A novel, 12-week, nurse-led motivation and education programme has no effect on serum phosphate levels in haemodialysis patients
Chow, J and Dalton, B, A novel, 12-week, nurse-led motivation and education programme has no effect on serum phosphate levels in haemodialysis patients, Renal Society of Australasia Journal, 8, (2) pp. 82-86. ISSN 1832-3804 (2012) [Refereed Article]
Aim: To investigate the effect of a structured, 12-week education programme on serum phosphate levels and knowledge regarding phosphate management in haemodialysis (HD) patients. Methods: Adult patients receiving HD at one tertiary institution were recruited to participate in a 12-Week Phosphate Challenge. Dialysis nurses provided education regarding phosphate binders and diet, with patient participation tracked via a points system. Serum phosphate, calcium, chloride and bicarbonate were analysed at baseline and monthly thereafter for three months. A post-programme questionnaire assessed patient satisfaction with the programme and the level of patients' knowledge regarding phosphate management. Results: Thirty-nine patients participated in the study. Dialysis vintage was between one and five years in the majority (69%) of patients. Mean serum bicarbonate was the only variable to demonstrate a linear decline throughout the study. Mean serum phosphate, calcium and chloride levels remained stable. At the end of the programme, 60% of patients reported that they were compliant with their phosphate binder medication and 56% felt confident with regard to managing their phosphate levels on a daily basis. Conclusion: The 12-week Phosphate Challenge did not translate into lower serum phosphate levels. At the end of the programme, patients reported high levels of compliance with phosphate medications and confidence with regard to managing daily phosphate levels.