title: The impact of nurse-led education on haemodialysis patients' phosphate binder medication adherence.
abstract: BACKGROUND
  Phosphate binder medication adherence is required to maintain optimal phosphate levels and minimise bone disease in people with end stage kidney disease.
  
  
  OBJECTIVE
  To examine the impact of a nurse-led education intervention on bone disorder markers, adherence to phosphate binder medication and medication knowledge.
  
  
  METHODS
  Descriptive study with a paired pre-post intervention survey.
  
  
  METHODS
  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: Moorabbin Dialysis Unit, Southern Health, Melbourne, Australia. kimberly.sandlin@southernhealth.org.au
authors: Kimberly
authors: K
authors: Sandlin
authors: Paul N
authors: PN
authors: Bennett
authors: Cherene
authors: C
authors: Ockerby
authors: Ann-Marie
authors: AM
authors: Corradini
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002614:Chelating Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D054559:Hyperphosphatemia / Q000188:drug therapy* / Q000451:nursing*; D007676:Kidney Failure, Chronic / Q000097:blood / Q000451:nursing* / Q000523:psychology; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D010353:Patient Education as Topic / Q000458:organization & administration*; D010710:Phosphates / Q000097:blood*; D057184:Practice Patterns, Nurses' / Q000458:organization & administration*; D006435:Renal Dialysis / Q000451:nursing* / Q000523:psychology
chemical_list: D002614:Chelating Agents; D010710:Phosphates