EFFECT OF SELF MANAGEMENT PROGRAMS ON DIETARY DHERENCE AND INTERDIALYTIC WEIGHT GAIN IN PATIENTS UNDERGOING HEMODIALYSIS.

Poor adherence to dietary among dialysis patients is a common and serious
problem among patients. Despite of the effectiveness of self-management programs in chronic
diseases, few studies have been conducted in the importance of self-management programs in patients
treated with hemodialysis. This study tries to determine the effect of self-management programs on
dietary adherence and interdialytic weight gain in patients undergoing hemodialysis.
Materials & Methods: This is a quasi -experimental study. The sample included 82 hemodialysis
patients referred to Taleghani dialysis center, Urmia. Eligible patients were randomly divided into two
groups, control and experimental. Data were obtained by using a demographic data form, and Renal
Adherence Behavior Questionnaire before and after ˺˻weeks of intervention and they were analyzed
by using descriptive statistics, paired t-test and independent samples t-test.
Results: There were no statistically significant differences Pre-test mean scores for adherence to
dietary and fluid restriction and IDWG in both intervention and control groups. There was a
significant difference between the experimental and control groups in terms of pre-to post-intervention
changes in sub scale fluid restriction adherence potassium phosphate and sodium restrictions (p<0/05)
but there were no statistically significant differences in sub scale of self-care and adherence in
particular times.
Conclusion: The results of this study showed the impact of self-management programs on controlling
the disease in hemodialysis patients. Due to the shortage nursing staff, and the importance of
participating patients in the management of chronic diseases, developing self-management programs
can be an alternative to the traditional training methods as well as the mentioned challenges