Family-Centered Education and Its Clinical Outcomes in Patients Undergoing Hemodialysis Short Running.
BACKGROUND
Poor adherence to treatment in patients undergoing hemodialysis leads to many complications, including death of the patient.


OBJECTIVE
This study was aimed to investigate the effect of family-based training on common side-effects during dialysis.


METHODS
The present randomized controlled trial study was conducted on 60 patients undergoing hemodialysis at hospitals of Tehran University of Medical Sciences, Iran, from May 2012 to October 2012. Samples were randomly divided into two groups of patient-education (n = 30) and education of patient associated with an active member of the family (n = 30). Blood pressure, chest pain, nausea, vomiting, headaches and muscle cramps were followed with a check list and a questionnaire. The frequencies of the abovementioned complications at the mentioned intervals were recorded in three stages (before the intervention as well as two and four weeks after the intervention). Data analysis was performed using SPSS software, version 16, with chi-square test, Fisher's exact test and independent t-test.


RESULTS
The mean ages of the patients in patient-centered and the family-oriented groups were 47.41 ± 10.31 and 48.16 ± 9.21, respectively. The result showed that some of the variables such as chest pain (P = 0.50, P = 0.01), nausea (P = 0.50, P = 0.01), headache (P = 0.81, P = 0.016), and blood pressure (P = 0.91, P = 0.016) were statistically significant before and four weeks after the intervention.


CONCLUSIONS
According to the result of this study, the presence of families in a treatment plan could be essential to follow the treatment plan and subsequently reduced the complications of hemodialysis.
Critical Care Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IR Iran.
Fatemeh
F
Bahramnezhad
Department of Critical Care Nursing, Nursing and Midwifery Faculty, Arak University of Medical Sciences, Arak, IR Iran.
Parvaneh
P
Asgari
Center for Excellence for E-learning in Medical Education, Tehran University of Medical Sciences, Tehran, IR Iran ; Office of E-L Development and Planning of Virtual School, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, IR Iran.
Mitra
M
Zolfaghari
Department of Gerontology, Nursing and Midwifery faculty, University of Social Welfare and Rehabilitation, Tehran, IR Iran.
Pouya
P
Farokhnezhad Afshar
Complications; Family-Centered Nursing; Hemodialysis; Patient-Centered Care