International Journal of Medical Science and Public Health 404 2019 | Vol 8 | Issue 6
A study to assess effectiveness of structured teaching programme on
knowledge regarding home care management of hemodialysis subjects – A
statistical approach
Trupti Saket Bhosale
1
, Satish Vasant Kakade
2
, Tukaram B Zagade
3
1
Directorate of Research, Krishna Institute of Medical Sciences, Karad, Maharashtra, India,
2
Department of Preventive and Social Medicine,
Krishna Institute of Medical Sciences, Karad, Maharashtra, India,
3
Department of Medical Surgical Nursing, Krishna Institute of Nursing
Sciences, Karad, Maharashtra, India
Correspondence to: Trupti Saket Bhosale, E-mail: truptivp2010@gmail.com
Received: March 05, 2019; Accepted: March 30, 2019
INTRODUCTION
A patient at the last stage of kidney disease depends on
dialysis to mechanically remove fluid, waste products,
and electrolytes from the blood. End-stage renal disease is
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DOI: 10.5455/ijmsph.2019.0306430032019
a chronic illness which reduces the lifespan of patients. In
worldwide, 30 million peoples were suffering from kidney
diseases. In India, around 8% of the population have renal
problem. In that, >5% were undergoing hemodialysis.
The available treatments are not able to cure disease;
instead, they offer extend life expectancy, symptom
relief and improve the quality of life. When the kidney
is not able to filter blood, another method for filtration
is must. Lifetime dialysis becomes unavoidable unless
transplantation of kidney is done and is successful.
[1]
Hemodialysis is the most well-accepted form of treatment
for end-stage renal failure.
Background: When the kidney is unable to filter blood, dialysis is an alternate method for filtration. Lifetime dialysis
becomes unavoidable unless kidney transplantation is successfully done. Hemodialysis subjects normally have a poor
quality of life and there is a positive association between quality of life of patient and support of family. Hence, it was
necessary to conduct this study for creating awareness regarding the home management of dialysis among the caregivers
of hemodialysis subjects to improve their knowledge. Objectives: The objectives of this study were as follows: (i)
To assess the effectiveness of structured teaching programme (STP) on knowledge regarding home care management
of hemodialysis subjects and (ii) to find association between pre-test knowledge and selected demographic variables.
Materials and Methods: The evaluative approach was used; one group pre-test and post-test design was used. The study
was conducted on sample of 40 caregivers of hemodialysis subjects using convenient sampling technique. The data were
collected by structured questionnaire. The data were analyzed using descriptive and inferential statistics. Results: The
mean knowledge score of caregivers of hemodialysis subjects during the pre-test was 39.48%, whereas it had risen up to
82.50% during the post-test as an effectiveness of STP. Therefore, the difference assessed was 43.02% between pre-test
and post-test. Conclusion: There was significant difference between the pre-test knowledge level and post-test knowledge
level of caregivers on home care management of hemodialysis subjects. Hence, health education programs and on-going
teaching both can further improve the knowledge of caregivers.
KEY WORDS: Hemodialysis; Caregivers; Structured Teaching Programme; Management
ABSTRACT
International Journal of Medical Science and Public Health Online 2019. © 2019 Trupti Saket Bhosale, et al. This is an Open Access article distributed under the terms of the Creative
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Research Article