THE EFFECT OF AN EDUCATIONAL PROGRAM BASED ON THE TEACH BACK METHOD ON ADHERENCE TO DIET AND FLUID RESTRICTION IN HEMODIALYSIS PATIENTS REFERRING TO THE EDUCATIONAL-TREATMENT CENTERS OF URMIA MEDICAL SCIENCE UNIVERSITY IN 2020

Hemodialysis is the most common treatment for patients with chronic renal failure
and one of the problems reported in these patients is their non-adherence to diet and fluid restriction.
This study aimed to determine the effect of teach back method training on dietary adherence and fluid
restriction in hemodialysis patients.
Materials & Methods: In this study, 60 patients undergoing hemodialysis referred to Urmia teaching
hospitals in 1399 were randomly assigned to the control and intervention groups. In the intervention
group, in addition to routine training, the patient was given feedback-based training in two areas of diet
and fluid restriction during 3 sessions for 45 to 60 minutes. The control group received only the usual
training in the ward. Data collection using demographic questionnaire and adherence to treatment of
patients with end-stage renal disease (ESRD-AQ) subscale of diet and fluid restriction in three stages:
pre-test, post-test (7 days after intervention) and follow-up (30 days Was performed after the
intervention. Data were collected using SPSS software version 16, Chi-square, independent t-test,
repeated measures analysis of variance tests.
Result: There was a significant difference between the intervention and control groups in the mean score
of fluid restriction (P <0.001). This means that at first the means of both groups were almost the same.
In the control group, the means were almost similar during the following times and did not change
significantly with each other, but in the intervention group in the following times, the mean score of
fluid restriction increased and also the mean scores of compliance with fluid restriction in each
intervention group. The two stages of post-test and follow-up were significantly higher than the control
group (p = 0.001). There was no significant difference in the mean score of diet adherence between the
intervention and control groups (P <0.01).
Conclusion: The present study showed that teach back method education has a significant effect on
adherence to fluid restriction in patients undergoing hemodialysis, but has no effect on adherence to the
diet of these patients. It is suggested that nurses working in hemodialysis wards increase patients'
perception of their disease by increasing the number of teach back-oriented training sessions and as a
result can play an important role in self-care of hemodialysis patients and their adherence to diet and
fluid restriction