Clinical trial NCT05682508: Effect of Educution in Control Nutrition and Fluid Control of Hemodialysis Patient
Official title: Efficiency of Education Based on Health Belief Model in Diet and Fluid Control of Hemodialysis Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: End Stage Renal Disease
Keywords: hemodialysis
education
Health Belief Model
nursing
Lead sponsor: Ege University
Sponsor class: OTHER
First posted: 2023-01-12
Enrollment: 62
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Hemodialysis patients are required to adhere to diet and fluid restriction. The literature shows that hemodialysis patients have low adherence to diet and fluid restriction.

Failure to adhere to fluid control increases weight gain between two dialysis sessions. Increased weight gain between two dialysis sessions can lead to signs and symptoms, such as heart failure, hypertension, edema and dyspnea. Ultrafiltration is increased during dialysis to remove excess fluid from the body between two dialysis sessions. As a result, this leads to large changes in the patient's weight during dialysis sessions, leading to hemodialysis complications such as hypotension and muscle cramps.

Diet is important to prevent uremic complication for hemodialysis patient. Diet restriction purposes to minimize uremic symptoms and fluid- electrolyte imbalance. As increase failure to adhere diet, serum phosphorus serum potassium rise and weight gain between two dialysis sessions increases. As a result, problems with the cardiac system, respiratory system and bones are experienced.

Diet and fluid restriction helps to prevent complications, to increase the quality of life and to reduce mortality. Therefore, diet and fluid control vitally important for hemodialysis patients.

Nurses have an important place in providing diet and fluid management. Desired success can be achieved in fluid and diet control by giving planned trainings to patients by nurses. In patient education, the Health Belief Model is used as an effective guide, which explains the reason for the person's attitudes and behaviors. This model is based on explain why did the patient not adhere with the treatment and what motivates the patient. The model is based on the premise that they will change their behavior when people understand the severity of the illness.

The Health Belief Model can used education on diet and fluid contol of hemodialysis patients. In this study, Health Belief Model components will be used as a guide in the preparation of the educational content to be given to hemodialysis patients. With this study planned to be done; it was aimed to determine the effect of Health Belief Model-based education on diet and fluid control of hemodialysis patients. The study was planned as a randomized controlled trial.


Eligibility criteria: Inclusion Criteria:

* He is over 18 years old,
* At least 6 months of hemodialysis treatment,
* At least primary school graduate,
* Does not have a condition that interferes with language, hearing or visual communication,
* Patients who accept to participate in the study are included in the study

Exclusion Criteria:

* That do not meet the inclusion criteria,
* Those who are included in another training program on the subject

Primary outcomes:
measure: Personal Information Form
timeFrame: up to 1 year
Secondary outcomes:
measure: Fluid Control Scale in Haemodialysis Patients
timeFrame: up to 1 year
Other outcomes:
measure: Dietary Knowledge Scale of Hemodialysis Patients
timeFrame: up to 1 year
measure: Scale for Dietary Behaviours in Haemodialysis Patients
timeFrame: up to 1 year
measure: Clinical Parameter Monitoring Form
timeFrame: up to 1 year
Locations:
city: Zonguldak
country: Turkey
facility: Zonguldak Atatürk Public Hospital
state: Center
Study officials:
affiliation: Ege University
name: Ufuk Demirel
role: PRINCIPAL_INVESTIGATOR
References: