Effect of Educational Guidelines on Knowledge, health care practices and Dependency Level for Patients Undergoing Hemodialysis

Abstract

Background: End Stage Renal Disease (ESRD) is one of the major health problems worldwide. Aim of the study: Was to evaluate the effect of educational guidelines on knowledge, practice, and dependency level for Patients with ESRD undergoing hemodialysis. Subjects and methods: Research design: A pre/posttest quasi experimental design was used to achieve the study aim. Setting: The study was established in hemodialysis unit at Zagazig University Hospitals, Egypt. Subjects: Purposive sample of 60 adult patients with ESRD undergoing hemodialysis. Data collection tools: An interviewing questionnaire for patients, patients' health care practices about special care, and Dependency level assessment questionnaire. Results: A significant improvement was detected in patients’ knowledge and practice post educational guidelines than pre educational guidelines (p<0. 01). Also, 20% of studied patients were dependent in performing daily living activities before educational guidelines; meanwhile they were slightly decreased to 15% after the educational guidelines. Conclusion: It can be concluded that, the development of educational guidelines showed a significant effect on improvement patients' knowledge, practices, together with modifying the dependency level. Recommendation: Carry out different related educational guidelines and counseling sessions for patients with ESRD regarding proper intervention, healthy lifestyle, and coping strategies.