Patient education: an efficient adjuvant therapy for hyperphosphatemia in hemodialysis patients

Renal Failure
Chiao-Yin SunMai-Szu Wu

Abstract

Hemodialysis and phosphate (P) binder therapy are the major methods to reduce the phosphate level in dialysis patients. However, dietary P restriction is necessary for adequate control. The successful dietary control is based on patient compliance. Patient education is the best method to assure the knowledge and drive of dietary control, which are the key features for patient compliance. The aim of the study is to investigate quantitatively the effect of patient education on serum P levels in hyperphosphatemic hemodialysis patients. We conducted a prospective self-control study. Fifty hemodialysis patients with a pre-dialysis serum P level greater than 6.0 mg/dL were studied. Intensified patient education was given. Serum P, calcium (Ca), and intact parathyroid hormone (iPTH) were evaluated before and one month after patient education. Thirty-six (72%) patients had improved pre-dialysis P level (pre-education: 7.50 +/- 1.33; post-education: 5.85 +/- 1.20 mg/dL, p < 0.001) and Ca x P product (pre-education: 68.17 +/- 12.70; post-education: 54.70 +/- 11.87 mg(2)/dL(2), p < 0.001). The effect lasted for at least three months. There is no significant change on calcium levels. The only predictor of a successful patient education is ...Continue Reading

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Citations

Mar 19, 2011·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Sue-Hsien ChenMai-Szu Wu
Mar 13, 2009·Kidney International·Alastair J Hutchison
Sep 20, 2011·International Journal of Nursing Studies·Laëtitia IdierNicole Rascle
Mar 25, 2011·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Daniel CaldeiraCristina Sampaio
Feb 19, 2009·Journal of Renal Care·Ismail Mohammed, Alastair J Hutchison
Dec 14, 2011·Journal of Clinical Nursing·Yoleen P Van CampMonique M Elseviers
Aug 17, 2016·Hemodialysis International·Ivica VrdoljakTea Vrdoljak Margeta
Apr 12, 2017·JBI Database of Systematic Reviews and Implementation Reports·Molly MilaziClint Douglas
Mar 13, 2014·Nutrition Research and Practice·Mirey KaravetianNanne de Vries
Oct 4, 2017·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Rameez ImtiazDeborah Zimmerman
Feb 23, 2011·Revista da Escola de Enfermagem da U S P·Lílian Peres Righetto de AraujoDomingos Otavio Lorenzoni d'Avila

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