Effect of Educational Intervention on the Quality of Life of Hyperphosphathemic Chronic Renal Patients on Hemodialysis

Abstract

Objective: to evaluate the health-related quality of life of hyperphosphatemic chronic renal patients on hemodialysis before and after a nursing educational intervention. Method: a quasi-experimental before-and-after study, conduted with 63 hyperphosphatemic chronic renal patients from a renal unit of the state of Rio Grande do Sul (Brazil). A sociodemographic and clinical characterization form was used, pruritus intensity record, Kidney Disease Quality of Life - Short Form and Nursing Educational Intervention. This included individual guidance, clarification of doubts and a printed manual. Laboratory data and pruritus evaluated before, 30 and 60 days after intervention, and quality of life, before and after two months. Analysis from descriptive and analytical measures. Results: after the intervention, there was a statistical difference between the mean scores of the following dimensions: Physical function, Emotional function, Energy/Fatigue, List of problems/symptoms and Cognitive function. Significant correlation was found in the following dimensions: Physical functioning, Physical function, Pain, General health, Emotional wellbeing, List of problems/symptoms, Effects of kidney disease, Kidney disease overload, Sleep and stimulation by the dialysis team. With the intervention there was a reduction in phosphorus, creatinine, calcium and parathyroid hormone levels. Itching also decreased. Regarding the evaluation of their health, 31.7% considered it “good” and 58.8% “regular” before the intervention; afterwards, 50.8% and 36.5% rated it as “good” and “fair” respectively. Conclusion: nursing educational intervention improves health-related quality of life and health perception of hyperphosphatemic chronic renal patients on hemodialysis.

The Effects of a Brief Supportive Psychotherapeutic Intervention Among Hemodialyzed Patients: A Quasi-Experimental Study

“…Regarding the population's sociodemographic profile. this study's findings are in line with other studies addressing chronic kidney patients undergoing HD, in which most participants are Catholic men living in a stable union and aged 56 years on average [15][16][17][18] .…”

“…On the other hand, "work situation" obtained the lowest score pre-intervention (14.71±34.30), followed by "physical function" (16.18±29.24). These results corroborate other studies 15,17,23 reporting that physical function and work situation are compromised among patients undergoing HD. Physical function is a dimension with the potential to compromise patients' relationship with their professions or routine tasks, considering that these individuals' physical performance and the onset of symptoms such as weakness and malaise interfere in their daily activities, negatively reflecting on their HRQoL.…”

Contextos de experiência de estar (des)confortável de pacientes com doença renal crônica

“…Intervention studies showed that health education, based on verbal orientation and clarification of doubts about CRD, signs and symptoms of hyperphosphatemia, use of phosphorus chelators, nutrition, improved physical functioning, physical function, pain, general health, emotional well-being, list of problems/symptoms, effects of kidney disease, overload of kidney disease and sleep 32 . Thus, health education consists of effective, safe and sensitive intervention on the intervening variables of the physical, psycho-spiritual and socio-cultural context, which maximizes states of comfort.…”

Experiences of nurses within a nurse-led multidisciplinary approach in providing care for patients with diabetic foot ulcer

“…The results of Iranian studies also show that 20% of hospitalized diabetic patients have foot problems. [ 5 ]…”