Irajpour Alireza, Hashemi Maryam Sadat, Abazari Parvaneh, Shahidi Shahrazad
Nursing and Midwifery Care Research Center, Department of Critical Care, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2024 Jan 9;29(1):46-55. doi: 10.4103/ijnmr.ijnmr_155_22. eCollection 2024 Jan-Feb.
Non-adherence to treatments increases the rates of hemodialysis complications, hospitalization, and mortality. One strategy for adherence improvement is peer education. This study aimed to investigate the effects of peer education on treatment adherence among patients receiving hemodialysis.
This was a randomized controlled trial. Patients in the control group were provided just with routine care, and the intervention group received peer education. Treatment adherence was assessed both before and after the intervention via the End-Stage Renal Disease (ESRD) Adherence Questionnaire. Data analysis was conducted by the Chi-square, the Mann-Whitney U, the paired-sample , and the independent-sample tests.
There were no significant between-group differences in terms of the pre-test mean scores of Adherence to regular attendance at hemodialysis sessions (t = 0.19, = 0.85), Adherence to the prescribed medications (t = 0.46, = 0.64), and Adherence to fluid restrictions (t = 0.24, = 0.81). The same finding was observed after the intervention, except for the mean score of the adherence to fluid restrictions dimension which was significantly greater in the intervention group (t = 2.86, = 0.006). Moreover, no significant changes were observed in the mean scores of treatment adherence dimensions in the control group. However, in the intervention group, the mean scores of the adherence to regular attendance at hemodialysis sessions (t = 3.79, < 0.001) and the adherence to fluid restrictions dimensions were significantly greater than their pre-test values (t = 4.47, < 0.001).
Education by peer groups improves the compliance of patients with regard to the consumption of fluids in the interval between two dialysis sessions.
不坚持治疗会增加血液透析并发症、住院率和死亡率。提高依从性的一种策略是同伴教育。本研究旨在调查同伴教育对接受血液透析患者治疗依从性的影响。
这是一项随机对照试验。对照组患者仅接受常规护理，干预组接受同伴教育。通过终末期肾病（ESRD）依从性问卷在干预前后评估治疗依从性。采用卡方检验、曼-惠特尼U检验、配对样本检验和独立样本检验进行数据分析。
在血液透析 sessions 定期出勤的依从性、规定药物的依从性和液体限制的依从性的预测试平均得分方面，组间无显著差异（t = 0.19，P = 0.85），规定药物的依从性（t = 0.46，P = 0.64），以及液体限制的依从性（t = 0.24，P = 0.81）。干预后观察到相同的结果，但干预组液体限制维度的依从性平均得分显著更高（t = 2.86，P = 0.006）。此外，对照组治疗依从性维度的平均得分没有显著变化。然而，在干预组中，血液透析 sessions 定期出勤的依从性平均得分（t = 3.79，P < 0.001）和液体限制维度的依从性显著高于其预测试值（t = 4.47，P < 0.001）。
同伴群体教育提高了患者在两次透析之间间隔期对液体摄入的依从性。
