The Effect of Individualized Teach-Back Education Guided by the Roy Adaptation Model on Treatment Adherence and Coping Skills in Patients Receiving Hemodialysis: A Randomized Controlled Trial
Nephrology nursing journal : journal of the American Nephrology Nurses' Association, cilt.53, sa.3, ss.245-258, 2026 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 53 Sayı: 3
- Basım Tarihi: 2026
- Doi Numarası: 10.37526/1526-744x.2026.53.3.245
- Dergi Adı: Nephrology nursing journal : journal of the American Nephrology Nurses' Association
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE, DIALNET, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
- Sayfa Sayıları: ss.245-258
- Anahtar Kelimeler: End stage kidney disease, fluid and dietary adherence, hemo-dialysis, medication adherence
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
AThis randomized controlled trial evaluated the efficacy of an individualized, nurse-led, teach-back method of education intervention guided by the Roy Adaptation Model on treatment adherence and coping processes among adult patients on hemodialysis. Utilizing a parallel-group pretest-posttest design, 42 outpatients were randomized into intervention (n = 21) or control (n = 21) groups. Data were collected using validated adherence and coping scales. The intervention group received three face-to-face education sessions delivered via the teach-back method. After adjusting for baseline scores, the intervention group demonstrated statistically significant and higher posttest adherence and coping scores compared with the control group. Retrospective analysis confirmed a robust post-hoc power of 0.92. This theoretically guided framework supports multidimensional treatment adherence and coping mechanisms in patients on hemodialysis.