Evaluation of the effect of nutrition-related visual education on the comfort of patients receiving hemodialysis therapy

Authors

  • Cansu KOSAR SAHIN Celal Bayar University
  • Sezgi CINAR PAKYUZ Celal Bayar University

Keywords:

Food and Nutrition Education, Patient comfort, Renal dialysis

Abstract

Objective
This study aimed to evaluate the effect of visual education on the comfort of patients receiving hemodialysis therapy.
Methods
A randomized controlled study design was used. This study was conducted in two dialysis centers with 90 chronic hemodialysis patients. A Patient introduction form, Hemodialysis Comfort Scale-Version II, Hemodialysis Patient Fluid Control Scale, Scale for Dietary Knowledge, and Scale for Dietary Behaviors were used. In the intervention group, three interviews were conducted. In the first interview, visual education was applied, and reinforcement education ensued after 15 days. In the control group, two interviews were conducted, and no intervention was performed.

Results
The training program was found to have a significant effect on comfort, physical and psychospiritual ease, psychospiritual and environmental transcendence, and sociocultural ease, and a moderate effect on physical relief in the intervention group in the third month. It was determined that the visual education program applied had a large effect size on fluid control, diet knowledge, and behaviors in the intervention group.
Conclusion
Visual education was found to have a positive effect on the comfort status, dietary knowledge, and dietary behavior of patients receiving hemodialysis therapy.

References

Efe D, Kocagoz S. Adherence to diet and fluid restriction of individuals on hemodialysis treatment and affecting factors in Turkey. Japan J Nurs Sci. 2015;12:113-23. https://doi.org/10.1111/jjns.12055

Neves Sousa C, Marujo P, Teles P, Nunes Lira M, Novais M. Self-Care on hemodialysis: behaviors with the arteriovenous fistula. Ther Apher Dial. 2017;21(2):195-9. https://doi.org/10.1111/1744-9987.12522

Mehrtak M, Habibzadeh S, Farzaneh E, Rjaei-Khiavi A. Effectiveness of teaching cognitive-behavioral techniques on locus of control in hemodialysis patients. Electronic Physician Journal. 2017;9(10): 5631-37. https://doi.org/10.19082/5631

Nagpal N, Boutin-Foster C, Melendez J, Kubiszeswki P, Uehara K, Offidani E. Experiences of patients undergoing dialysis who are from ethnic and racial minorities. J Renal Care. 2017;43(1):29-36. https://doi.org/10.1111/jorc.12185

Stevenson J, Tong A, Gutman T, Campbell KL, Craig JC, Brown MA et al. Experiences and perspectives of dietary management among patients on hemodialysis: an ınterview study. J Renal Nutr. 2018;28(6):411-21. https://doi.org/10.1053/j.jrn.2018.02.005

Sarafidis PA, Persu A, Agarwal R, Burnier M, Leeuw P, Ferro C, et al. Hypertension in dialysis patients: a consensus document by the European Renal and Cardiovascular Medicine (EURECA-m) working group of the European Renal Association–European Dialysis and Transplant Association (ERA-EDTA) and the Hypertension and the Kidney working group of the European Society of Hypertension (ESH). J Hypertens. 2017;32:620-40. https://doi.org/10.1097/

HJH.0000000000001283

Kolcaba K. Evolution of the mid range theory of comfort for outcomes research. Nurs Outlook. 2001;49:86-92. https://doi.org/10.1067/mno.2001.110268

Pinto S, Fumincelli L, Mazzo A, Caldeira S, Martins JC. Comfort, well-being and quality of life: discussion of the differencesand similarities among the concepts. Porto Biomed J. 2017;2(1):6-12. https://doi.org/10.1016/j.pbj.2016.11.003

Tutton E, Seers K. An exploration of the concept of comfort. J Clin Nurs. 2003;12:689-96. Available from: https://doi.org/10.1046/j.1365-2702.2003.00775.x

Orak NS. Theory of comfort. In: Ocakcı AF, Alpar SE, (editor). Concept, Theory and model examples in nursing. Instanbul: Istanbul Medical Bookstores; 2013.

Bulantekin Duzalan O, Cınar Pakyuz S. Educational interventions for improved diet and fluid management in haemodialysis patients: an interventional study. J Pakistan Med Assoc. 2018[2020 Nov 24];68(4):532-7. Available from: https://pubmed.ncbi.nlm.nih.gov/29808040/

Vardar Inkaya B, Cınar Pakyuz S. The effect of case management with haemodialysis patients on the health perception and the symptoms: the case of Turkey. Pakistan Med J. 2018[2020 Nov 24];68(7):1032-38. Available from: https://www.researchgate.net/publication/326413526_The_effect_of_case_management_with_haemodialysis_patients_on_the_health_perception_and_the_symptoms_The_case_of_Turkey

Tabiee S, Akram Momeni A, Saadatjoo SA. The effects of comfort-based interventions (back massage and patient and family education) on the level of comfort among hemodialysis patients. Modern Care J. 2017;14(3):1-6. https://doi.org/10.5812/modernc.64687

Garagarza CA, Valente AT, Oliveria TS, Caetano CG. Effect of personalized nutritional counseling in maintenance hemodialysis patients. Hemodial Int. 2015;19:412-8. https://doi.org/10.1111/hdi.12260

Singh RG, Singh S, Rathore SS, Choudhary TA. Spectrum of ıntradialytic complications during hemodialysis and ıts management: a single-center experience. Saudi J Kidney Dis Transpl. 2015;26(1):168-72. https://doi.org/10.4103/1319-2442.148771

Adam M, McMahon SA, Prober C, Bärnighausen T. Human-centered design of video-based health education: an ıterative, collaborative, community-based approach. J Med Internet Res 2019;21(1):1-13. https:// doi.org/10.2196/12128

Adib-Hajbaghery M, Zeynab Karimi Z. Comparing the effects of face-to-face and video-based education on ınhaler use: a randomized, two-group pretest/posttest study. Iranian J Nurs Midwif Res. 2018;23(5):352-7. https://doi.org/10.4103/ijnmr.IJNMR_17_18

Moonaghi KH, Hasanzadeh F, Shamsoddini S, Emamimoghadam Z, Ebrahimzadeh S. A comparison of face to face and video-based education on attitude related to diet and fluids: Adherence in hemodialysis patients. Iranian Journal of Nursing and Midwifery Research. 2012 [2020 November 23];17(5):360–364. Available from: https://www.researchgate.net/publication/249322314_A_comparison_of_face_to_face_and_videobased_education_on_

attitude_related_to_diet_and_fluids_Adherence_in_hemodialysis_patients

Bétrancourt M, Benetos K. Why and when does instructional video facilitate learning? A commentary to the special issue “developments and trends in learning with instructional video”. Computers in Human Behavior. 2018 [2020 November 23];89:471-475. Available from:https://doi.org/10.1016/j.chb.2018.08.035

Ronchetti M. Using Video Lectures to Make Teaching More Interactive. International Journal of Emerging Technologies in Learning. 2010 [cited 2020 November 24];5(2):45-47. Available from: https://online-journals.org/index.php/i-jet/article/view/1156/0

Tan ML, Lee KH, Yong WS, Rodgers C. The effects of a video-based education in women with newly diagnosed breast cancer in Singapore. Supportive Care in Cancer. 2018 [2020 November 23];26:3891–3897. Available from: https://doi.org/10.1007/s00520-018-4258-2

Denny MC, Vahidy F, Vu KYT, Sharrief AZ, Savitz SI. Video-based educational intervention associated with improved stroke literacy, self-efficacy, and patient satisfaction. PLOS ONE. 2017 [2020 November 23];12(3):1-12. Available from: https://doi.org/10.1371/ journal.pone.0171952

Dahodwalaa M, Geransara R, Babiona J, Grooda J, Sargiousab P. The impact of the use of video-based educational interventions on patient outcomes in hospital settings: A scoping review. Patient Education and Counseling. 2018 [2020 November 23];101(12):2116-2124. Available from: https://doi.org/10.1016/j.pec.2018.06.018

Sahin Orak N, Cinar Pakyuz S, Kartal A. Scale Development Study: Comfort in Hemodialysis Patients. Turkish Society of Nephrology, Dialysis and Transplantation Nurses, Journal of Nephrology Nursing. 2017 [2020 November 24];12(2):68-77. Available from: https://dergipark.org.tr/en/download/issue-full-file/30695

Gunalay S, Taskıran E, Mergen H. Evaluation of non - compliance with dietary and fluid restriction in hemodialysis patients. FNG & Science Medical Journal. 2017 [cited 2020 November 24];3(1):9-14. Available from: https://dergipark.org.tr/tr/pub/ibufntd/issue/28279/311144

Albayrak Cosar A, Cinar Pakyuz S. Scale development study: The fluid control in hemodialysis patients. Japan Journal of Nursing Science. 2016; 13: 174-182. Available from: https://doi.org/10.1111/jjns.12083

Bulantekin Duzalan O, Cınar Pakyuz S. Scale development: Dİetary knowledge and behavıors assessment ın hemodıalysıs patıents. Acta Medica Mediterranea. 2017 [2020 November 23];33:457-463. Available from: https://www.actamedicamediterranea.com/archive/2017/medica-3/scale-development-dietary-knowledge-and-behaviorsassessment-in-hemodialy-sis-patients/document

Kosar Sahin C. Evaluation the Effect of Visual Education Related to Nutrition on Comfort of Patients Receiving Hemodialysis Therapy. [thesis] Manisa Celal Bayar University, Institute of Health Sciences; 2019.

Denis Fouque D, Vennegoor M, Wee PT, Wanner C, Ali Basci A, Canaud B, et al. EBPG Guideline on Nutrition. Nephrol Dial Transplant. 2007 [2021 March 30];22(2):45–87. Available from: https://academic.oup.com/ndt/article/22/suppl_2/ii45/1871238

Wrighta M, Jones C. Renal Association Clinical Practice Guideline on Nutrition in CKD. Nephron Clin Pract. 2011 [2021 March 30];118(1):153–164. Available from: https://pubmed.ncbi.nlm.nih.gov/21555894/

Parra EG. Iguacel CG. Egido J., Ortiz A. Phosphorus and Nutrition in Chronic Kidney Disease. International Journal of Nephrology. 2012 [2021 March 30];1-5. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3369467/

Zadeh KK. Patient education for phosphorus management in chronic kidney disease. Patient Preference and Adherence. 2013 [2021 March 30];7:379-390. Available from: https://pubmed.ncbi.nlm.nih.gov/23667310/

D’Alessandro C. Piccoli GB. Cupisti A. The “phosphorus pyramid”: a visual tool for dietary phosphate management in dialysis and CKD patients. BMC Nephrology. 2015 [2021 March 30];16(9):2-6. Available from: https://bmcnephrol.biomedcentral.com/articles/10.1186/1471-2369-16-9

David E, Woolf K, Pompeii ML, Sevick MA. Exploring Problems in Following the Hemodialysis Diet and Their Relation to Energy and Nutrient Intakes: The BalanceWise Study. J Ren Nutr. 2016 [2021 March 30];26(2):118-124. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762735/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762735/pdf/nihms730626.pdf

Pehlivan S. Nutrition in kidney diseases. In: Karadakovan A. Nursing Care in Kidney Diseases. Nobel Academic Publishing. 2016; 339-369.

Biruete A, Jeong JH , Barnes JL, Wilund KR. Modified Nutritional Recommendations to Improve Dietary Patterns and Outcomes in Hemodialysis Patients. Journal of Renal Nutrition. 2017 [2021 March 30];27(1):62-70. Available from: https://pubmed.ncbi.nlm.nih.gov/27471172/

Ikizler TA, Cuppari L, Burrowes J, Byham-Gray L, Campbell K, Carrero JJ, et al. Clinical Practice Guideline For Nutrition in Chronic Kidney Disease: 2019 UPDATE. 2019 [2021 March 30];10-194. Available from: https://www.kidney.org/sites/default/files/Nutrition_GL%2BSubmission_101719_Public_Review_Copy.pdf

Bahar Z. Statistical Methods in Data Analysis. In: Erefe I. Nursing Research Principles Process and Methods. Odak ofset; 2012.

Buyukozturk S. Manual of data analysis for social science: Statistics, research design, SPSS applications and interpretation. 11. Press, Pegem Academy: Ankara; 2010.

Ebrahami H, Sadeghi M, Amanpoir F, Dadgan A. Influence of nutritional education on hemodialysis patients’ knowledge and quality of life. Saudi Journal of Kidney Disease and Transpalntation. 2016 [2020 November 23];27(2):250-255. Available from: https://doi.org/10.4103/1319-2442.178253

Lim E, Hyun S, Lee JM, Kim S, Lee MJ, Lee SM ve ark. Effects of education on low-phosphate diet and phosphate binder intake to control serum phosphate among maintenance hemodialysis patients: A randomized controlled trial. Kidney Research and Clinical Practice. 2018 [2020 November 23];37(1):69–76. Available from: https:// doi.org/10.23876/j.krcp.2018.37.1.69

Chen CM, Wu CH. Effects of different video lecture types on sustained attention, emotion, cognitive load, and learning performance. Computers & Education. 2015 [2020 November 23];80:108-120. Available from: https:// doi.org/10.1016/j.compedu.2014.08.015.

Ozdemir S, Akyol A, Iravul E, Temizkan Kırkayak A, Kaban F, Akdeniz F et al. Determining The Factors Affecting Learning Style in Hemodialysis Patients. Journal of Nephrology Nursing. 2016 [2020 November 24];11(2):40-49. Available from: https://dergipark.org.tr/tr/pub/hemsire/issue/34246/378596

Yalın I. Instructional Technologies and Material Development. 17. Press, Nobel Publications: Ankara; 2006.

Abdul Rahman KA, Abu Samah N, Bekri Rahim M, Nur Md Yunus FA, Abd Baser J, Ismail A. Characteristics of Video Learning Based on Competency Based Education. Innovative Teaching and Learning Journal. 2018 [2020 November 24];2(1):44-50. Available from: http://161.139.21.34/itlj/index.php/itlj/article/view/17

Mohmadi K, Shahgholian N, Valiani M, Mardanparvar H. The effect of acupressure on muscle cramps in patients undergoing hemodialysis. Iranian Journal of Nursing and Midwifery Research. 2017 [2020 November 23];21(6):557-561. Available from: https:// doi.org/10.4103/1735-9066.197684

Malekshahi F, Aryamanesh F, Fallahi S. The Effects of Massage Therapy on Sleep Quality of Patients with End-Stage Renal Disease Undergoing Hemodialysis. A Journal of Clinical Neuroscience and Psychopathology. 2018 [2020 November 23];20(2):91-95. Available from: https:// doi.org/10.5350/Sleep.Hypn.2017.19.0138

Amini E, Goudarzi I, Masoudi R, Ahmadi A, Momeni A. Effect of Progressive Muscle Relaxation and Aerobic Exercise on Anxiety, Sleep Quality, and Fatigue in Patients with Chronic Renal Failure Undergoing Hemodialysis. International Journal of Pharmaceutical and Clinical Research. 2016 [2020 November 24];8(12):1635-1639. Available from: http://eprints.skums.ac.ir/670/

Zarutati M, Pishgooje SAH, Farsi Z, Karbaschi K. The Effect of music therapy on comfort level and some vital signs of patients undergoing hemodialysis. Military Caring Sciences Winter. 2017 [2020 November 23];4(10):221-232. Available from: https:// doi.org/10.18869/acadpub.mcs.3.4.221.

Tabiee S, Akram Momeni A, Saadatjoo SA. The Effects of comfort-based ınterventions (back massage and patient and family education) on the level of comfort among hemodialysis patients. Modern Care Journal. 2017 [2020 November 23]; 14(3):1-6. Available from: https:// doi.org/10.5812/modernc.64687.

Feizalahzadeh H, Tafreshi MZ, Farahani MA, Zareh Z, Farhadmand N. Comparing the Impacts of ComputerAssisted Multimedia Education and Traditional Method on Clinical Parameters of Patients Receiving Hemodialysis. Modern Care Journal. 2015 [2020 November 24];12(2):84-90. Available from: file:///C:/Users/ASUS/Downloads/1030120150205%20(2).pdf

Maslakpak MH, Shams S. A Comparison of face to face and video- based self care education on quality of life of hemodialysis patients. International Journal of Community Based Nursing & Midwifery. 2015 [2020 November 24];3(3):234-243. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495331/

Suk YM, Won Park J, Joong Jeon M, Yoon Kim C. Effect of periodic video education on knowledge about hemodialysis, patient role behavior and the physiologic index in patients with hemodialysis. Basic Nursing Science. 2013 [2020 November 23];15(3):122-132. Available from: https:// doi.org/10.7586/jkbns.2013.15.3.122

Downloads

Published

2022-07-08

How to Cite

KOSAR SAHIN, C. ., & CINAR PAKYUZ, S. . (2022). Evaluation of the effect of nutrition-related visual education on the comfort of patients receiving hemodialysis therapy. Brazilian Journal of Nutrition, 34, 1–14. Retrieved from https://seer.sis.puc-campinas.edu.br/nutricao/article/view/6293

Issue

Section

ORIGINAL ARTICLE