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can addressing family education improve adherence of therapeutic regimen in hemodialysis patients? a randomized controlled clinical trial
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نویسنده
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asgari parvaneh ,zolfaghari mitra ,shaabani azadeh
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منبع
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nursing practice today - 2015 - دوره : 2 - شماره : 1 - صفحه:4 -9
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چکیده
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background & aim: today, one of the leading causes of pathogenicity and mortality in patients undergoing hemodialysis is their failure to follow the treatment plan. the present research was con- ducted to compare effects of patient-centered education with family-centered education on adher- ence with the treatment program.
methods & materials: this clinical trial was performed between may and october 2012 in hemo- dialysis ward of imam khomeini and amir-alam hospital in tehran, iran. research samples were60 patients aged 18-65 years old, randomly assigned into two groups: training the patients (30 pa-tients) and training the patients and one of close family member (30 people). using a researcher made questionnaire, patients’ adherence (diet, pharmaceutical regimen, and physical activity) was examined by the self-reporting method in three stages (before intervention, 2 and 4 weeks after in- tervention). data were analyzed using independent t-test, chi-square, and fisher tests using spss software version 16.
results: prior to intervention, there was no significant difference between the two groups in terms of adherence to diet program (p = 0.200, mean difference 25.8 ± 25.7), to pharmaceutical regimen (p = 0.600, mean difference 1.96 ± 0.61), and physical activity (p = 0.700 mean difference1.33 ± 0.66). after 2 weeks family-centered education group had significantly more adherence to the diet program (p = 0.001, mean difference 43.1 ± 11.1), pharmaceutical regimen (p = 0.040, mean difference 2.72 ± 0.5) and physical activity (p = 0.035, mean difference 2.41 ± 0.89), and total ad- herence score (p = 0.030) in comparison with patient-centered education group. after 4 weeks, just the adherence to pharmaceutical regimen showedn a significant difference between groups (p < 0.001).
conclusion: the results of this study showed that the family-centered education is more effective than patient-centered education on patients’ adherence to the therapeutic program particularly phar- maceutical regimen, which suggests, by having family-centered education in hemodialysis patients, the outcome could be improved.
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کلیدواژه
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family-centered education ,patient-centered education ,adherence to therapeutic regimen ,hemodialysis
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آدرس
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department of medical-surgical nursing, school of nursing and midwifery, arak university of medical sciences, arak, iran, Iran, Islamic Republic of, nursing and midwifery care research center and, department e-learning in medical education, virtual school, tehranuniversity of medical science, tehran, iran, Iran, Islamic Republic of, department e-learning in medical education, virtual school, tehran university of medical science, tehran, iran, Iran, Islamic Republic of
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پست الکترونیکی
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zolfaghm@tums.ac.ir
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Authors
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