure (CRF) which came in accordance with Jebraeily and Makhdoomi (2018) (14) who reported that hypertension was the most common cause of CRF among the studied patients
Summary
Chronic Renal Failure (CRF) is a progressive irreversible decline in renal function in which body is unable to keep metabolic fluid and electrolyte balance resulting in uremia and azotemia (1). The occurrence and the prevalence of CRF are gradually increasing-by 8%-worldwide, mainly in developing countries (2). Chronic kidney disease takes about 10 to 15 years to set in and it is vital to take the preventive measures at the earliest stage. Hemodialysis (HD) is a technique that is used to accomplish the extracorporeal removal of waste substances such as urea, creatinine and free water from the blood when kidneys are in a state of renal replacement therapies (4). Patients undergoing HD have multiple problems, such as retention of water and sodium, anemia, hypertension, and heart disease (5)
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