The Effectiveness of Introducing Health Education in Hemodialysis Patients to Foreign Care Workers

• Main Authors: Hsu, Shih-Jung, 徐世蓉
• Other Authors: Chang Lee, Shu-Nu
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/47784277221516703461

碩士 === 亞洲大學 === 健康產業管理學系長期照護組碩士在職專班 === 101 === Background: In recent years, hemodialysis patients are increasing in Taiwan. Patients of hemodialysis requires radical lifestyle changes including regular attendance at the dialysis unit for treatment, restrictions in fluid intake, changes to diet and medication intake. Self management at home is essential in decreasing risk for poor clinical outcomes and mortality. In Taiwan, however, lots of primary caregivers for those patients are foreign care workers, who might lack of health education and information relating to hemodialysis care. Therefore, the care quality of hemodialysis patients has become a concern. Purpose of research：The objective of this research was to provide an education intervention using a mother-language booklet that cover the care information of hemodialysis for foreign care workers, and then examine the effectiveness on patients’ clinical outcomes. Methods: This study was a quasi-experimental research design. A total of 80 adults maintained on hemodialysis for a minimum of 6 months and their foreign workers participated, 40 pairs were randomized to experimental group and 40 were in control group. The study provided a hemodialysis care booklet in foreign care workers’ mother languages and an extract face to face education intervention for the care workers in experimental groups. Care workers’ understanding of care information was measured by a questionnaire before and after intervention. Patients’ care outcomes were biochemical markers and clinical status which collected from the dialysis data system HOPE4.7 at baseline, and at 3 months post-intervention. Results: In experimental group, the foreign care workers’ understanding of hemodialysis care had a great improvement after intervention. Patients’ biochemical markers and clinical status in AC Glucose, URR, Kt/V, P, fistula obstruction rate (p <0.001), GOT.GPT, and post-dialysis BUN, K (p <0.01), hospitalization rate (p <0.05) were also improved significantly. Conclusion: Foreign care workers’ abilities in hemodialysis patients’ care were successfully improved by providing a mother-language booklet and education intervention. Hemodialysis patients’ better clinical outcomes were subsequently achieved.