Effect of Educution in Control Nutrition and Fluid Control of Hemodialysis Patient - Trial NCT05682508

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Primary Outcome

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Summary

Hemodialysis patients are required to adhere to diet and fluid restriction. The literature
 shows that hemodialysis patients have low adherence to diet and fluid restriction.
 
 Failure to adhere to fluid control increases weight gain between two dialysis sessions.
 Increased weight gain between two dialysis sessions can lead to signs and symptoms, such as
 heart failure, hypertension, edema and dyspnea. Ultrafiltration is increased during dialysis
 to remove excess fluid from the body between two dialysis sessions. As a result, this leads
 to large changes in the patient's weight during dialysis sessions, leading to hemodialysis
 complications such as hypotension and muscle cramps.
 
 Diet is important to prevent uremic complication for hemodialysis patient. Diet restriction
 purposes to minimize uremic symptoms and fluid- electrolyte imbalance. As increase failure to
 adhere diet, serum phosphorus serum potassium rise and weight gain between two dialysis
 sessions increases. As a result, problems with the cardiac system, respiratory system and
 bones are experienced.
 
 Diet and fluid restriction helps to prevent complications, to increase the quality of life
 and to reduce mortality. Therefore, diet and fluid control vitally important for hemodialysis
 patients.
 
 Nurses have an important place in providing diet and fluid management. Desired success can be
 achieved in fluid and diet control by giving planned trainings to patients by nurses. In
 patient education, the Health Belief Model is used as an effective guide, which explains the
 reason for the person's attitudes and behaviors. This model is based on explain why did the
 patient not adhere with the treatment and what motivates the patient. The model is based on
 the premise that they will change their behavior when people understand the severity of the
 illness.
 
 The Health Belief Model can used education on diet and fluid contol of hemodialysis patients.
 In this study, Health Belief Model components will be used as a guide in the preparation of
 the educational content to be given to hemodialysis patients. With this study planned to be
 done; it was aimed to determine the effect of Health Belief Model-based education on diet and
 fluid control of hemodialysis patients. The study was planned as a randomized controlled
 trial.

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