The effect of using booklets on patients’ self-efficacy knowledge and interdialytic weight gain

Abstract

Introduction: The inability of patients with chronic renal failure to follow a diet is influenced by low self-efficacy. (Inter Dialytic Weight Gain) IDWG is used as a common measure of patient compliance, as it shows fluid retention that occurs between two hemodialysis sessions. This study aims to analyze the effect of providing education using a booklet on self-efficacy, and level of knowledge, and IDWG in hemodialysis patients.Methods: The research design was a pre-experimental design, with a group comparison design approach. The use of samples using accidental sampling. A sample of 48 respondents was divided into two groups: 25 and 23 respondents in the intervention and control groups respectively. The intervention group was given education using lecture and booklet methods for 45 minutes. The Control group was given education using the lecture method only. IDWG was measured by observing weight between hemodialysis sessions. The measurements of self-efficacy and level of knowledge were undertaken by employing a questionnaire. Wilcoxon test was used to determine the difference between the pre and post mean of the intervention group and the control group. Mann Whitney statistical test was used to determine the mean difference in the intervention and control groups on the variables of self-efficacy, level of knowledge, and IDWG.Results: Intervention group increased self-efficacy (p <0.05), increased knowledge (p <0.05) and decreased IDWG (p <0.05). Control group increase self-efficacy (p <0.05), increase knowledge (p <0.05), but not the value IDWG (p> 0.05).Conclusion: Education using booklets helps patients in increasing self-confidence, knowledge of CKD patient care including controlling fluid overload.