effect of self management programs on dietary adherence and interdialytic weight gain in patients undergoing hemodialysis.

effect of self management programs on dietary adherence and interdialytic weight gain in patients undergoing hemodialysis.    baljani es [1] *, habibzadeh h [2] , rahimi j [3] , azimpour a [4] , salimi s [5]     received: 1 mar, 2013 accepted: 21 apr, 2013  abstract  background & aims : poor adherence to dietary among dialysis patients is a common and serious problem among patients. despite of the effectiveness of self-management programs in chronic diseases, few studies have been conducted in the importance of self-management programs in patients treated with hemodialysis. this study tries to determine the effect of self-management programs on dietary adherence and interdialytic weight gain in patients undergoing hemodialysis.   materials & methods : this is a quasi - experimental study. the sample included 82 hemodialysis patients referred to taleghani dialysis center, urmia. eligible patients were randomly divided into two groups, control and experimental. data were obtained by using a demographic data form, and renal adherence behavior questionnaire before and after 12 weeks of intervention and they were analyzed by using descriptive statistics, paired t-test and independent samples t-test.  results: there were no statistically significant differences pre-test mean scores for adherence to dietary and fluid restriction and idwg in both intervention and control groups. there was a significant difference between the experimental and control groups in terms of pre-to post-intervention changes in sub scale fluid restriction adherence potassium phosphate and sodium restrictions (p<0/05) but there were no statistically significant differences in sub scale of self-care and adherence in particular times.  conclusion: the results of this study showed the impact of self-management programs on controlling the disease in hemodialysis patients. due to the shortage nursing staff, and the importance of participating patients in the management of chronic diseases, developing self-management programs can be an alternative to the traditional training methods as well as the mentioned challenges.  key words: self management, dietary adherence, hemodialysis     address : urmia, airport road, unit no. 3 islamic azad university, school of veterinary medicine and allied health, nursing department.   tel: (+98) 441 2719900,9141404082   email : [email protected]   [1] msc, faculty of nursing, islamic azad university, urmia branch (corresponding author)   [2] phd, faculty of nursing, urmia university medical scince   [3] msc of nursing, islamic azad university, urmia branch   4 msc of nursing, urmia university of medical science   [5] phd, faculty of nursing, islamic azad university, urmia branch