This randomized controlled trial was designed to evaluate the effects of a structured nurse-led education program on attitudes toward diet therapy, self-care activities, and chronic disease self-management among patients undergoing maintenance hemodialysis. Sixty eligible patients receiving maintenance hemodialysis were randomly assigned to either the intervention group (n = 30) or the control group (n = 30). Participants in the intervention group received a structured nurse-led education program consisting of eight face-to-face educational sessions delivered over four weeks (two sessions per week), while the control group received routine care without additional educational intervention. The primary outcomes were attitudes toward diet therapy, self-care activities, and chronic disease self-management, which were assessed before and after the intervention using the Hemodialysis Patients' Attitudes Toward Diet Therapy Scale (HPADTS), the Self-Care Activities Screening Scale-14 (SCAS-14), and the Chronic Illness Self-Management Scale (CISMS).
Inclusion Criteria:
Exclusion Criteria:
This was a single-blind randomized controlled trial. Due to the nature of the educational intervention, participants and the nurse educator could not be blinded. However, the statistician who analyzed the study data was blinded to group allocation, and anonymized data were used during statistical analysis.
Participants in the intervention group received a structured nurse-led education program consisting of eight face-to-face sessions delivered over four weeks (two sessions per week), in addition to routine hemodialysis care. The program covered chronic kidney disease, hemodialysis, dietary therapy, nutrition, fluid management, self-care, chronic disease self-management, anemia management, and reinforcement of learning
Participants in the control group received routine hemodialysis care provided by the dialysis center and did not receive the structured nurse-led education program during the study period.
Sinop, Sinop 57000, Turkey (Türkiye)
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