The Effect Of Caregivers’ Synchronous Education For End Stage Renal Disease Patients’ Dietary Compliance

ObjectiveTo discuss the practicability of caregivers’ synchronous education based on PRECDE-PROCEED model on improving end stage renal disease patients’ dietary compliance and evaluate the effect of caregivers’ synchronous education on end stage renal disease patients’ dietary compliance. MethodsThis study was a experimental research. 83 maintenance hemodialysis patients was selected in top three hospital. They were randomly divided into intervention group(41 patients)and control group(42 patients). Regulation health education was conducted on patients and their families in control group, caregivers’ synchronous education based on PRECDE-PROCEED model was conducted on patients and their families in intervention group. Before intervention, 3 months after intervention, 6 months after intervention, the data was collected using end stage renal disease dietary knowledge questionnaire, end stage renal disease dietary compliance questionnaire and social support rating scale for evaluating the patients’ dietary knowledge, dietary compliance and social support. The data of patients’ serum potassium and serum phosphorus were collected at corresponding time points. The statistic methods included descriptive statistical analysis, t-test, Chi-square analysis and repetitive measurement and analysis of variance. Results3 patients were lost. One patient transfered to another hospital, two patients received kidney transplant, the patients who completed the entire research were divided into intervention group(41patients) and control group(42 patients).(1) 3 months and 6 months after intervention, intervention group’s dietary knowledge scored significantly higher than control group(t=3.165,P=0.002;t=3.821,P=0.000). Repetitive measure analysis of variance(ANOVA) :Three times points(before intervention, 3 months and 6 months after intervention), discarding of time factor, patients’ dietary knowledge scores were improved significantly in both groups(Fgroup effect=6.569, P=0.012). Discarding of intervention factor, different points in time, patients’ dietary knowledge scores were improved significantly(Ftime effect=90.655,P=0.000). Interventional effect and time effect have interaction(F=7.288,P=0.003).(2) 3 months and 6 months after intervention, intervention group’s dietary compliance scored significantly higher than control group(t=2.896, P=0.005; t=5.583, P=0.000). Repetitive measure analysis of variance(ANOVA): Three times points(before intervention, 3 months and 6 months after intervention), discarding of time factor, two groups’ patients’ dietary compliance scores were improved significantly in both groups(Fgroup effect=6.897, P=0.010). Discarding of intervention factor, different points in time, patients’ dietary compliance scores’ were improved significantly(Ftime effect=100.691, P=0.000). Interventional effect and time effect have interaction(F=20.572, P=0.000).(3) 3 months and 6 months after intervention,intervention group’s serum potassium was significantly lower than control group(t=-2.015,P=0.047;t=-3.721,P=0.000). Repetitive measure analysis of variance(ANOVA): Three times points,(before intervention, 3 months and 6 months after intervention), discarding of time factor, serum potassium was significantly low in both groups(Fgroup effect=4.324,P=0.041). Discarding of intervention factor, different points in time, serum potassium was significantly low(Ftime effect=57.665,P=0.000). Interventional effect and time effect have interaction(F=9.469,P=0.000).(4) 3 months and 6 months after intervention, intervention group’s serum phosphorus was significantly lower than control group(t=-3.724,P=0.000;t=-4.014,P=0.000). Repetitive measure analysis of variance(ANOVA): Three times points(before intervention, 3 months and 6 months after intervention), discarding of time factor, serum phosphorus was significantly low in both groups(Fgroup effect=4.039,P=0.048<0.05). Discarding of intervention factor, different points in time, serum phosphorus was significantly low(Ftime effect=12.204, P=0.001<0.01). Interventional effect and time effect have interaction(F=8.818, P=0.003<0.01).(5) 3 months and 6 months after intervention, the total score of social support, scores of subjective support, support availability of intervention group were higher significantly than those of the control group(P<0.05). Repetitive measure analysis of variance(ANOVA): Three times points(before intervention, 3 months and 6months after intervention), discarding of time factor, patients’ total score of social support, subjective support, support availability were improved significantly in both groups(P<0.05). Discarding of intervention factor, the total score of social support and score of each dimension were improved significantly(P<0.05). Interventional effect and time effect had interaction(P<0.05). Conclusions1 Caregivers’ synchronous health education can improve dietary knowledge level of the end stage renal disease patients.2 Caregivers’ synchronous health education can improve dietary compliance level of the end stage renal disease patients.3 Caregivers’ synchronous health education can decrease serum potassium and serum phosphorus level of end stage renal disease patients.4 Caregivers’ synchronous health education can decrease social support level of end stage renal disease patients.