Effect of an educational program on attitudes and behaviors toward adherence to therapeutic regimen among hemodialysis patients: A randomized clinical trials Setayesh Mohadeseh1,*, Dehghan Mahlagha2, Malakotikhoh Alireza3, forouzi Mansooreh Azzizadeh4,** 1Medical Surgical Nursing, Nursing Research Center, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran 2Nursing Research Center, Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran 3Nursing Research Center, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran 4Nursing Research Center, Department of Medical Surgical Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran *Corresponding Author Email: setayesh.89.m@gmail.com
**forozy@gmail.com
Online published on 8 June, 2021. Abstract Background and Objective Hemodialysis is the most common way to replace kidney function for patients with advanced kidney disease and it also needs their adherence to therapeutic regimen. Attitudes and behaviors of adherence to therapeutic regimen may have different consequences for patients and education can play an important role. The aim of this research was to study the effect of an educational program on attitudes and behaviors toward adherence to therapeutic regimen among hemodialysis patients. Methods This study was a clinical trial, and the sample consisted of 60 patients (30 patients in each group) who assigned randomly into two groups (intervention or control). The data collection tools including demographic form, RAAQ (Renal Adherence Attitude Questionnaire) and RABQ (Renal Adherence Behavior Questionnaire), were completed with repeated measurements before, one month and three months after education. The SPSSv19 and (Mean, standard deviation, paired t test and repeated measures test were used for data analysis. Level of significance was considered 0.05. Results In the intervention group, the mean scores of attitudes toward adherence to the therapeutic regimen increased towards the good range (113.68 - 155) one and three months after the intervention 124.23 ± 10.57, 113.83 ± 10.22, respectively. Finding regarding behaviors to ward adherence toward adherence to the therapeutic regimen showed in the intervention group, the mean scores of behaviours in one and three months after the intervention were significantly higher than before the intervention (P < 0.001). there was no significant difference in laboratory tests before and after education. Conclusion The education program was effective on attitudes and behaviors of adherence to therapeutic regimen but not on the laboratory indices. Therefore, it is advised to develop the education program for patients under hemodialysis continually and design the content in order to see this effect on laboratory indices as well. Top Keywords Hemodialysis, Attitude, Adherence Behavior, Therapeutic Regimen, Education Program. Top |