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Saudi Journal of Kidney Diseases and Transplantation
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Year : 2020  |  Volume : 31  |  Issue : 2  |  Page : 571-572
Multimedia training, a good method to reduce fatigue in patients undergoing hemodialysis

Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran

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Date of Submission26-Mar-2019
Date of Acceptance30-Mar-2019
Date of Web Publication09-May-2020

How to cite this article:
Aghakhani N, Fooladi MS. Multimedia training, a good method to reduce fatigue in patients undergoing hemodialysis. Saudi J Kidney Dis Transpl 2020;31:571-2

How to cite this URL:
Aghakhani N, Fooladi MS. Multimedia training, a good method to reduce fatigue in patients undergoing hemodialysis. Saudi J Kidney Dis Transpl [serial online] 2020 [cited 2021 Jun 25];31:571-2. Available from: https://www.sjkdt.org/text.asp?2020/31/2/571/284044

To the Editor,

End-stage renal disease can present with a collection of signs and symptoms such as hypertension, poorly responsive to medication, and volume overload refractory to diuretics, mineral and bone disorders, anemia and metabolic derangements such as hyponatremia, hyperkalemia, metabolic acidosis, hyperphos- phatemia, and hypo/hypercalcemia.[1] Hemodialysis (HD) ameliorates clinical manifestations of end-stage renal, and although saves their lives, it cannot return the function of their healthy kidneys and fatigue as one of the daily symptoms of diseases aggravates their quality of life.[2]

In recent decades, it is accepted that quality of life promotion is an important outcome of health care in patients undergoing HD and new educational methods can improve their healthcare status and satisfaction.[3]

It is obvious that the patients need new methods of comprehensive education based on their values and preferences.[4] Multimedia training method transfers concepts and topics with the use of different media such as music, text, animation, speech, images, and interactive and user-friendly interfaces environments can be effective on better learning because it is cost-effective, low size, interesting, and engages many senses.[5]

In a quasi-experimental study, we tried to determine the effect of multimedia training on fatigue in patients undergoing HD referring to an educational and treatment center, Urmia, 2018. Eighty HD patients were enrolled in two experimental and control groups (n = 40). Two questionnaires were used. The first questionnaire was designed for demographic information that evaluated variables such as age, marital status, educational level, economic status, type of insurance, duration of treatment with HD, and the second questionnaire was Fatigue Severity Scale. To compare the mean of fatigue variables in patients before and after the intervention, and three months after the intervention, for experimental and control groups, the test the repetitive design (R-M) were used.

The results of ANOVA showed a statistically significant difference between the mean of fatigue in for experimental and control groups (P <0.001) and multimedia training has been found to be very effective to reduce fatigue in patients.

The multimedia training course may lead to a considerable increase of information inpatients with any levels of literacy. It is essential to note that patients with a lower level of literacy learn less number of items when they are compared to those who have an adequate level of literacy.[6]

In conclusion, we believe that considering multimedia training reduces fatigue in patients undergoing HD with any levels of literacy providing more new education methods that encompass best practices may improve their ability to make informed decisions about their health care.

Conflict of interest: None declared.

   References Top

Rangaswami J, McCullough PA. Heart failure in end-stage kidney disease: Pathophysiology, diagnosis, and therapeutic strategies. Semin Nephrol 2018; 38:600-17  Back to cited text no. 1
Liu HE. Fatigue and associated factors in hemodialysis patients in Taiwan. Res Nurs Health 2006; 29:40-50  Back to cited text no. 2
Aghakhani N, Samadzadeh S, Mafi TM, Rahbar N. The impact of education on nutrition on the quality of life in patients on hemodialysis: A comparative study from teaching hospitals. Saudi J Kidney Dis Transpl 2012; 23:26-30  Back to cited text no. 3
Tangri N, Stevens LA, Griffith J, et al. A predictive model for progression of chronic kidney disease to kidney failure. JAMA 2011; 305:1553-9  Back to cited text no. 4
Van den Brink K, Jager, RS, Tost S. Educational Multi-Media in School. An Evaluation Study. Paper Presented at the IEEE International Conference on Multimedia Computing and Systems, Marrakech, Morocco; 2013  Back to cited text no. 5
Gordon EJ, Caicedo JC, Ladner DP, Reddy E, Abecassis MM. Transplant center provision of education and culturally and linguistically competent care: A national study. Am J Transplant 2010; 10:2701-7.  Back to cited text no. 6

Correspondence Address:
Nader Aghakhani
Patient Safety Research Center, Urmia University of Medical Sciences, Urmia
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DOI: 10.4103/1319-2442.284044

PMID: 32394942

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