Structured Nursing Education for Hemodialysis Patients

This randomized controlled trial was designed to evaluate the effects of a structured nurse-led education program on attitudes toward diet therapy, self-care activities, and chronic disease self-management among patients undergoing maintenance hemodialysis. Sixty eligible patients receiving maintenance hemodialysis were randomly assigned to either the intervention group (n = 30) or the control group (n = 30). Participants in the intervention group received a structured nurse-led education program consisting of eight face-to-face educational sessions delivered over four weeks (two sessions per week), while the control group received routine care without additional educational intervention. The primary outcomes were attitudes toward diet therapy, self-care activities, and chronic disease self-management, which were assessed before and after the intervention using the Hemodialysis Patients' Attitudes Toward Diet Therapy Scale (HPADTS), the Self-Care Activities Screening Scale-14 (SCAS-14), and the Chronic Illness Self-Management Scale (CISMS).

Inclusion Criteria: * Adults aged 18 years or older. * Receiving maintenance hemodialysis treatment. * Able to communicate in Turkish. * Able to read and write. * Willing to participate and provided written informed consent. Exclusion Criteria: * Cognitive impairment or severe psychiatric disorder preventing participation. * Serious medical condition preventing completion of the education program. * Participation in another structured educational intervention during the study period. * Withdrawal of consent before completion of the study.