BACKGROUND: Phosphate binder medication adherence is required to maintain optimal phosphate levels and minimise bone disease in people with end stage kidney disease. OBJECTIVES: To examine the impact of a nurse-led education intervention on bone disorder markers, adherence to phosphate binder medication and medication knowledge. DESIGN: Descriptive study with a paired pre-post intervention survey. PARTICIPANTS: Adults receiving haemodialysis. METHODS: Twelve-week intervention where patients self-administered their phosphate binder medication at each dialysis treatment. Nurses provided individualised education. Patients completed a pre- and post-intervention survey designed to explore their knowledge of phosphate binders. RESULTS: There were no statistically significant changes in clinical markers but a significant improvement in the proportion of patients who took their phosphate binder correctly, increasing from 44 to 72% (p = 0.016). There were moderate to large effect size changes for improved knowledge. CONCLUSIONS: A nurse-led intervention education programme can increase patients' phosphate binder adherence. However, this does not necessarily manifest into improved serum phosphate levels.
BACKGROUND:Phosphate binder medication adherence is required to maintain optimal phosphate levels and minimise bone disease in people with end stage kidney disease. OBJECTIVES: To examine the impact of a nurse-led education intervention on bone disorder markers, adherence to phosphate binder medication and medication knowledge. DESIGN: Descriptive study with a paired pre-post intervention survey. PARTICIPANTS: Adults receiving haemodialysis. METHODS: Twelve-week intervention where patients self-administered their phosphate binder medication at each dialysis treatment. Nurses provided individualised education. Patients completed a pre- and post-intervention survey designed to explore their knowledge of phosphate binders. RESULTS: There were no statistically significant changes in clinical markers but a significant improvement in the proportion of patients who took their phosphate binder correctly, increasing from 44 to 72% (p = 0.016). There were moderate to large effect size changes for improved knowledge. CONCLUSIONS: A nurse-led intervention education programme can increase patients' phosphate binder adherence. However, this does not necessarily manifest into improved serum phosphate levels.
Authors: Victoria Alikari; Maria Tsironi; Vasiliki Matziou; Foteini Tzavella; John Stathoulis; Fotoula Babatsikou; Evangelos Fradelos; Sofia Zyga Journal: Qual Life Res Date: 2018-09-03 Impact factor: 4.147
Authors: Victoria Alikari; Vasiliki Matziou; Maria Tsironi; Natasa Kollia; Paraskevi Theofilou; Adamantia Aroni; Evangelos Fradelos; Sofia Zyga Journal: Health Psychol Res Date: 2017-05-16