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Education for dialysis patients lowers long-term phosphate levels and maintains health-related quality of life.
Clin Nephrol. 2011 Apr; 75(4):319-27.CN

Abstract

AIMS

This study aims at biological, knowledgeable, behavioral and health-related quality of life effects of self-dosing of phosphate binders before and after an education program in patients with CKD.

MATERIAL AND METHODS

The following 12-month study included 43 patients with CKD Stage 4 - 5 and plasma phosphate levels repeatedly above recommended maximum level. Patients underwent a structured educational program regarding calcium and phosphate balance, food intake and phosphate binders comprising a 60-min session, 3 - 5 times during a 2-month period (intervention). Patients' knowledge on the topics included in the program was assessed before and after the program as well as phosphate levels.

RESULTS

The mean plasma phosphate level had decreased significantly directly after the intervention (1.87 mmol/l, p < 0.05) and remained low over time; 1.78 mmol/l at 12 months follow-up (p < 0.001). The patients' self-reported knowledge regarding food intake, calcium/phosphate balance and self-dosing of phosphate binders increased significantly after instruction (p < 0.001).

CONCLUSION

A structured education program focusing on calcium and phosphate balance and self-dosing of phosphate binders significantly increased the patients' self-reported knowledge regarding these issues which in turn led to changes in behaviors reflected in decreased long-term plasma phosphate levels.

Authors+Show Affiliations

The Department of Laboratory Medicine, Section of Clinical Immunology, Karolinska Institute at Karolinska University Hospital, Stockholm, Sweden. ann.gardulf@ki.seNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21426886

Citation

Gardulf, A, et al. "Education for Dialysis Patients Lowers Long-term Phosphate Levels and Maintains Health-related Quality of Life." Clinical Nephrology, vol. 75, no. 4, 2011, pp. 319-27.
Gardulf A, Pålsson M, Nicolay U, et al. Education for dialysis patients lowers long-term phosphate levels and maintains health-related quality of life. Clin Nephrol. 2011;75(4):319-27.
Gardulf, A., Pålsson, M., & Nicolay, U. (2011). Education for dialysis patients lowers long-term phosphate levels and maintains health-related quality of life. Clinical Nephrology, 75(4), 319-27.
Gardulf A, et al. Education for Dialysis Patients Lowers Long-term Phosphate Levels and Maintains Health-related Quality of Life. Clin Nephrol. 2011;75(4):319-27. PubMed PMID: 21426886.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Education for dialysis patients lowers long-term phosphate levels and maintains health-related quality of life. AU - Gardulf,A, AU - Pålsson,M, AU - Nicolay,U, AU - ,, PY - 2011/3/24/entrez PY - 2011/3/24/pubmed PY - 2011/7/27/medline SP - 319 EP - 27 JF - Clinical nephrology JO - Clin Nephrol VL - 75 IS - 4 N2 - AIMS: This study aims at biological, knowledgeable, behavioral and health-related quality of life effects of self-dosing of phosphate binders before and after an education program in patients with CKD. MATERIAL AND METHODS: The following 12-month study included 43 patients with CKD Stage 4 - 5 and plasma phosphate levels repeatedly above recommended maximum level. Patients underwent a structured educational program regarding calcium and phosphate balance, food intake and phosphate binders comprising a 60-min session, 3 - 5 times during a 2-month period (intervention). Patients' knowledge on the topics included in the program was assessed before and after the program as well as phosphate levels. RESULTS: The mean plasma phosphate level had decreased significantly directly after the intervention (1.87 mmol/l, p < 0.05) and remained low over time; 1.78 mmol/l at 12 months follow-up (p < 0.001). The patients' self-reported knowledge regarding food intake, calcium/phosphate balance and self-dosing of phosphate binders increased significantly after instruction (p < 0.001). CONCLUSION: A structured education program focusing on calcium and phosphate balance and self-dosing of phosphate binders significantly increased the patients' self-reported knowledge regarding these issues which in turn led to changes in behaviors reflected in decreased long-term plasma phosphate levels. SN - 0301-0430 UR - https://www.unboundmedicine.com/medline/citation/21426886/Education_for_dialysis_patients_lowers_long_term_phosphate_levels_and_maintains_health_related_quality_of_life_ DB - PRIME DP - Unbound Medicine ER -