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KMID : 0367020200320050515
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Journal of Korean Academic of Adult Nursing
2020 Volume.32 No. 5 p.515 ~ p.525
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Effects of a Repeated Hemodialysis Diet Education Program for Older Adults
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Kim Sang-Suk
Choi Young-Sil
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Abstract
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Purpose: The purpose of this study was to verify the effects of a repeated hemodialysis diet education programon dietary knowledge, dietary self-care compliance, and physiological indices in older adults on hemodialysis.
Methods: This study employed a non-equivalent control group pre-post repeated measures design. Based onEbbinghaus’ forgetting curve, the experimental group received diet education four times. Data were analyzed bythe x2-test, t-test, and Fisher’s exact test. A repeated measures ANOVA was used for hypothesis testing.
Results:There were statistically significant between-groups differences in dietary knowledge by time of assessment, withingroup differences by time of assessment, and interactions between group and time. Regarding dietary self-carecompliance, there were significant within-group differences by time of assessment and interactions between groupand time. There were significant within-group changes in inter-dialytic weight gain by time of assessment. For thephysiological indices, blood sodium and albumin showed significant within-group changes by time of assessment. Phosphorus and blood urea nitrogen scores showed significant within-group changes. For blood potassiumconcentration, there was a significant difference in interactions between group and time.
Conclusion: Owing to theresulting improvements in dietary knowledge and self-care compliance, the repeated education program appliedin this study can be used as a preventive measure for complications in older adults on hemodialysis.
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KEYWORD
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Older adults, Renal dialysis, Diet, Knowledge, Compliance
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