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Predialysis education helps patients choose dialysis modality and increases disease-specific knowledge

Klang, Birgitta; Björvell, Hjördis and Clyne, Naomi LU (1999) In Journal of Advanced Nursing 29(4). p.869-876
Abstract

The aims of this study were first, to evaluate the effects of a patient-education programme for a group of 28 uraemic patients (the Experimental (EG) group) with regard to their knowledge and perceived amount of information and to relate these effects to their sense of coherence and secondly, to study the patients' perception of their dialysis treatment. The results were compared with a comparison group (the Companion (CG) group, n = 28) which had received routine information only. The education programme seemed to have covered what the EG wanted to know. Significantly more patients in the EG group stated that they had acquired sufficient knowledge to enable them to participate in choosing dialysis modality compared with the CG group.... (More)

The aims of this study were first, to evaluate the effects of a patient-education programme for a group of 28 uraemic patients (the Experimental (EG) group) with regard to their knowledge and perceived amount of information and to relate these effects to their sense of coherence and secondly, to study the patients' perception of their dialysis treatment. The results were compared with a comparison group (the Companion (CG) group, n = 28) which had received routine information only. The education programme seemed to have covered what the EG wanted to know. Significantly more patients in the EG group stated that they had acquired sufficient knowledge to enable them to participate in choosing dialysis modality compared with the CG group. The EG patients were significantly more informed in the post-educational evaluation compared with the pre-educational evaluation. In the EG, there was a significant relationship between the scores for knowledge and perceived amount of information. Men and younger patients perceived that they had received a greater amount of information than women and older patients. After having started dialysis treatment, there were no differences in the scores for knowledge and information between the EG and the CG. This indicates that other sources of knowledge and information were available to the CG patients. There was no significant correlation between the score of the Sense of Coherence (SOC) scale and the knowledge and information scores. Kidney transplantation, progression of renal failure, other patients' experiences of dialysis, dependence - independence, present and future wellbeing, how to cope with physical and psycho-social demands and continuity in their contacts with doctors and other health professionals were predominant concerns for the two groups of patients. Conclusion: the predialysis group education programme enabled patients to choose dialysis modality to achieve an understanding of their illness and its treatment. It also provided the possibility of informal support by fellow patients and health professionals. The study emphasizes the special needs of elderly patients and we recommend that education programmes are tailored to their requirements.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
End-stage renal failure, Information, Knowledge, Patient education
in
Journal of Advanced Nursing
volume
29
issue
4
pages
8 pages
publisher
Wiley-Blackwell
external identifiers
  • Scopus:0033110847
ISSN
0309-2402
DOI
10.1046/j.1365-2648.1999.00957.x
language
English
LU publication?
no
id
3fe05e44-74fb-4da3-9418-7d7273349878
date added to LUP
2016-08-30 21:54:51
date last changed
2016-09-16 15:09:50
@misc{3fe05e44-74fb-4da3-9418-7d7273349878,
  abstract     = {<p>The aims of this study were first, to evaluate the effects of a patient-education programme for a group of 28 uraemic patients (the Experimental (EG) group) with regard to their knowledge and perceived amount of information and to relate these effects to their sense of coherence and secondly, to study the patients' perception of their dialysis treatment. The results were compared with a comparison group (the Companion (CG) group, n = 28) which had received routine information only. The education programme seemed to have covered what the EG wanted to know. Significantly more patients in the EG group stated that they had acquired sufficient knowledge to enable them to participate in choosing dialysis modality compared with the CG group. The EG patients were significantly more informed in the post-educational evaluation compared with the pre-educational evaluation. In the EG, there was a significant relationship between the scores for knowledge and perceived amount of information. Men and younger patients perceived that they had received a greater amount of information than women and older patients. After having started dialysis treatment, there were no differences in the scores for knowledge and information between the EG and the CG. This indicates that other sources of knowledge and information were available to the CG patients. There was no significant correlation between the score of the Sense of Coherence (SOC) scale and the knowledge and information scores. Kidney transplantation, progression of renal failure, other patients' experiences of dialysis, dependence - independence, present and future wellbeing, how to cope with physical and psycho-social demands and continuity in their contacts with doctors and other health professionals were predominant concerns for the two groups of patients. Conclusion: the predialysis group education programme enabled patients to choose dialysis modality to achieve an understanding of their illness and its treatment. It also provided the possibility of informal support by fellow patients and health professionals. The study emphasizes the special needs of elderly patients and we recommend that education programmes are tailored to their requirements.</p>},
  author       = {Klang, Birgitta and Björvell, Hjördis and Clyne, Naomi},
  issn         = {0309-2402},
  keyword      = {End-stage renal failure,Information,Knowledge,Patient education},
  language     = {eng},
  number       = {4},
  pages        = {869--876},
  publisher    = {ARRAY(0x8380ba0)},
  series       = {Journal of Advanced Nursing},
  title        = {Predialysis education helps patients choose dialysis modality and increases disease-specific knowledge},
  url          = {http://dx.doi.org/10.1046/j.1365-2648.1999.00957.x},
  volume       = {29},
  year         = {1999},
}