Integrating Nursing and Dietetic Care Intervention to Improving Self-Care Agency and Blood Biochemical Parameters of Hemodialysis Patients

Wednesday, 24 July 2013

Chia-Hui Liang, MS1
Cheng-Yang Cheng, BS2
Chen-Chen Kang, MS3
Jia-Shiuan He, BS1
Chia-Pei Chen, MS4
Kuei-Ru Chou, PhD5
Kuo-Cheng Lu, PhD6
(1)RICU of Nursing Department, Cardinal-Tien Hospital, Hsin-Tien city, Taiwan
(2)HR of Nursing Department, Cardinal-Tien Hospital, Hsin-Tien City, Taiwan
(3)Dietitian Department, Cardinal-Tien Hospital, Hsin-Tien City, Taiwan
(4)Nursing Department, Cardinal-Tien Hospital, Hsin-Tien city, Taiwan
(5)Institute of Nursing Taipei Medical University, Institute of Nursing Taipei Medical University, Taipei, Taiwan
(6)Hemodialysis Unit, Cardinal-Tien Hospital, Hsin-Tien city, Taiwan

Learning Objective 1: The learner will be able to know whether the self-care agency can be improved after the four-session education program in hemodialysis patients.

Learning Objective 2: The learner will be able to know whether blood biochemical parameters can be improved after the four-session education program in hemodialysis patients.

Purpose: In addition to regular hemodialysis, the patients with ESRD must adhere to the complex activities of self-care. These activities stress the patients and influence the quality of life. This study was to investigate whether the self-care agency and blood biochemical parameters can be improved after the four-session education program in hemodialysis patients.

Methods: The quasiexperimental design was investigated in this study.There are sixty qualified subjects were assigned into the control group(30 patients) and the experimental group(30 patients) by convenience from the hemodialysis center in Taipei City. A four-session education program, 60 minutes in each session, was provided by a nurse and dietitian. The topics for self-care agency and the nutritional education such as proper intake of protein, limitation of dietary were included. Certain blood biochemical parameters, such as albumin, total cholesterol and PCR were analyzed. Self-care Scale was used for evaluating the effect of intervention.

Results: After the education program, patient’s cognitive and behavior scores of Self-care Scale were significantly increased (15.8% and 8.5%, respectively). The blood biochemical data also showed serum albumin and total cholesterol were increased significantly in the experimental group.

Conclusions: In addition to the significant improvement in cognition and behavior in Self-care Scale, the blood biochemical data also showed significantly increased in HD patients after the combination of nursing with dietitian education intervention. These data suggested that continuing education may be to improve the quality of life in hemodialysis patients.