Tashakor Sedigheh, Bagherian Behnaz, Salmanpour Zahra, Mehdipour-Rabori Roghayeh
Nursing Research Center, Department of Medical-Surgical Nursing Kerman University of Medical Science Kerman Iran.
Nursing Research Center, Department of Medical-Surgical Nursing, Razi Faculty of Nursing and Midwifery Kerman University of Medical Science Kerman Iran.
Health Sci Rep. 2023 Jul 12;6(7):e1429. doi: 10.1002/hsr2.1429. eCollection 2023 Jul.
Patients who have chronic kidney disease (CKD) and mineral and bone disorders (MBD) often do not know much about their diseases. A training program can help them improve their quality of life. This study aimed to assess the effect of a training program on the self-care efficacy of the hemodialysis patients with MBDs in southeastern Iran.
We conducted a quasi-experimental study involving 49 patients with CKD-MBD in southeastern Iran in 2021. The patients were randomly assigned to either the control or intervention group. The intervention group received 12 self-care training sessions delivered through WhatsApp, whereas the control group received routine information. We administered CKD-MBD knowledge and behavior questionnaires of the intervention, and measured laboratory parameters before and 1 month after the intervention. The data were analyzed by SPSS15 with descriptive and analytical statistics. Paired test, independent , analysis of covariance, and Mann-Whitney tests were using for data analysis.
The mean knowledge scores of the control group were 4.78 ± 1.78 and 6.22 ± 2.11 before and after the intervention, respectively ( = 0.200), whereas the mean knowledge scores of the intervention group were 6.08 ± 2.24 and 22.23 ± 4.55 before and after the intervention, respectively ( = 0.001). The mean behavior scores of the control and intervention groups were 75.61 ± 7.13 and 73.85 ± 7.49 before the intervention, respectively ( = 0.070), but they received the mean scores of 78.87 ± 5.58 and 82.50 ± 5.35 after the intervention, respectively ( = 0.001). The result showed a significant increase in the mean knowledge and behavior scores after the intervention. The researchers found no significant difference in the mean scores of the laboratory parameters between them before and after the intervention ( = 0.090); therefore, the intervention could not affect the laboratory parameters.
To sum up, the study found that the training program improved the knowledge and behavior of hemodialysis patients with MBD. WhatsApp was a good and cheap way to teach them self-care, and it helped them do it better. These results implied that this training program could help the patients have a better quality of life.
患有慢性肾脏病（CKD）及矿物质和骨代谢紊乱（MBD）的患者往往对自身疾病了解不多。一项培训项目有助于改善他们的生活质量。本研究旨在评估一项培训项目对伊朗东南部患有MBD的血液透析患者自我护理效能的影响。
2021年，我们在伊朗东南部对49例CKD-MBD患者进行了一项准实验研究。患者被随机分为对照组或干预组。干预组通过WhatsApp接受12次自我护理培训课程，而对照组接受常规信息。我们在干预前后发放CKD-MBD知识和行为问卷，并测量实验室参数。数据采用SPSS15进行描述性和分析性统计分析。配对检验、独立样本t检验、协方差分析和曼-惠特尼U检验用于数据分析。
对照组干预前后的平均知识得分分别为4.78±1.78和6.22±2.11（P = 0.200），而干预组干预前后的平均知识得分分别为6.08±2.24和22.23±4.55（P = 0.001）。对照组和干预组干预前的平均行为得分分别为75.61±7.13和73.85±7.49（P = 0.070），但干预后他们的平均得分分别为78.87±5.58和82.50±5.35（P = 0.001）。结果显示干预后平均知识和行为得分显著提高。研究人员发现干预前后两组实验室参数的平均得分无显著差异（P = 0.090）；因此，该干预未影响实验室参数。
综上所述，该研究发现培训项目提高了患有MBD的血液透析患者的知识水平和行为能力。WhatsApp是一种良好且廉价的教授他们自我护理的方式，并帮助他们做得更好。这些结果表明该培训项目可以帮助患者拥有更好的生活质量。
