Are Psycho-educational Strategies Effective in Promoting Fluid and Dietary Adherence in Haemodialysis and Peritoneal Dialysis Patients? A Systematic Review of Literature
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 5
Abstract
Objectives: To identify studies involving educational interventions in promoting fluid and dietary adherence in haemodialysis and peritoneal dialysis patients; to critique the research methods, describe and summarise the effectiveness of the tested interventions. Background: Adherence to fluid and dietary restrictions is a major integral part of the management regimen of end-stage kidney disease patients. However, no strategy has been reported in the literature as effective in achieving this. Methods: The author searched the MEDLINE (Ovid), CINAHL (EBSCO), Psych Info and the Cochrane Library databases with no language restrictions. A total of 12 studies were reviewed based on the review question and the inclusion criteria. Each of the studies was critically appraised with respect to the sample size, study design, theoretical framework, intervention integrity and the outcomes. Findings: Self-monitoring and self-management dietary counselling when combined with other strategies respectively offer some promise in promoting fluid and dietary compliance in dialysis patients. The calculation of IDWG was operationalized in various ways. Conclusions: Further researches with more rigorous methodology and use of theoretical models are needed. The researches should consider reporting information on relevant variables such as co-morbidity, thirst intensity and type of sodium modelling used.
Authors and Affiliations
Chidiebere Valentine Ekuma
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