Effects of systematic nursing instruction on a low‐phosphorus diet, serum phosphorus level and pruritus of patients on haemodialysis
Aims and objectives To investigate the effectiveness of systematic nursing instruction on a low‐phosphorus diet, serum phosphorus level and pruritus of haemodialysis patients. Background A high number of end‐stage renal disease patients on haemodialysis are bothered by pruritus. Hyperphosphataemia was reported to be related to pruritus. Design An experimental design was applied. Methods Ninety‐four patients who received haemodialysis between September 2013 and December 2013 at a medical centre in Taipei, Taiwan, were recruited. An experimental group received individual systematic nursing instruction by the investigator through a nursing instruction pamphlet and reminder card for taking medication. A control group received traditional nursing instruction. The pruritus, blood phosphorus level and five‐day diet records were evaluated before and after intervention. Results The experimental group had a low‐phosphorus diet intake compared with the control group ( p 0·001). A significant difference in serum phosphorus level was observed between the experimental and control groups ( p =< 0·002). Incidence of pruritus was lower in the experimental group than in the control group ( p 0·001). Conclusion A systematic nursing instruction included using a pamphlet, pictures and reminder cards, the patients' blood phosphorus levels decreased, the patients consumed more low‐phosphorus food, and pruritus decreased. Relevance to clinical practice This study recommends that clinical nursing staff include systematic nursing instruction as a routine practice for dialysis patients.
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