Effect of Family-Centered Empowerment Model on Diet Adherence in Hemodialysis Patients

Mehdi Ebrahim; Tahereh  Baloochi Beydokhti; Ayob Akbari; Rasol  Soleimani Moghaddam

doi:10.18502/ssu.v29i12.8975

Mehdi Ebrahim Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Tahereh Baloochi Beydokhti School of Nursing and Midwifery- Gonabad University of Medical Science
Ayob Akbari PhD Student in Nursing, Birjand University of Medical Sciences, Birjand, Iran.
Rasol Soleimani Moghaddam Department of Nursing, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.

DOI: https://doi.org/10.18502/ssu.v29i12.8975

Keywords: Empowerment Family-center, Food diet adherence, Hemodialysis.

Abstract

Introduction: Adherence to diet, fluid restriction is essential in the patients with chronic renal failure undergoing hemodialysis. The aim of this study was to investigate the relationship between family-centered empowerment model and diet adherence in hemodialysis patients.

Methods: This study was a randomized controlled clinical trial that was performed on 60 patients undergoing hemodialysis (30 in each group) in 2016 in Mashhad City. Samples were selected by convenience sampling method and randomly assigned to control and test groups. In the experimental group, the family-centered empowerment model and the common care control group were implemented. A demographic questionnaire and adherence to diet was completed by the research participants before and 6 weeks after the study. Data were analyzed using SPSS software version 16 and independent t-test, Chi-square, Mann-Whitney with a significance level of p <0.05.

Results: A total of 60 patients (24 females and 36 males) with a mean age of 50.93± 16.77 years were included in the study. The mean score of diet adherence before the intervention was not statistically significant between the experimental and control groups, while after the intervention in the experimental group it was increased, which was statistically significant (p <0.001).

Conclusion: The group that followed the family-centered empowerment model followed the diet and fluids more than the control group, so taking steps to involve the patients' families is likely to increase acceptance of diet and fluids and improve treatment outcomes.