The Effectiveness of Family- Centered Education on Quality of Life and Readmission in Children with Nephrotic Syndrome

Document Type: original article

Authors

1 Nursing and Midwifery College, Zahedan University of Medical Sciences, Iran.

2 Pediatric Department, Community Nursing Research Center, Nursing and Midwifery College, Zahedan University of Medical Sciences, Iran.

3 Community Nursing Research Center, Zahedan University of Medical Sciences, Nursing and Midwifery College, Zahedan University of Medical Sciences, Iran.

4 Department of Counseling, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

5 Pediatric nephrologist, Children And Adolescent Health Research Center Zahedan University of Medical Sciences, Zahedan , Iran.

10.22038/ijp.2020.49950.3985

Abstract

Background: Nephrotic syndrome (NS) is a common disorder in pediatric medicine that is associated with glomerular disease. Children with NS experience frequent hospitalizations, and readmission affects the quality of life of the patient and family. Current research was conducted aiming at investigating the effectiveness of family- center education on quality of life and readmission in children with nephrotic syndrome.
Material and Method: This quasi-experimental study was performed in the pediatric ward of Ali Ebn Abitalib Hospital in Zahedan in 2018. 96 children with NS were selected by convenience sampling and were randomly into two groups:  intervention (n = 48), and control (n = 48) groups. In the intervention group, family-centered education implemented for 4 sessions (30-45 min). Eight weeks after training, readmission and quality of life were assessed withthe PedsQL 0.4™ generic core scale and demographic questionnaire. Data were analyzed by SPSS v. 21, and T- test.
 Results:  The mean of quality of life before intervention in the intervention group was (51.73± 192.28) which had changed significantly to 56.02±164.70 (P <0.05). The results revealed no significant difference in changes of quality of life before intervention between the intervention and control groups (P >0.05). But, the mean of quality of life was significantly different after intervention between intervention and control group (P <0.05). the mean of readmission was a significant difference after intervention between both groups (p = 0.000).
Conclusion: The results suggest that family-centered education for 4 sessions for families effected on quality of life and readmission. Therefore, we propose that nurses can use family-centered education

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