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Erschienen in: Quality of Life Research 1/2019

03.09.2018

The impact of education on knowledge, adherence and quality of life among patients on haemodialysis

verfasst von: Victoria Alikari, Maria Tsironi, Vasiliki Matziou, Foteini Tzavella, John Stathoulis, Fotoula Babatsikou, Evangelos Fradelos, Sofia Zyga

Erschienen in: Quality of Life Research | Ausgabe 1/2019

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Abstract

Purpose

The purpose of the study was to assess the impact of an educational intervention on the level of knowledge, quality of life (QoL) and adherence to the treatment regimen among haemodialysis (HD) patients as well as to describe the association between these variables.

Methods

In this quasi-experimental interventional study, 50 HD patients at a HD centre in Western Attica were randomly assigned into intervention (N = 25, received education and a booklet) and control (N = 25, received only the booklet) groups. Knowledge, adherence and quality of life were measured pre- and post-intervention using the Kidney Disease Questionnaire, the GR-Simplified Medication Adherence Questionnaire-HD and Missoula Vitas Quality of Life Index—15, respectively. The statistical analysis of the data was performed with the help of the Statistical Program SPSS version 19.0. The statistical significance level was set up at 0.05.

Results

The increase of knowledge, adherence and QoL levels in the intervention group was significantly higher compared to the control group. There was no significant correlation between knowledge and adherence scores after the intervention. However, a significant positive correlation was found between the change in the overall QoL and the changes in the total adherence score as well as the adherence to the fluids and dietary behaviour.

Conclusions

An educational intervention can improve knowledge, adherence and QoL among HD patients. The increase of knowledge level is not associated with increased adherence. However, the increase of adherence may improve some dimensions of QoL.
Literatur
1.
Zurück zum Zitat Zyga, S., Alikari, V., Sachlas, A., Stathoulis, J., Aroni, A., Theofilou, P., et al. (2015). Management of pain and quality of life in patients with chronic kidney disease undergoing hemodialysis. Pain Management Nursing, 16(5), 712–720.CrossRefPubMed Zyga, S., Alikari, V., Sachlas, A., Stathoulis, J., Aroni, A., Theofilou, P., et al. (2015). Management of pain and quality of life in patients with chronic kidney disease undergoing hemodialysis. Pain Management Nursing, 16(5), 712–720.CrossRefPubMed
2.
Zurück zum Zitat Rayner, H. C., Larkina, M., Wang, M., Graham-Brown, M., van der Veer, S. N., Ecder, T., et al. (2017). International comparisons of prevalence, awareness, and treatment of pruritus in people on hemodialysis. Clinical Journal of American Society of Nephrology, 12(12), 2000–2007.CrossRef Rayner, H. C., Larkina, M., Wang, M., Graham-Brown, M., van der Veer, S. N., Ecder, T., et al. (2017). International comparisons of prevalence, awareness, and treatment of pruritus in people on hemodialysis. Clinical Journal of American Society of Nephrology, 12(12), 2000–2007.CrossRef
3.
Zurück zum Zitat Weiss, M., Mettang, T., Tschulena, U., & Weisshaar, E. (2016). Health-related quality of life in haemodialysis patients suffering from chronic itch: Results from GEHIS (German Epidemiology Haemodialysis Itch Study). Quality of Life Research, 25(12), 3097–3106.CrossRefPubMed Weiss, M., Mettang, T., Tschulena, U., & Weisshaar, E. (2016). Health-related quality of life in haemodialysis patients suffering from chronic itch: Results from GEHIS (German Epidemiology Haemodialysis Itch Study). Quality of Life Research, 25(12), 3097–3106.CrossRefPubMed
4.
Zurück zum Zitat Zyga, S., Alikari, V., Sachlas, A., Fradelos, E. C., Stathoulis, J., Panoutsopoulos, G., et al. (2015). Assessment of fatigue in end stage renal disease patients undergoing hemodialysis: Prevalence and associated factors. Medical Archives, 69(6), 376–380.CrossRefPubMedPubMedCentral Zyga, S., Alikari, V., Sachlas, A., Fradelos, E. C., Stathoulis, J., Panoutsopoulos, G., et al. (2015). Assessment of fatigue in end stage renal disease patients undergoing hemodialysis: Prevalence and associated factors. Medical Archives, 69(6), 376–380.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Wanner, C., Amann, K., & Shoji, T. (2016). The heart and vascular system in dialysis. Lancet, 388(10041), 276–284.CrossRefPubMed Wanner, C., Amann, K., & Shoji, T. (2016). The heart and vascular system in dialysis. Lancet, 388(10041), 276–284.CrossRefPubMed
6.
Zurück zum Zitat Jiang, H., Wang, L., Zhang, Q., Liu, D. X., Ding, J., Lei, Z., et al. (2015). Family functioning, marital satisfaction and social support in hemodialysis patients and their spouses. Stress Health, 31(2), 166–174.CrossRefPubMed Jiang, H., Wang, L., Zhang, Q., Liu, D. X., Ding, J., Lei, Z., et al. (2015). Family functioning, marital satisfaction and social support in hemodialysis patients and their spouses. Stress Health, 31(2), 166–174.CrossRefPubMed
8.
Zurück zum Zitat Estrella, M. M., Jaar, B. G., Cavanaugh, K. L., Fox, C. H., Perazella, M. A., Soman, S. S., et al. (2013). Perceptions and use of the National Kidney Foundation KDOQI guidelines: A survey of U.S. renal healthcare providers. BMC Nephrology, 14, 230.CrossRefPubMedPubMedCentral Estrella, M. M., Jaar, B. G., Cavanaugh, K. L., Fox, C. H., Perazella, M. A., Soman, S. S., et al. (2013). Perceptions and use of the National Kidney Foundation KDOQI guidelines: A survey of U.S. renal healthcare providers. BMC Nephrology, 14, 230.CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Dantas, L. G., Cruz, C., Rocha, M., Moura, J. A. Jr., Paschoalin, E., Paschoalin, S., et al. (2013). Prevalence and predictors of nonadherence to hemodialysis. Nephron Clinical Practice, 124(1–2), 67–71.CrossRefPubMed Dantas, L. G., Cruz, C., Rocha, M., Moura, J. A. Jr., Paschoalin, E., Paschoalin, S., et al. (2013). Prevalence and predictors of nonadherence to hemodialysis. Nephron Clinical Practice, 124(1–2), 67–71.CrossRefPubMed
11.
Zurück zum Zitat Saran, R., Bragg-Gresham, J., Rayner, H., Goodkin, D., Keen, M., Van Dijk, P., et al. (2003). Non-adherence in hemodialysis: Associations with mortality, hospitalization, and practice patterns in the DOPPS. Kidney International, 64(1), 254–262.CrossRefPubMed Saran, R., Bragg-Gresham, J., Rayner, H., Goodkin, D., Keen, M., Van Dijk, P., et al. (2003). Non-adherence in hemodialysis: Associations with mortality, hospitalization, and practice patterns in the DOPPS. Kidney International, 64(1), 254–262.CrossRefPubMed
12.
Zurück zum Zitat Block, G. A., Wheeler, D. C., Persky, M. S., Kestenbaum, B., Ketteler, M., Spiegel, D. M., et al. (2012). Effects of phosphate binders in moderate CKD. Journal of the American Society of Nephrology, 23(8), 1407–1415.CrossRefPubMedPubMedCentral Block, G. A., Wheeler, D. C., Persky, M. S., Kestenbaum, B., Ketteler, M., Spiegel, D. M., et al. (2012). Effects of phosphate binders in moderate CKD. Journal of the American Society of Nephrology, 23(8), 1407–1415.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Flythe, J. E., Curhan, G. C., & Brunelli, S. M. (2013). Shorter length dialysis sessions are associated with increased mortality, independent of body weight. Kidney International, 83(1), 104–113.CrossRefPubMed Flythe, J. E., Curhan, G. C., & Brunelli, S. M. (2013). Shorter length dialysis sessions are associated with increased mortality, independent of body weight. Kidney International, 83(1), 104–113.CrossRefPubMed
14.
Zurück zum Zitat Amany, Y. S. (2016). The impact of educational interventions on hemodialysis patients’ adherence to fluid and sodium restrictions. Journal of Nursing and Health Science, 5(3), 55–60. Amany, Y. S. (2016). The impact of educational interventions on hemodialysis patients’ adherence to fluid and sodium restrictions. Journal of Nursing and Health Science, 5(3), 55–60.
15.
Zurück zum Zitat Milazi, M., Bonner, A., & Douglas, C. (2017). Effectiveness of educational or behavioral interventions on adherence to phosphate control in adults receiving hemodialysis: A systematic review. JBI Database of Systematic Reviews and Implementation Reports, 15(4), 971–1010.CrossRefPubMed Milazi, M., Bonner, A., & Douglas, C. (2017). Effectiveness of educational or behavioral interventions on adherence to phosphate control in adults receiving hemodialysis: A systematic review. JBI Database of Systematic Reviews and Implementation Reports, 15(4), 971–1010.CrossRefPubMed
16.
Zurück zum Zitat Parvan, K., Hasankhani, H., Seyyedrasooli, A., Riahi, S. M., & Ghorbani, M. (2015). The effect of two educational methods on knowledge and adherence to treatment in hemodialysis patients: Clinical trial. Journal of Caring Sciences, 4(1), 83–93.PubMedPubMedCentral Parvan, K., Hasankhani, H., Seyyedrasooli, A., Riahi, S. M., & Ghorbani, M. (2015). The effect of two educational methods on knowledge and adherence to treatment in hemodialysis patients: Clinical trial. Journal of Caring Sciences, 4(1), 83–93.PubMedPubMedCentral
17.
Zurück zum Zitat Wells, J. R. (2011). Hemodialysis knowledge and medical adherence in African Americans diagnosed with end stage renal disease: Results of an educational intervention. Nephrology Nursing Journal, 38(2), 155–162.PubMed Wells, J. R. (2011). Hemodialysis knowledge and medical adherence in African Americans diagnosed with end stage renal disease: Results of an educational intervention. Nephrology Nursing Journal, 38(2), 155–162.PubMed
18.
Zurück zum Zitat Falvo, D. R. (2010). Patient adherence as an outcome of effective patient teaching. In In Effective patient education: A guide to increased adherence (4th edn., pp. 1–32). Sudbury: Jones and Bartlett Publishers. Falvo, D. R. (2010). Patient adherence as an outcome of effective patient teaching. In In Effective patient education: A guide to increased adherence (4th edn., pp. 1–32). Sudbury: Jones and Bartlett Publishers.
19.
Zurück zum Zitat Ebrahimi, H., Sadeghi, M., Amanpour, F., & Dadgari, A. (2016). Influence of nutritional education on hemodialysis patients’ knowledge and quality of life. Saudi Journal of Kidney Disease & Transplantation, 27(2), 250–255.CrossRef Ebrahimi, H., Sadeghi, M., Amanpour, F., & Dadgari, A. (2016). Influence of nutritional education on hemodialysis patients’ knowledge and quality of life. Saudi Journal of Kidney Disease & Transplantation, 27(2), 250–255.CrossRef
20.
Zurück zum Zitat Bahrami Nejad, N., Hanifi, N., & Mousavi Nasab, N. (2008). Comparing the effects of two family-and individual-based intervention on blood pressure and lifestyle. Journal of Qazvin University of Medical Sciences, 12(1), 62–79. Bahrami Nejad, N., Hanifi, N., & Mousavi Nasab, N. (2008). Comparing the effects of two family-and individual-based intervention on blood pressure and lifestyle. Journal of Qazvin University of Medical Sciences, 12(1), 62–79.
21.
Zurück zum Zitat Shi, Y. X., Fan, X. Y., Han, H. J., Wu, Q. X., Di, H. J., Hou, Y. H., et al. (2013). Effectiveness of a nurse-led intensive educational programme on chronic kidney failure patients with hyperphosphataemia: Randomised controlled trial. Journal of Clinical Nursing, 22(7–8), 1189–1197.CrossRefPubMed Shi, Y. X., Fan, X. Y., Han, H. J., Wu, Q. X., Di, H. J., Hou, Y. H., et al. (2013). Effectiveness of a nurse-led intensive educational programme on chronic kidney failure patients with hyperphosphataemia: Randomised controlled trial. Journal of Clinical Nursing, 22(7–8), 1189–1197.CrossRefPubMed
22.
Zurück zum Zitat Hemmati Maslakpak, M., & Shams, S. (2015). A comparison of face to face and video-based self care education on quality of life of hemodialysis patients. International Journal of Community Based Nursing Midwifery, 3(3), 234–243.PubMed Hemmati Maslakpak, M., & Shams, S. (2015). A comparison of face to face and video-based self care education on quality of life of hemodialysis patients. International Journal of Community Based Nursing Midwifery, 3(3), 234–243.PubMed
24.
Zurück zum Zitat Alikari, V., Tsironi, M., Matziou, V., Tzavella, F., Fradelos, E., & Zyga, Z. (2018). Reliability and validity of the Kidney Disease Questionnaire among Greek patients undergoing hemodialysis. American Journal of Nursing Science, 7(3-1), 97–102. Alikari, V., Tsironi, M., Matziou, V., Tzavella, F., Fradelos, E., & Zyga, Z. (2018). Reliability and validity of the Kidney Disease Questionnaire among Greek patients undergoing hemodialysis. American Journal of Nursing Science, 7(3-1), 97–102.
25.
Zurück zum Zitat Devins, G. M., Binik, Y. M., Mandin, H., Letourneau, P. K., Hollomby, D. J., Barre, P. E., et al. (1990). The Kidney Disease Questionnaire: A test for measuring patient knowledge about end-stage renal disease. Journal of Clinical Epidemiology, 43(3), 297–307.CrossRefPubMed Devins, G. M., Binik, Y. M., Mandin, H., Letourneau, P. K., Hollomby, D. J., Barre, P. E., et al. (1990). The Kidney Disease Questionnaire: A test for measuring patient knowledge about end-stage renal disease. Journal of Clinical Epidemiology, 43(3), 297–307.CrossRefPubMed
26.
Zurück zum Zitat Alikari, V., Matziou, V., Tsironi, M., Kollia, N., Theofilou, P., Aroni, A., et al. (2017) A modified version of the Greek Simplified Medication Adherence Questionnaire for hemodialysis patients. Health Psychology Research, 5, 6647.CrossRefPubMedPubMedCentral Alikari, V., Matziou, V., Tsironi, M., Kollia, N., Theofilou, P., Aroni, A., et al. (2017) A modified version of the Greek Simplified Medication Adherence Questionnaire for hemodialysis patients. Health Psychology Research, 5, 6647.CrossRefPubMedPubMedCentral
27.
Zurück zum Zitat Theofilou, P., Aroni, A., Ralli, M., Gouzou, M., & Zyga, S. (2013). Measuring health: Related quality of life in hemodialysis patients. Psychometric properties of the Missoula-VITAS Quality of Life Index (MVQOLI-15) in Greece. Health Psychology Research, 1, e17.CrossRefPubMedPubMedCentral Theofilou, P., Aroni, A., Ralli, M., Gouzou, M., & Zyga, S. (2013). Measuring health: Related quality of life in hemodialysis patients. Psychometric properties of the Missoula-VITAS Quality of Life Index (MVQOLI-15) in Greece. Health Psychology Research, 1, e17.CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Tsiamis, G., Alikari, V., Fradelos, E., Papapetrou, S., & Zyga, S. (2015). Assessment of quality of life and fatigue among haemodialysis patients. American Journal of Nursing Science, 4 (2-1), 66–73. Tsiamis, G., Alikari, V., Fradelos, E., Papapetrou, S., & Zyga, S. (2015). Assessment of quality of life and fatigue among haemodialysis patients. American Journal of Nursing Science, 4 (2-1), 66–73.
29.
Zurück zum Zitat Skelton, S. L., Waterman, A. D., Davis, L. A., Peipert, J. D., & Fish, A. F. (2015). Applying best practices to designing patient education for patients with end-stage renal disease pursuing kidney transplant. Progress in Transplantation, 25(1), 77–84.CrossRefPubMed Skelton, S. L., Waterman, A. D., Davis, L. A., Peipert, J. D., & Fish, A. F. (2015). Applying best practices to designing patient education for patients with end-stage renal disease pursuing kidney transplant. Progress in Transplantation, 25(1), 77–84.CrossRefPubMed
30.
Zurück zum Zitat Narva, A. S., Norton, J. M., & Boulware, L. E. (2016). Educating Patients about CKD: The path to self-management and patient-centered care. Clinical Journal of the American Society of Nephrology, 11(4), 694–703.CrossRefPubMed Narva, A. S., Norton, J. M., & Boulware, L. E. (2016). Educating Patients about CKD: The path to self-management and patient-centered care. Clinical Journal of the American Society of Nephrology, 11(4), 694–703.CrossRefPubMed
31.
Zurück zum Zitat Alikari, V. (2017). Hemodialysis. Answers to common questions. Athens, Ed. BHTA. ISBN: 960-452-236-1. [Αλικάρη, Β. (2017). Αιµοκάθαρση. Απαντήσεις σε συνήθη ερωτήµατα. Αθήνα, Εκδ. ΒΗΤΑ. ISBN: 960-452-236-1 (In Greek Language)]. Alikari, V. (2017). Hemodialysis. Answers to common questions. Athens, Ed. BHTA. ISBN: 960-452-236-1. [Αλικάρη, Β. (2017). Αιµοκάθαρση. Απαντήσεις σε συνήθη ερωτήµατα. Αθήνα, Εκδ. ΒΗΤΑ. ISBN: 960-452-236-1 (In Greek Language)].
32.
Zurück zum Zitat Stumm, E. M., Kirchner, R. M., Guido, L. A., Benetti, E. R., Belasco, A. G., Sesso, R. C., et al. (2017). Educational nursing intervention to reduce the hyperphosphatemia in patients on hemodialysis. Revista Brasileira de Enfermagem, 70(1), 31–38.CrossRefPubMed Stumm, E. M., Kirchner, R. M., Guido, L. A., Benetti, E. R., Belasco, A. G., Sesso, R. C., et al. (2017). Educational nursing intervention to reduce the hyperphosphatemia in patients on hemodialysis. Revista Brasileira de Enfermagem, 70(1), 31–38.CrossRefPubMed
33.
Zurück zum Zitat Brown, R. (2015). Asthma patient education: Partnership in care. International Forum of Allergy & Rhinology, 5(Suppl 1), S68–S70.CrossRef Brown, R. (2015). Asthma patient education: Partnership in care. International Forum of Allergy & Rhinology, 5(Suppl 1), S68–S70.CrossRef
34.
Zurück zum Zitat Jakovenko, D. (2016). Doctor-nurse cooperation in a therapeutic education pathway at home. Soins, 61(809), 23–26.CrossRefPubMed Jakovenko, D. (2016). Doctor-nurse cooperation in a therapeutic education pathway at home. Soins, 61(809), 23–26.CrossRefPubMed
35.
Zurück zum Zitat Narimani, K. (2009). A study of the effect of self-care training on the hemodialysis patients’ quality of life. Journal of Shahed University, 16(79), 63–70. Narimani, K. (2009). A study of the effect of self-care training on the hemodialysis patients’ quality of life. Journal of Shahed University, 16(79), 63–70.
36.
Zurück zum Zitat Sandlin, K., Bennett, P., Ockerby, C., & Corradini, A. (2013). The impact of nurse-led education on haemodialysis patients’ phosphate binder medication adherence. Journal of Renal Care, 39(1), 12–18.CrossRefPubMed Sandlin, K., Bennett, P., Ockerby, C., & Corradini, A. (2013). The impact of nurse-led education on haemodialysis patients’ phosphate binder medication adherence. Journal of Renal Care, 39(1), 12–18.CrossRefPubMed
37.
Zurück zum Zitat Barnett, T., Li Yoong, T., Pinikahana, J., & Si-Yen, T. (2008). Fluid compliance among patients having haemodialysis: Can an educational programme make a difference? Journal of Advanced Nursing, 61(3), 300–306.CrossRefPubMed Barnett, T., Li Yoong, T., Pinikahana, J., & Si-Yen, T. (2008). Fluid compliance among patients having haemodialysis: Can an educational programme make a difference? Journal of Advanced Nursing, 61(3), 300–306.CrossRefPubMed
38.
Zurück zum Zitat Ragnarson Tennvall, G., & Apelqvist, J. (2000). Health-related quality of life in patients with diabetes mellitus and foot ulcers. Journal of Diabetes and its Complications, 14(5), 235–241.CrossRefPubMed Ragnarson Tennvall, G., & Apelqvist, J. (2000). Health-related quality of life in patients with diabetes mellitus and foot ulcers. Journal of Diabetes and its Complications, 14(5), 235–241.CrossRefPubMed
39.
Zurück zum Zitat Moshtagh, Z., Naeeni, K., Hamzezade, M., & Arasteh, A. (2013). The effects of nutrition education on mental health of the hemodialysis patients in Maragheh, East-Azerbaijan, Iran. Life Science Journal, 10(6 s), 382–386. Moshtagh, Z., Naeeni, K., Hamzezade, M., & Arasteh, A. (2013). The effects of nutrition education on mental health of the hemodialysis patients in Maragheh, East-Azerbaijan, Iran. Life Science Journal, 10(6 s), 382–386.
40.
Zurück zum Zitat García-Llana, H., Remor, E., & Selgas, R. (2013). Adherence to treatment, emotional state and quality of life in patients with end-stage renal disease undergoing dialysis. Psicothema, 25(1), 79–86.PubMed García-Llana, H., Remor, E., & Selgas, R. (2013). Adherence to treatment, emotional state and quality of life in patients with end-stage renal disease undergoing dialysis. Psicothema, 25(1), 79–86.PubMed
41.
Zurück zum Zitat Bhavana, S., Ushadevi, C., & Prashant, G. K. (2014). Impact of knowledge, attitude and behavior among maintenance hemodialysis patients for adherence to dietary regimen—A single centre experience. International Journal of Humanities and Social Science, 4(12), 257–262. Bhavana, S., Ushadevi, C., & Prashant, G. K. (2014). Impact of knowledge, attitude and behavior among maintenance hemodialysis patients for adherence to dietary regimen—A single centre experience. International Journal of Humanities and Social Science, 4(12), 257–262.
42.
Zurück zum Zitat Nerbass, F. B., Morais, J. G., dos Santos, R. G., Krüger, T. S., Koene, T. T., & da Luz Filho, H. A. (2010). Adherence and knowledge about hyperphosphatemia treatment in hemodialysis patients with hyperphosphatemia. Journal Brasileiro de Nefrologia, 32(2), 149–155.CrossRef Nerbass, F. B., Morais, J. G., dos Santos, R. G., Krüger, T. S., Koene, T. T., & da Luz Filho, H. A. (2010). Adherence and knowledge about hyperphosphatemia treatment in hemodialysis patients with hyperphosphatemia. Journal Brasileiro de Nefrologia, 32(2), 149–155.CrossRef
43.
Zurück zum Zitat Hain, D., Calvin, D. J., & Simmons, D. E. Jr. (2009). CKD education: An evolving concept. Nephrology Nursing Journal, 36(3), 317–319.PubMed Hain, D., Calvin, D. J., & Simmons, D. E. Jr. (2009). CKD education: An evolving concept. Nephrology Nursing Journal, 36(3), 317–319.PubMed
44.
Zurück zum Zitat Jankowska-Polańska, B., Uchmanowicz, I., Dudek, K., & Mazur, G. (2016). Relationship between patients’ knowledge and medication adherence among patients with hypertension. Patient Preference and Adherence, 10, 2437–2447.CrossRefPubMedPubMedCentral Jankowska-Polańska, B., Uchmanowicz, I., Dudek, K., & Mazur, G. (2016). Relationship between patients’ knowledge and medication adherence among patients with hypertension. Patient Preference and Adherence, 10, 2437–2447.CrossRefPubMedPubMedCentral
45.
Zurück zum Zitat Cavanaugh, K. L., Wingard, R. L., Hakim, R. M., Eden, S., Shintani, A., Wallston, K. A., et al. (2010). Low health literacy associates with increased mortality in ESRD. Journal of American Society of Nephrology, 21(11), 1979–1985.CrossRef Cavanaugh, K. L., Wingard, R. L., Hakim, R. M., Eden, S., Shintani, A., Wallston, K. A., et al. (2010). Low health literacy associates with increased mortality in ESRD. Journal of American Society of Nephrology, 21(11), 1979–1985.CrossRef
46.
Zurück zum Zitat Cavanaugh, K. L., Wingard, R. L., Hakim, R. M., Elasy, T. A., & Ikizler, T. A. (2009). Patient dialysis knowledge is associated with permanent arteriovenous access use in chronic hemodialysis. Clinical Journal of American Society Nephrology, 4(5), 950–956.CrossRef Cavanaugh, K. L., Wingard, R. L., Hakim, R. M., Elasy, T. A., & Ikizler, T. A. (2009). Patient dialysis knowledge is associated with permanent arteriovenous access use in chronic hemodialysis. Clinical Journal of American Society Nephrology, 4(5), 950–956.CrossRef
47.
Zurück zum Zitat Nabolsi, M., Wardam, L., & Al-Halabi, J. (2015). Quality of life, depression, adherence to treatment and illness perception of patients on haemodialysis. International Journal of Nursing Practice, 21(1), 1–10.CrossRefPubMed Nabolsi, M., Wardam, L., & Al-Halabi, J. (2015). Quality of life, depression, adherence to treatment and illness perception of patients on haemodialysis. International Journal of Nursing Practice, 21(1), 1–10.CrossRefPubMed
Metadaten
Titel
The impact of education on knowledge, adherence and quality of life among patients on haemodialysis
verfasst von
Victoria Alikari
Maria Tsironi
Vasiliki Matziou
Foteini Tzavella
John Stathoulis
Fotoula Babatsikou
Evangelos Fradelos
Sofia Zyga
Publikationsdatum
03.09.2018
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 1/2019
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-1989-y

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