Volume 12, Issue 3 (12-2024)
jmsthums 2024, 12(3): 1-12 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
A Y, Sh K, F S, H B. A comparison of the effects of patient-centered and family-centered education on treatment adherence in kidney transplant patients: a quasi-experimental study. jmsthums 2024; 12 (3) :1-12
URL: http://jms.thums.ac.ir/article-1-1342-en.html
URL: http://jms.thums.ac.ir/article-1-1342-en.html
1- Medical and Research Center, Iran University of Medical Sciences
2- Rajaie Cardiovascular Medical and Research Institute, Tehran
2- Rajaie Cardiovascular Medical and Research Institute, Tehran
Abstract: (140 Views)
Background & Aim: Today, the most significant flaw in treatment and care strategies is the neglect of training and empowering patients and their caregivers. This often leads to patients returning to the hospital. The purpose of this study was to compare the impact of patient-centered and family-centered education on treatment adherence in kidney transplant patients.
Methods: The present study was a quasi-experimental study conducted with the participation of 96 patients undergoing kidney transplantation at Dr. Labafinejad Hospital, which is affiliated with the Social Security Organization of Tehran. The study also included one first-degree family member of each patient. The research units were selected using a consecutive sampling method and were divided into three groups (32 people): family-centered, patient-centered, and control. The data was collected through questionnaires on demographic characteristics and treatment adherence. In the patient-centered and family-centered groups, participants received additional training through educational classes for a period of 6 weeks in addition to routine training. The control group received only routine training at the department. The data was analyzed using SPSS version 24 software and statistical tests such as Kruskal-Wallis, Chi-square, and multiple linear regression.
Results: After the intervention there was a statistically significant difference in the areas of domain, compliance, adherence, and overall score between the three groups (P<0.05). Additionally there was a statistically significant difference in the overall treatment adherence score and all the areas except integration and planning between the three groups of patient-centered, family-centered, and control groups (P<0.05).
Conclusion: Patient-centered and family-centered education affect treatment adherence in most areas, but family-centered education is more effective than patient-centered education.
Methods: The present study was a quasi-experimental study conducted with the participation of 96 patients undergoing kidney transplantation at Dr. Labafinejad Hospital, which is affiliated with the Social Security Organization of Tehran. The study also included one first-degree family member of each patient. The research units were selected using a consecutive sampling method and were divided into three groups (32 people): family-centered, patient-centered, and control. The data was collected through questionnaires on demographic characteristics and treatment adherence. In the patient-centered and family-centered groups, participants received additional training through educational classes for a period of 6 weeks in addition to routine training. The control group received only routine training at the department. The data was analyzed using SPSS version 24 software and statistical tests such as Kruskal-Wallis, Chi-square, and multiple linear regression.
Results: After the intervention there was a statistically significant difference in the areas of domain, compliance, adherence, and overall score between the three groups (P<0.05). Additionally there was a statistically significant difference in the overall treatment adherence score and all the areas except integration and planning between the three groups of patient-centered, family-centered, and control groups (P<0.05).
Conclusion: Patient-centered and family-centered education affect treatment adherence in most areas, but family-centered education is more effective than patient-centered education.
Type of Study: Research |
Subject:
Special
Received: 2024/09/12 | Accepted: 2024/12/14 | Published: 2025/01/5
Received: 2024/09/12 | Accepted: 2024/12/14 | Published: 2025/01/5
References
1. Nafar M, Aghighi M, Dalili N, Alipour Abedi B. Perspective of 20 years hemodialysis registry in Iran, on the road to progress. Iran J Kidney Dis. 2020; 14(2):95-101 .
2. Ebrahimi H, Sadeghi M, Amanpour F, Dadgari A. Influence of nutritional education on hemodialysis patients' knowledge and quality of life. Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation,Saudi Arabia.2017;27(2):250-5. [DOI:10.4103/1319-2442.178253]
3. Madreseh E, Mahmoudi M, Hosseini M, Zeraati H, Najafi I.2014, The application of joint model for longitudinal and survival data in peritoneal dialysis patients. Sci J Sch Public Health Instit Public Health Res.11(4):49-64.
4. Jensen CE, Sørensen P, Petersen KD.2014, In Denmark kidney transplantation is more cost effective than dialysis. Dan Med J.61:A4796
5. Trivedi P, Rosaasen N, Mansell H. 2016,The health care provider's perspective of education before kidney transplantation. Prog Transplant.26:322 7. [DOI:10.1177/1526924816664081]
6. Dew MA, DiMartini AF, De Vito Dabbs A, Myaskovsky L, Steel J, Unruh M, et al. Rates and risk factors for no adherence to the medical regimen after adult solid organ transplantation. Transplantation.2007;83:858-873. [DOI:10.1097/01.tp.0000258599.65257.a6]
7. Matteson ML, Russell C. A systematic review of interventions to increase hemodialysis adherence: 2007-2012. In: Theofilou P, editor. Outcome Assessment in End-Stage Kidney Disease-Measurements and Applications in Clinical Practice: Bentham Science Publish.2012. [DOI:10.2174/9781608057351113010012]
8. Gokoel SR, Gombert Handoko KB, Zwart TC, van der Boog PJ, Moes DJ, de Fijter JW.2020, Medication non adherence after kidney transplantation: A critical appraisal and systematic review. Transplant Rev (Orlando).34:100511. [DOI:10.1016/j.trre.2019.100511]
9. Dolansky MA, Hawkins MA, Schaefer JT, Gunstad J, Sattar A, Redle JD, et al.2017, Cognitive function predicts risk for clinically significant weight gain in adults with heart failure. Journal of Cardiovascular Nursing.32(6):568-575. [DOI:10.1097/JCN.0000000000000376]
10. Gokoel SR, Gombert Handoko KB, Zwart TC, van der Boog PJ, Moes DJ, de Fijter JW. Medication non adherence after kidney transplantation: A critical appraisal and systematic review. Transplant Rev (Orlando).2020;34:100511. [DOI:10.1016/j.trre.2019.100511]
11. Fouque D.Nutritional support in renal failure Tropic 15. Paris, France: European Nutrition andSafety.2013.
12. Laal N, Shekarriz-Foumani R, Khodaie F, Abadi A, Heidarnia MA.2017, Effects of patient education and follow up after discharge on hospital readmission in heart failure patients. Research in Medicine.41(1):24-30.
13. Deccache A, van Ballekom K.2010, From patient compliance to empowerment and consumer's choice: evolution or regression? An overview of patient education in French speaking European countries. Patient Educ Couns. 78(3):282-286. [DOI:10.1016/j.pec.2010.01.012]
14. Shomali M.2013, Effect of education booed on educational needs on weight changes in patients undergoing haemodialysis. Prev Care Nurs Midwifery J.2(2):25-33.
15. Joolaee S, Hajibabaee F, Jalal EJ, Bahrani N.2011, Assessment of Patient Satisfaction from Nursing Care in Hospitals of Iran University of Medical Sciences. Hayat.17(1).
16. Matourypour P, Daliri N , Ghiyasvandian Sh, Zakerimoghadam M.2024, Effects of an Educational Package on Quality of Life and Acute Complications in Kidney Transplant Recipients: A Clinical Trial. Middle East J Rehabil Health Stud.11(1): e129235. [DOI:10.5812/mejrh-129235]
17. Sanaie N, Nejati S, Zolfaghari M, Alhani F, Kazemnezhad A.2014, The effects of family-based empowerment on family cooperation in following patient treatment regime after coroner arteries bypass surgery. Mod Care J.11:14-6.
18. Enhaerynck K, Manhaeve D, Dobbels F, Garzoni D, Nolte C, De Geest S.2007, Prevalence and consequences of nonadherence to hemodialysis regimens. American Journal of Critical Care. 16(3):222-235. [DOI:10.4037/ajcc2007.16.3.222]
19. DiMatteo MR.2004, Variations in patients' adherence to medical recommendations: a quantitative review of 50 years of research. Med Care.42:200-209. [DOI:10.1097/01.mlr.0000114908.90348.f9]
20. Dols JD, Chargualaf KA, Gordon A, et al.2020, Reduction of liver transplant early readmission through nurse led education interventions.Prog Transplant.30(1):88-94 . [DOI:10.1177/1526924820913511]
21. Tao W.W, Tao X.M,Wang Y, Bi S.H.2020,Psycho-social and educational interventions for enhancing adherence to dialysis in adults with end-stage renal disease: A meta-analysis. J. Clin. Nurs.29, 2834-2848. [DOI:10.1111/jocn.15301]
22. Alikari V, Matziou V, Tsironi M, Theofilou P, Zyga S.2015, The effect of nursing counseling on improving knowledge, adherence to treatment and quality of life of patients undergoing hemodialysis. Int J Caring Sci.8(2):514-518.
23. Barnett T, Li Yoong T, Pinikahana J, Si‐Yen T.2008, Fluid compliance among patients having haemodialysis: can an educational programme make a difference? Journal of Advanced Nursing.61(3):300-306. [DOI:10.1111/j.1365-2648.2007.04528.x]
24. Neri L, Martini A, Andreucci VE, Gallieni M, Rocca Rey L, Brancaccio D.2011, Regimen Complexity and Prescription Adherence in Dialysis Patients. American Journal of Nephrology.34(1):71-76. [DOI:10.1159/000328391]
25. Arad M, Goli R Parizad N, Vahabzadeh D , Baghaei R.2021, Do the patient education program and nurse-led telephone follow-up improve treatment adherence in hemodialysis patients? A randomized controlled trial. BMC Nephrology.22 (119). [DOI:10.1186/s12882-021-02319-9]
26. Faraji O, Ramazani A, Abbaszadeh M, Abdollahzad H, Aliabadi A.2014, The effect of design and evaluation of healtheducation program on knowledge, attitude and performance of patients family membersabout tuberculosis disease in Zabol. TOLOO-E-BEHDASHT.15(2):73-81.
27. Saki M, Najmi S, Gholami M, Ebrahimzadeh F.2021, The effect of patient-centered education in adherence to the treatment regimen in patients with coronary artery disease. Journal of Vascular Nursing.40. [DOI:10.1016/j.jvn.2021.10.003]
28. Sanaie N, Nejati S, Zolfaghari M, Alhani F, Kazemnezhad A.2014, The effects of family-based empowerment on family cooperation in following patient treatment regime after coroner arteries bypass surgery. Modern Care Journal.11(1):19-27(Persian).
29. Pedram Razi SH, Sadeghi M, Nikbakht Nasrabadi AR, Ebrahimi H, Kazemnejad A.2014, The effect of family-centered empowerment model on knowledge and metabolic control of patients with type 2 diabetes. Knowledge Health.9(1): 48-54(Persian).
30. Schmid H, Hartmann B, Schiffl H.2009, Adherence to prescribed oral medication in adult patients undergoing chronic hemodialysis: a critical review of the literature. Eur J Med Res .14(5): 185-189. [DOI:10.1186/2047-783X-14-5-185]
31. Zarkhah S, Ghofranipour FA, Ahmadi F, Doustkami D.2007, Effects of family-centered intervention on dietary patterns in post myocardial infarction. Pejouhandeh .11(5): 303-307 (Persian).
32. Yu RL, Liang XL, Fu X.2008, The influence of early-stage family intervention on life quality of HD patients from low function families. Zhonghua Hu Li Za Zhi . 4(2): 67-79.
33. Asgari P ,Bahramnezhad F , Zolfaghari M , Farokhnezhad Afshar P.2015, Comparison of the impact of family-centered and patient-centered education methods on attitude toward and adherence to diet and fluid restriction in hemodialysis patients. Medical - Surgical Nursing Journal.3(4):195-202(Persian).
34. Sadeghi M, Pedram Razi SH, Nikbakht Nasr Abadi AR, Ebrahimi H and Kazemnejad A.2013,The effect of education based on an empowerment model and family -centered empowerment model based on knowledge and metabolic control in patients with type II diabetes. J Nurs Educ.2(3): 18 - 27(Persian).
35. Kolahdooz M, mohammadi NK, Hozoori M.2019, Effect of Nutrition Education in Diabetic Patients and Their Families on Knowledge Attitude and Practice of Diabetic Patients in Neyshaboor. Res Med.43(1):35-40.
36. Neale, E.P.; Middleton, J.; Lambert, K.2020, Barriers and enablers to detection and management of chronic kidney disease in primary healthcare: A systematic review. BMC Nephrol. 21, 83. [DOI:10.1186/s12882-020-01731-x]
37. Choi, E.S.; Lee, J.2012, Effects of face-to-face self-management program on knowledge, self-care practice and kidney function in patients with chronic kidney disease before the renal replacement therapy. J. Korean Acad. Nurs. 42, 1070-1078. [DOI:10.4040/jkan.2012.42.7.1070]
Send email to the article author
| Rights and permissions | |
 | This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
This work is licensed under a Creative Commons Attribution 4.0 International License.
Designed & Developed by : Yektaweb