The impact of nurse-led education on haemodialysis patients' phosphate binder medication adherence

Sandlin, Kimberley, Bennett, Paul N., Ockerby, Cherene and Corradini, Ann-Marie 2013, The impact of nurse-led education on haemodialysis patients' phosphate binder medication adherence, Journal of renal care, vol. 39, no. 1, pp. 12-18, doi: 10.1111/j.1755-6686.2013.00343.x.

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Title The impact of nurse-led education on haemodialysis patients' phosphate binder medication adherence
Author(s) Sandlin, Kimberley
Bennett, Paul N.ORCID iD for Bennett, Paul N.
Ockerby, Cherene
Corradini, Ann-Marie
Journal name Journal of renal care
Volume number 39
Issue number 1
Start page 12
End page 18
Total pages 7
Publisher European Dialysis and Transplant Nurses Association : European Renal Care Association
Place of publication Paris, France
Publication date 2013-03
ISSN 1755-6678
Keyword(s) haemodialysis
medication adherence
patient education
phosphate binders
Summary Background Phosphate binder medication adherence is required to maintain optimal phosphate levels and minimise bone disease in people with end stage kidney disease.

Objectives To examine the impact of a nurse-led education intervention on bone disorder markers, adherence to phosphate binder medication and medication knowledge.

Design Descriptive study with a paired pre–post intervention survey.

Participants Adults receiving haemodialysis.

Methods Twelve-week intervention where patients self-administered their phosphate binder medication at each dialysis treatment. Nurses provided individualised education. Patients completed a pre- and post-intervention survey designed to explore their knowledge of phosphate binders.

Results There were no statistically significant changes in clinical markers but a significant improvement in the proportion of patients who took their phosphate binder correctly, increasing from 44 to 72% (p = 0.016). There were moderate to large effect size changes for improved knowledge.

Conclusions A nurse-led intervention education programme can increase patients' phosphate binder adherence. However, this does not necessarily manifest into improved serum phosphate levels.
Language eng
DOI 10.1111/j.1755-6686.2013.00343.x
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
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Document type: Journal Article
Collection: School of Nursing and Midwifery
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