EVALUATE THE EFFICACY OF EDUCATION BASE ON COLLABORATIVE CARE MODEL ON THE LEVEL OF LABORATORY INDICATORS IN PATIENTS WITH ADVANCED CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS

Evaluation of dietary and medication adherence in the patients undergoing dialysis is a necessity, and laboratory index is the most objective method for measuring adherence to treatment in these patients. The aim of this study was to evaluate the effectiveness of educational interventionsbased on collaborative care model on the level of laboratory indicators in patients undergoing hemodialysis.

In this clinical trial study, 66 patients with chronic renal failure undergoing hemodialysis were selected initially based on the inclusion criteria and easy sampling and then they were assigned into intervention and control groups base on random allocation rule. The intervention group received educational content in eight sessions based on four stages of participatory care model (motivation, preparation, engagement, and evaluation) then the interventions were implemented in intervention group. The data collection tools were a demographic questionnaire and also a checklist of laboratory index which were completed at baseline and three months after intervention in both groups. The data were analyzed by SPSS software using independent t-test, chi-square, and Fisher's exact test.

Mean and standard deviation of calcium index after intervention were 9±1/765 and 8/16 ±/893 in intervention and control groups, respectively. The results of the independent t-test showed a significant difference between two groups (p = 0.001). Phosporous index after intervention in intervention and control group were 4/31±/52 and 5/83±3/37, respectively, therefore independent t-test was significant between two groups (p = 0.015). There was no statistically significant difference between the two groups with regard to mean of potassium and BUN index.

The level of laboratory index in the patients undergoing hemodialysis after intervention based on the participatory model has shown improvement in adherence to treatment in these patients, which should be considered in the process of educational and supportive care in these patients.