The Effect of Nursing Educational Guideline on Fluid and Dietary Adherence Among Patient Undergoing Haemodialysis

Mahmoud Sofar, Samah; Massad Alhazmi, Ameera; Abdulrahim Marghalani, Sahar; Mohammed Alqarni, Rawan; Taha Mahrous, Hadeel

doi:10.21608/ejhc.2025.429298

The Effect of Nursing Educational Guideline on Fluid and Dietary Adherence Among Patient Undergoing Haemodialysis

Document Type : Original Article

Authors

¹ Assistant professor of Medical Surgical Nursing Department, Faculty of Nursing, Alexandrina University, Egypt.

² Registered nurse, Faculty of nursing, King Abdul-Aziz university, Jeddah, Saudi Arabia.

10.21608/ejhc.2025.429298

Abstract

Background: Adjusting lifestyle of end stage renal disease (ESRD) patients receiving haemodialysis by regulating fluid and dietary intake is important. In particular, adherence to the recommended dietary regimen is a key factor in achieving optimal clinical outcomes for dialysis patients. Study aim: This study aimed to assess the effect of nursing educational guideline on fluid and dietary adherence among patient undergoing haemodialysis. Method: a quantitative Pre and post quasi-experimental research design. A convenience sample of 60 patients was selected from Haemodialysis Units at the International Dialysis Centre, Jeddah, Saudi Arabia. Data was collected through using three tools: Patient assessment data sheet, adherence assessment data sheet, and Pre/post knowledge assessment data sheet. Results: There was a significant improvement in the mean total patients' knowledge after counselling regarding general knowledge, knowledge about fluid, knowledge about diet and overall knowledge with p value <0.001. In additional there was a significant improvement in the mean total patients' adherence after counselling regarding adherence about fluid, adherence about diet and overall adherence with p value <0.001. Conclusion: One of the most significant issues faced by haemodialysis patients is the non-adherence to fluid and diet restrictions. This study concluded that adherence to fluid and diet among the haemodialysis patient improved after providing nursing educational guideline as well as patients’ knowledge increased. Recommendation: Further studies should be conducted for investigation of other barriers that increase non-adherence to fluid and diet restrictions.

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