The Effect of Telenursing on Adherence to Diet in Patients underling Hemodialysis

Rajabfreydani, Hakimeh; Abedi, Heidarali; Ziaeirad, Marzieh; Goudarzi, Hossein; Goudarzi, Fateme

doi:10.22087/ijac.2020.125371

The Effect of Telenursing on Adherence to Diet in Patients underling Hemodialysis

Document Type : Research

Authors

Hakimeh Rajabfreydani ¹^{, 2}

Heidarali Abedi ³

Marzieh Ziaeirad ⁴

Hossein Goudarzi ⁵

Fateme Goudarzi ⁶

¹ Faculty of Nursing and Midwifery, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan,Iran

² Imam Jafar Sadegh Hospital, Aligudarz, Iran

³ Faculty of Nursing and Midwifery, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

⁴ Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

⁵ Department of Public health, Lorestan University of Medical Sciences, Khorramabad, Iran

⁶ School of Nursing & Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran

10.22087/ijac.2020.125371

Abstract

A serious problem in patients undergoing hemodialysis is non-adherence to treatment that can be met by educating these patients. But finding the most effective cutting-edge educational methods are necessary. This study aimed to evaluate the impact of telenursing follow-up on dietary adherence in patients on hemodialysis. In this quasi-experimental study, 44 hemodialysis patients were selected using census sampling from the patients admitted to Imam Jafar Sadeqh hospital in Aligudarz in 2013. All the participants received a three-day training about their self-care. Then participants were randomly divided into two groups of case and control group. Telephone intervention was conducted in experiment group for 12 weeks. Data collection instruments were questionnaires and physiological measurement instruments to which were used before and after the study. In the case group, there were significant differences between the mean dietary adherence before and after the intervention in all dimensions included low-fat diet (t=15.96, df=21, means difference=4.55, p <0.05), protein containing diet (t = -4.16, df=21, mean difference= 3.86, p <0.05) and controlled water and electrolytes diet (t = -12.26, df =21, mean difference=13.32, p <0.05). These findings confirmed the positive effect of telenursing intervention on the improvement of adherence to diet in patients on hemodialysis.

Keywords

Telenursing

Hemodialysis

Diet adherence

treatment adherence

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