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The Effect of Telenursing Training on Adherence to Treatment Regimen in Hemodialysis Patients
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Sadegh Moslehi   , Habib Shareinia , Muosa Sajjadi , Mohammad Shayan Sajjadi |
| & Professor, Department of Medical-Surgical Nursing, School of Nursing, Nursing Research Center, Gonabad University of Medical Sciences, Gonabad, Iran , Sajjadi1975@gmail.com |
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Abstract: (38 Views) |
Introduction: Nurses monitor healthcare programs to enhance patient cooperation, adherence, awareness, and sensitivity. Telephone follow-up (telenursing) is considered an effective tool for this purpose. Therefore, this study aimed to determine the impact of telenursing education on adherence to dietary regimens in hemodialysis patients.
Methods: This randomized controlled clinical trial with a pre-test and post-test design was conducted in 2023. The study sample included 56 hemodialysis patients from Shahid Modarres Hospital in Kashmar. Data were collected at three stages: before, during, and after the intervention using a demographic information form, the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ), and a laboratory test results form, along with weight gain records between dialysis sessions. The intervention involved weekly educational sessions via mobile phone calls, each lasting 20 minutes, for three months. Additionally, educational text messages were sent to patients once a week. Data analysis was performed using SPSS software version 23 at a significance level 0.05.
Results: Most participants were married, female, had an educational level below high school, and were aged 55 years or older. The overall mean adherence score to the dietary regimen was significantly higher in the intervention group compared to the control group at 8 and 12 weeks after the intervention (p<0.001). However, no significant difference was observed between the groups 4 weeks post-intervention (p=0.76). Repeated measures analysis indicated an increasing trend in dietary adherence scores over time in the intervention group, but the difference between the intervention and control groups was not statistically significant (p=0.24). Additionally, the two groups had a significant difference regarding weight control index, phosphorus, and albumin levels (p<0.05).
Conclusion: This study's findings suggest that patient education and telephone follow-up improve adherence to dietary regimens and enhance clinical and laboratory indices in hemodialysis patients. Such interventions should be considered in the management of hemodialysis patients.
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| Keywords: Education, Telenursing, Adherence To treatment regimen, Hemodialysis. |
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Full-Text [PDF 430 kb]
(20 Downloads)
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Type of Study: Quantitative-Research |
Subject:
Special
Received: 2025/02/5 | Accepted: 2025/05/30 | Published: 2025/04/30
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