Korean J Rehabil Nurs.  2021 Jun;24(1):46-55. 10.7587/kjrehn.2021.46.

The Effects of Tailored Dietary Education among Role Failure Hemodialysis Patients on Self-care Compliance, Self-efficacy and Physiologic Indices

• Kim S
• Choi Y

• KMID: 2519112
• DOI: http://doi.org/10.7587/kjrehn.2021.46

Abstract

Purpose
The purpose of this study to identify the effects of tailored dietary education on self-care compliance, self-efficacy and physiologic indicators in noncompliant hemodialysis patients.
Methods
This study utilized one-group repeated pretest-posttest design. Forty-four hemodialysis patients were recruited from C hospital, Gyeonggi-Do. Data were collected at four and twelve weeks after education from February to August, 2019. Data were analyzed using the SPSS version 20.0 program with descriptive statistics, repeated measure-ANOVA and Bonferroni’s method.
Results
There were significant increases in diet knowledge (F=7.37, p=.003), diet self-care compliance (F=12.53, p=.001) and self-efficacy (F=14.00, p=.001) even 12 weeks after tailored dietary education. The serum phosphate levels were significantly lowered at four weeks after education (F=7.30, p=.003).
Conclusion
The findings in this study suggest that tailored dietary education was effective to improve self-care compliance, self-efficacy and physiologic parameters in noncompliant hemodialysis patients. Prior to education, information including cognitive function, dietary habits, and examples of dietary life is essential in noncompliant hemodialysis patients. Tailored interventions in various ways should be sought to provide effective education.

Keyword

Renal dialysis; Diet; Knowledge; Compliance; Self efficacy