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

Baljani, E.S and Salimi, S and AzimPour, A and Rahimi, J and Habibzadeh, H (2013) EFFECT OF SELF MANAGEMENT PROGRAMS ON DIETARY DHERENCE AND INTERDIALYTIC WEIGHT GAIN IN PATIENTS UNDERGOING HEMODIALYSIS. The Journal of Urmia Nursing and Midwifery Faculty, 11 (4). pp. 259-268.

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Abstract

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

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