Education for dialysis patients lowers long-term phosphate levels and maintains health-related quality of life.
Clin Nephrol
; 75(4): 319-27, 2011 Apr.
Article
en En
| MEDLINE
| ID: mdl-21426886
ABSTRACT
AIMS:
This study aims at biological, knowledgeable, behavioral and health-related quality of life effects of self-dosing of phosphate binders before and after an education program in patients with CKD. MATERIAL ANDMETHODS:
The following 12-month study included 43 patients with CKD Stage 4 - 5 and plasma phosphate levels repeatedly above recommended maximum level. Patients underwent a structured educational program regarding calcium and phosphate balance, food intake and phosphate binders comprising a 60-min session, 3 - 5 times during a 2-month period (intervention). Patients' knowledge on the topics included in the program was assessed before and after the program as well as phosphate levels.RESULTS:
The mean plasma phosphate level had decreased significantly directly after the intervention (1.87 mmol/l, p < 0.05) and remained low over time; 1.78 mmol/l at 12 months follow-up (p < 0.001). The patients' self-reported knowledge regarding food intake, calcium/phosphate balance and self-dosing of phosphate binders increased significantly after instruction (p < 0.001).CONCLUSION:
A structured education program focusing on calcium and phosphate balance and self-dosing of phosphate binders significantly increased the patients' self-reported knowledge regarding these issues which in turn led to changes in behaviors reflected in decreased long-term plasma phosphate levels.
Buscar en Google
Bases de datos:
MEDLINE
Asunto principal:
Fósforo
/
Calidad de Vida
/
Quelantes
/
Educación del Paciente como Asunto
/
Diálisis Renal
/
Hiperfosfatemia
/
Fallo Renal Crónico
Tipo de estudio:
Etiology_studies
/
Qualitative_research
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Clin Nephrol
Año:
2011
Tipo del documento:
Article
País de afiliación:
Suecia