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The impact of nurse-led education on haemodialysis patients' phosphate binder medication adherence
journal contribution
posted on 2013-03-01, 00:00 authored by K Sandlin, Paul Bennett, Cherene OckerbyCherene Ockerby, A M CorradiniBackground 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.
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.
History
Journal
Journal of renal careVolume
39Issue
1Pagination
12 - 18Publisher
European Dialysis and Transplant Nurses Association : European Renal Care AssociationLocation
Paris, FrancePublisher DOI
ISSN
1755-6678eISSN
1755-6686Language
engPublication classification
C1 Refereed article in a scholarly journalUsage metrics
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