| Education for dialysis patients lowers long-term phosphate levels and maintains health-related quality of life. | |
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MedLine Citation:
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PMID: 21426886 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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A Gardulf; M Pålsson; U Nicolay On Behalf Of The Swedish Renal Nurse Group |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical nephrology Volume: 75 ISSN: 0301-0430 ISO Abbreviation: Clin. Nephrol. Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-03-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0364441 Medline TA: Clin Nephrol Country: Germany |
Other Details:
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Languages: eng Pagination: 319-27 Citation Subset: IM |
Affiliation:
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1The Department of Laboratory Medicine, Section of Clinical Immunology, Karolinska Institute at Karolinska University Hospital, and 2Genzyme AB, Stockholm, Sweden. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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