Key result
A cognitive behavioural therapy education programme reduced daily weight gain for 12 weeks compared to 8 weeks with standard education in haemodialysis patients.
Why the study?
The effects of a nurse-delivered haemodialysis patient education programme incorporating cognitive behavioural therapy on salt intake and weight gain were evaluated compared with standard education.
Does a nurse-delivered cognitive behavioural therapy education programme improve salt intake and weight gain in haemodialysis patients compared to standard patient education?
Does a nurse-delivered cognitive behavioural therapy education programme improve salt intake and weight gain in haemodialysis patients compared to standard patient education?
A CBT-based education program may provide longer-lasting reductions in weight gain for hemodialysis patients compared to standard education.
Answers are grounded in this paper and cite their sources.
Supports CBT education for fluid adherence in haemodialysis; extends standard programmes to 12 weeks in an RCT.
A nurse-delivered haemodialysis patient education programme incorporating cognitive behavioural therapy (CBT) was developed. The effects of the CBT programme were compared with those of a standard patient education (SPE) programme on patients' salt intake and weight gain using a quasi-experimental design. There were 22 participants (11 CBT, 11 SPE) undergoing outpatient haemodialysis therapy at one clinic. Daily weight gain rates decreased in the intervention period compared with the baseline period in both the CBT and SPE groups. This effect lasted for 12 weeks in the CBT group but for only eight weeks in the SPE group. In addition, daily salt intake decreased in the intervention period compared with the baseline period in both the CBT and SPE groups, persisting for 12 weeks. From these results, both programmes were shown to be effective, but CBT had a longer effect.
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Nozaki et al. (2005) studied Haemodialysis (n=22). Nurse-delivered patient education programme incorporating cognitive behavioural therapy (CBT) vs. Standard patient education (SPE) programme was evaluated on Daily salt intake and weight gain. A cognitive behavioural therapy education programme reduced daily weight gain for 12 weeks compared to 8 weeks with standard education in haemodialysis patients.
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