Effectiveness of multidisciplinary pre-dialysis education and team care on patients lifestyles and clinical outcomes
Özet
Introduction and Aims: Multidisciplinary predialysis education (MPE) programs may
improve the medical care of patients and has significantly impact of clinical and quality
of life outcomes. The aim of the study was to assess the influence of multidisciplinary
predialysis education on lifestyles and clinical outcomes in chronic kidney disease
(CKD) patients.
Methods: A total of 4350 chronic kidney disease patients with an estimated glomerular
filtration rate between 15 to 60 mL/min/1.73 m2
and with an age of 18 to 105 years were
included to the study in a period of July 2007 to January 2012. Patients were
followed-up for 12 months according to lifestyle and clinical parameters. Also patients
were evaluated to control of the hypertension, proteinuria levels, total number of
anti-hypertensive medications, and the use of total drugs per day. All patients and their
families received at least 5 times interactive pre-dialysis education seminars by a
pre-dialysis education team which include 1 nephrologist, 3 physicians, 2 hemodialysis
and 1 peritoneal dialysis nurses, 3 dietitians, 1 social work expert, and 1 psychologist.
An appropriate diet list was prepared for all patients and an optimal medical care was
given based on the NKF/DOQI guidelines
