EPIC Trial: education programme impact on serum phosphorous control in CKD 5D patients on hemodialysis

• Autor(a) principal: Martins,Carmen Tzanno Branco
• Data de Publicação: 2017
• Outros Autores: Biavo,Bárbara Margareth Menardi, Uezima,Clarissa Baia Bargas, Santos,Jacqueline Alves Pereira dos, Barros,Camila Machado de, Ribeiro Júnior,Elzo, Troconis,Paul Clesca, Scavone,Cristoforo, Luiz,Marcus Vinicius de Souza João
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Jornal Brasileiro de Nefrologia
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000400398
• topic: education; hyperphosphatemia; renal dialysis

Abstract Introduction: In stage 5D chronic kidney disease (CKD 5D) patients, the encouragement of treatment adherence by health professionals is a significant clinical challenge. Objectives: This study evaluates the impact of a nutritional education programme on hyperphosphatemia, utilizing the transtheoretical model of behavior change (TMBC). Subjects and Methods: A prospective interventional study comprising 179 CKD 5D patients with hypophosphatemia. The 4-month educational programme took place during dialysis sessions. Demographic and laboratory data were evaluated, whilst the TMBC was utilized both pre- and post-intervention. Results: 132 patients showed a positive change and significant reduction in phosphate levels, whilst 47 patients showed a negative change and little reduction in phosphate levels. Positive changes were identified at different levels of literacy. 117/179 participants had ongoing treatment with sevelamer throughout the trial period. 61 patients with intact parathyroid hormone (iPTH) < 300pg/ml showed phosphate level reductions, whilst 118 patients with iPTH > 300 pg/ml also showed a decrease in phosphate levels. Conclusions: Nutritional education programmes can achieve excellent results when appropriately applied. An education programme may be effective across different literacy levels.