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Effect of teach back-based self-care education on medication adherence among hemodialysis patients in Special Medical Center in the East of Tehran
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Valid Maleki   , Reza Norouzadeh , Nasrin Alaee |
| , norouzadeh@shahed.ac.ir |
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Abstract: (526 Views) |
Introduction: Medication non-adherence is one of the major problems in hemodialysis patients. Appropriate interactive educational methods can meet the educational needs of patients. Therefore, this study aims to determine the effect of teach-back education on medication adherence in hemodialysis patients.
Methods: This is a semi-experimental study. Sixty patients undergoing hemodialysis at the dialysis unit of East Tehran Special Medical Center were studied from February 2022 to September 2023. Sampling was done by consensus and random assignment. Data collection instruments included the demographic data sheet and the 8-item Morisky Medication Adherence scale (MMAS-8). The intervention group received teach-back education in three 30- 45minute sessions during dialysis. The control group did not receive the educational intervention, and after the third session, the patients of the control group were given educational content. Four weeks later, both groups were asked to complete the medication adherence questionnaire again. Descriptive and analytical statistics were conducted with SPSS software version 22.
Results: Results showed that both groups were homogeneous in age, education and hemodialysis duration (P=0.07). After teach-back education, 70% of hemodialysis patients had poor medication adherence, and 26.7% and 3.3% had moderate and high medication adherence, respectively. Overall, the teach-back education had a moderate effect (effect size= 0.63) on medication adherence (P = 0.002).
Conclusion: Results from this study show that teach-back education improves medication adherence in hemodialysis patients. Therefore, it is suggested that this educational method be included in the care program to improve the health of patients.
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| Keywords: Hemodialysis, medication adherence, Teach-back education |
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Full-Text [PDF 409 kb]
(305 Downloads)
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Type of Study: Quantitative-Research |
Subject:
Special
Received: 2023/12/26 | Accepted: 2024/06/1 | Published: 2024/06/30
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