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Hemodialysis Patients' Needs for Self-Care Structured Teaching Programs: A Pre- and Post-Test Study.
Radhe Shyam1, Himanshu Verma2, Daisy Thomas1
1RAK College of Nursing, Lajpat Nagar, New Delhi, India.
Seminars in Dialysis
|December 31, 2025
Summary
Most hemodialysis patients struggle with treatment adherence due to insufficient self-care knowledge and practices. A structured teaching program significantly improved patient knowledge and practice, enhancing adherence to hemodialysis regimens.
Area of Science:
- Nephrology
- Patient Education
- Healthcare Management
Background:
- Hemodialysis patients require adequate knowledge and skills for treatment adherence.
- Identifying factors influencing adherence is crucial for effective patient management.
- Assessing the impact of structured teaching on self-care knowledge and practice is essential.
Purpose of the Study:
- To identify factors affecting patient adherence to hemodialysis.
- To evaluate the effectiveness of a structured teaching program on self-care.
- To assess improvements in knowledge and practice related to hemodialysis self-care.
Main Methods:
- Pre-experimental, one-group pre-test post-test design.
- Study conducted in a tertiary care center in India with 50 participants.
- Utilized electronic training, knowledge interviews, and practice rating scales.
Main Results:
- 76% of patients were non-adherent prior to the intervention.
- Educational status, occupation, income, and dialysis frequency significantly impacted adherence.
- Post-intervention, knowledge scores increased from 10.82 to 19.50 (p<0.001).
- Practice ratings improved from 23.70 to 42.36 (p<0.001).
Conclusions:
- A majority of hemodialysis patients exhibit non-adherence and deficiencies in self-care knowledge and practices.
- Structured patient education and self-care teaching programs are effective in improving hemodialysis adherence.
- Interventions should address educational and socioeconomic factors influencing patient self-care.
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