Hemodialysis, Nursing Education
Conditions
Brief summary
By applying statistical methods such as analysis of variance (ANOVA), this study incorporates both the content and the intensity (frequency) of educational interventions to design multiple regression models for evaluating education strategies. Through each round of laboratory data, the investigators aim to identify the most effective educational model using empirical data. The findings will not only improve phosphorus management and enhance the quality of care but also reduce unnecessary nursing workload and help establish an optimal educational protocol and training framework. Based on literature review and clinical experience, it is well recognized that, in addition to receiving regular and adequate dialysis, effective phosphorus control relies heavily on patients' daily dietary selection and the appropriate use and frequency of phosphate binders. Hence, this study aims to investigate the correlation between phosphorus control and patient education delivered by nursing staff, focusing on dietary management, phosphate binder usage, and knowledge of dialysis principles. By applying statistical methods such as analysis of variance (ANOVA), this study incorporates both the content and the intensity (frequency) of educational interventions to design multiple regression models for evaluating education strategies. Through each round of laboratory data, we aim to identify the most effective educational model using empirical data. The findings will not only improve phosphorus management and enhance the quality of care but also reduce unnecessary nursing workload and help establish an optimal educational protocol and training framework.
Interventions
BEHAVIORALNursing education A+1
Dietary education once
BEHAVIORALNursing education A+2
Dietary education twice
BEHAVIORALNursing education A+3
Dietary education three times
BEHAVIORALNursing education B+1
Medication education once
BEHAVIORALNursing education B+2
Medication education twice
BEHAVIORALNursing education B+3
Medication education three times
BEHAVIORALNursing education AB+1
Combined dietary and medication education once
BEHAVIORALNursing education AB+2
Combined dietary and medication education twice
BEHAVIORALNursing education AB+3
Combined dietary and medication education three times
Sponsors
Jen-Ai Hospital Institutional Review Board
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Patients who have been on dialysis for more than one year, have intact self-awareness, and are currently taking phosphate-binding medications.
Exclusion criteria
* Patients who have been on dialysis for less than one year, lack self-awareness, or are not taking phosphate-lowering medications.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| phosphate | Baseline and every 2 weeks until Week 12 (August 19 to November 4, 2025) | Serum phosphorus levels were measured every two weeks during the 12-week intervention period. Blood samples were collected on Monday or Tuesday, aligned with the patient's hemodialysis cycle (W123 or W246), beginning August 19 and ending November 4, 2025. A total of 6 blood draws were performed. All samples were taken pre-dialysis via venipuncture, with each draw limited to 20 mL and total sample volume not exceeding 320 mL over the study period. it is expedited review according to Take blood samples from fingers, heels, ears, or veins of an adult weighing more than 50 kg. Also, the total amount of sample collection should not be more than 320 ml in 8 weeks and should not be more than twice a week. The amount of each blood collection should not be more than 20 ml. |
Countries
Taiwan
Outcome results
None listed