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Effects of systematic nursing instruction on a low-phosphorus diet, serum phosphorus level and pruritus of patients on haemodialysis.
- Source :
-
Journal of Clinical Nursing (John Wiley & Sons, Inc.) . Feb2017, Vol. 26 Issue 3-4, p485-494. 10p. - Publication Year :
- 2017
-
Abstract
- Aims and objectives To investigate the effectiveness of systematic nursing instruction on a low-phosphorus diet, serum phosphorus level and pruritus of haemodialysis patients. Background A high number of end-stage renal disease patients on haemodialysis are bothered by pruritus. Hyperphosphataemia was reported to be related to pruritus. Design An experimental design was applied. Methods Ninety-four patients who received haemodialysis between September 2013 and December 2013 at a medical centre in Taipei, Taiwan, were recruited. An experimental group received individual systematic nursing instruction by the investigator through a nursing instruction pamphlet and reminder card for taking medication. A control group received traditional nursing instruction. The pruritus, blood phosphorus level and five-day diet records were evaluated before and after intervention. Results The experimental group had a low-phosphorus diet intake compared with the control group ( p < 0·001). A significant difference in serum phosphorus level was observed between the experimental and control groups ( p = 0·002). Incidence of pruritus was lower in the experimental group than in the control group ( p < 0·001). Conclusion A systematic nursing instruction included using a pamphlet, pictures and reminder cards, the patients' blood phosphorus levels decreased, the patients consumed more low-phosphorus food, and pruritus decreased. Relevance to clinical practice This study recommends that clinical nursing staff include systematic nursing instruction as a routine practice for dialysis patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- *EVALUATION of medical care
*ITCHING
*HEMODIALYSIS patients
*PHOSPHORUS analysis
*BLOOD testing
*CHI-squared test
*CHRONIC kidney failure
*DIET therapy
*DRUGS
*EXPERIMENTAL design
*HEMODIALYSIS
*PATIENT compliance
*PATIENT education
*PHOSPHORUS
*STATISTICAL sampling
*SELF-evaluation
*T-test (Statistics)
*STATISTICAL power analysis
*TEACHING methods
*VISUAL analog scale
*PRINT materials
*PRE-tests & post-tests
*CONTROL groups
*FOOD diaries
*DESCRIPTIVE statistics
*EDUCATION
*PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 26
- Issue :
- 3-4
- Database :
- Academic Search Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 121000290
- Full Text :
- https://doi.org/10.1111/jocn.13471