Comparison of the Effect of Multimedia and Booklet Methods on Quality Of Life of Kidney Transplant Patients: A Randomized Clinical Trial Study

Document Type : Original Article

Authors

1 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;

2 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran;

3 Department of E-Learning, Virtual School ,Center of Excellence for E-Learning in Medical Science, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: Proper education can improve the quality of life. Multimedia as an interactive educational method and booklet as a traditional one have their own unique effects. This study aimed at compare the interactive multimedia and booklet methods at the time of discharge on the quality of life of kidney transplant patients.
Methods: In this single-blind interventional study, 80 patients from Bouali Hospital, Shiraz, from September 2017 until June 2018 were selected by convenience sampling, and then divided into two groups (booklet and interactive multimedia) by block randomization. Intervention for the first group included short and long-term care information in the form of a booklet, and an interactive multimedia CD with the same content for the second group. Quality of life was assessed by kidney transplant questionnaire (KTQ) at the time of discharge and after two months. Adherence to education was verified by phone. The data were analyzed through SPSS v.24 software using independent and pairedt-tests. P<0.05 was considered significant.
Results: The mean overall quality of life score in both groups increased significantly, P=0.044 for the booklet group and P=0.039 for the multimedia group. In emotional, fatigue, uncertainty/fear domains, both groups showed improvement after the intervention (P<0.05). However, in physical symptoms and appearance domains, differences were not significant, before and after education. After intervention, no significant difference was observed between the two groups in the overall and specific domains of quality of life score (P=0.437).
Conclusion: Both methods had positive impacts on the quality of life and emotional, fatigue and uncertainty/fear domains.
Trial Registration Number: IRCT201608272950N1

Keywords


  1. Urden LD, Stacy KM, Lough ME. Critical Care Nursing: Diagnosis & Management. 7th ed. US: Mosby; 2013.
  2. Delanaye P, Glassock RJ, De*Broe ME. Epidemiology of chronic kidney disease: think (at least) twice!. Clinical Kidney Journal. 2017;10:370-4.
  3. Najafi I, Shakeri R, Islami F, et al. Prevalence of chronic kidney disease and its associated risk factors: the first report from Iran using both microalbuminuria and urine sediment. Archives of Iranian Medicine. 2012;15:70-5.
  4. Patwardhan MB, Kawamoto K, Lobach D, et al. Recommendations for a clinical decision support for the management of individuals with chronic kidney disease. Clinical Journal of the American Society of Nephrology. 2009;4:273-83.
  5. Beauger D, Gentile S, Jouve E, et al. Analysis, evaluation and adaptation of the ReTransQoL: a specific quality of life questionnaire for renal transplant recipients. Health and Quality of Life Outcomes. 2013;11:148.
  6. Sébille V, Hardouin JB, Giral M, et al. Prospective, multicenter, controlled study of quality of life, psychological adjustment process and medical outcomes of patients receiving a preemptive kidney transplant compared to a similar population of recipients after a dialysis period of less than three years--The PreKit-QoL study protocol. BMC Nephrology. 2016;17:11.
  7. Tayyebi A, Salimi SH, Mahmoudi H, Tadrisi SD. Comparison of quality of life in hemodialysis and renal transplantation patients. Iranian Journal of Critical Care Nursing. 2010;3:19-22.
  8. Hoffart N. Nephrology nursing 1915-1970: a historical study of the integration of technology and care. Nephrology Nursing Journal. 2009;36:181-91.
  9. Urstad KH, Wahl AK, Andersen MH, et al. Limited evidence for the effectiveness of educational interventions for renal transplant recipients. Results from a systematic review of controlled clinical trials. Patient Education and Counseling. 2013;90:147-54.
  10. Pasyar N, Rambod M, Sharif F, et al. Improving adherence and biomedical markers in hemodialysis patients: the effects of relaxation therapy. Complementary Therapies in Medicine. 2015;23:38-45.
  11. Lindqvist R, Carlsson M, Sjoden PO. Coping strategies of people with kidney transplants. Journal of Advanced Nursing. 2004;45:47-52.
  12. Niu SF, Li IC. Quality of life of patients having renal replacement therapy. Journal of Advanced Nursing. 2005;51:15-21.
  13. Abu*Samra O, Auda W, Kamhawy H, Al-Tonbaryo Y. Impact of educational programme regarding chelation therapy on the quality of life for B-thalassemia major children. Hematology. 2015;20:297-303.
  14. Bastable SB. Nurse as Educator: Principles of Teaching and Learning for Nursing Practice. Massachusetts: Jones & Bartlett Publishers; 2008.
  15. Najafi SS, Shaabani M, Momennassab M, Aghasadeghi K. The Nurse-Led Telephone Follow-Up on Medication and Dietary Adherence among Patients after Myocardial Infarction: A Randomized Controlled Clinical Trial. International Journal of Community Based Nursing and Midwifery. 2016;4:199-208.
  16. Khorami*Rad A, Heidari A, Ahmari Tehran H. Comparison of Two Self-Learning Methods (CD-Rom or Booklet) for Physician Education about Reporting Diseases Cases. Iranian Journal of Medical Education. 2011;11:149-58. [In Persian].
  17. Maier M, Manduca C, McGoldrick K, Simkins S. Use Media to Enhance Teaching and Learning. Minnesota: Carleton College; 2018. [Cited 7 May 2018] Available from: https://serc.carleton.edu/49639.2014.
  18. Frey BA, Sutton JM. A model for developing multimedia learning projects. Journal of Online Learning and Teaching. 2010;6:491-507.
  19. Czyzewski L, Sanko-Resmer J, Wyzgal J, Kurowski A. Assessment of health-related quality of life of patients after kidney transplantation in comparison with hemodialysis and peritoneal dialysis. Annals of Transplantation. 2014;19:576-85.
  20. Purnell TS, Auguste P, Crews DC, et al. Comparison of life participation activities among adults treated by hemodialysis, peritoneal dialysis, and kidney transplantation: a systematic review. American Journal of Kidney Diseases. 2013;62:953-73.
  21. Rambod M, Shabani M, Shokrpour N, et al. Quality of life of hemodialysis and renal transplantation patients. The Health Care Manager. 2011;30:23-8.
  22. Rostami Z, Tavallaii SA, Jahani Y, Einollahi B. Assessment of quality of life in a single-center transplantation population using the Kidney Transplant Questionnaire-25 questionnaire. Transplantation Proceedings. 2011;43:590-1.
  23. Tayyebi A, Raiesifar A, Najafi*Mehri S, et al. Measuring health related quality of life (hrqol) in renal transplant patients: psychometric properties and cross-cultural adaptation of kidney transplant questionnaire (ktq-25) in persian. Nephro-urology Monthly. 2012;4:617-21.
  24. Laupacis A, Pus N, Muirhead N, et al. Disease-specific questionnaire for patients with a renal transplant. Nephron. 1993;64:226-31.
  25. Laupacis A, Keown P, Pus N, et al. A study of the quality of life and cost-utility of renal transplantation. Kidney International. 1996;50:235-42.
  26. Rebollo P, Ortega F, Ortega T, et al. Spanish validation of the” Kidney Transplant Questionnaire”: a useful instrument for assessing health related quality of life in kidney transplant patients. Health and Quality of Life Outcomes. 2003;1:56.
  27. Bremer BA, McCauley CR, Wrona RM, Johnson JP. Quality of life in end-stage renal disease: a reexamination. American Journal of Kidney Diseases. 1989;13:200-9.
  28. Stengel B, Metzger M, Combe C, et al. Risk profile, quality of life and care of patients with moderate and advanced CKD: The French CKD-REIN Cohort Study. Nephrology, Dialysis, Transplantation. 2019;34:277-86.
  29. Majidi N, Sabzevari S, Safizade H. Comparing The Efficiency of Electronic Learning and Workshop Learning on Knowledge and Performance of Nursing Student in Controlling Nosocomial Infections. Future of Medical Education Journal. 2014;4:8-12.
  30. Janalivand S, Mohammad-Alizadeh*Gharandabi S, Mirghafourvand M. Comparison of the Effects of Educational Software and Training Booklet on Maternal Self-efficacy and Infant Care Behavior in Iranian Mothers: A Randomized Controlled Trial. International Journal of Pediatrics. 2017;5:5923-34.
  31. Salameh B, Gomma N, EL-Senousy T, Salameh O. Effect of an e-learning program on the quality of life of patients with coronary heart disease. Procedia: Social and Behavioral Sciences. 2012;55:284-93.
  32. Vojdani MA, Alhani F, Kermanshahi S. Impact of a computer based instruction package on the quality of life of adolescents with epilepsy. Journal of North Khorasan University Of Medical Science. 2012;3:89-99. [In Persian]
  33. Dilles A, Heymans V, Martin S, et al. Comparison of a computer assisted learning program to standard education tools in hospitalized heart failure patients. European Journal of Cardiovascular Nursing. 2011;10:187-93.
  34. Abbasi P, Mohammad-Alizadeh*Charandabi S, Mirghafourvand M. Comparing the effect of e-learning and educational booklet on the childbirth self-efficacy: a randomized controlled clinical trial. The Journal of Maternal-Fetal & Neonatal Medicine. 2018;31:644-50.
  35. Mohamadirizi S, Fahami F, Bahadoran P. Comparison of the effect of multimedia and illustrated booklet educational methods on women’s knowledge of prenatal care. Iranian Journal of Nursing and Midwifery Research. 2014;19:127-31.
  36. Wang C, Ammon P, Beischer AD. The use of multimedia as an adjunct to the informed consent process for Morton’s neuroma resection surgery. Foot & Ankle International. 2014;35:1037-44.
  37. Hoseini S, Soltani F, Babaee*Beygi M, Zarifsanaee N. The impact of the use of educational cd on quality of life , anxiety and depresion on patient undergoing coronary bypass surgery. Journal of Clinical Nursing. 2013;22:1613-9.
  38. Ponticelli C, Bencini PL. Nonneoplastic mucocutaneous lesions in organ transplant recipients. Transplant International. 2011;24:1041-50.
  39. Nakamura A, Iwami D, Miyoshi H, et al. Impact of renal transplantation on glucose tolerance in Japanese recipients with impaired glucose tolerance. Diabetic Medicine. 2017;34:569-76.
  40. Schmid-Mohler G, Fehr T, Witschi P, et al. Development of an evidence-based self-management programme for patients in the first year after renal transplantation with a focus on prevention of weight gain, physical exercise and drug adherence. Pflege. 2013;26:191-205. [In German]