Impact of a multimodal health education combined with teach-back method on self-management in hemodialysis patients: A randomized controlled trial

Background: To explore the impact of multimodal health education combined with the teach-back method in the self-management of hemodialysis patients. Methods: Using the convenience sampling method and random number table method, 112 patients who received treatment in the hemodialysis center of a tertiary hospital in Sichuan Province from January 2023 to October 2023 were selected and divided into a control group (n = 56) and an experimental group (n = 56). The control group was given routine care and traditional health education for maintenance hemodialysis patients, of which 31 were male and 25 were female; the average age was (56.04 +/- 11.26) years old. The experimental group was given multimodal health education combined with the teach-back method based on the control group, of which 37 cases were male and 19 cases were female; the average age was (53.71 +/- 12.72) years old. The changes in self-management score, quality of survival score, and health literacy score were compared between the 2 groups. Results: Before the intervention, the differences in self-management scores, survival quality scores, and health literacy scores between the 2 groups were not statistically significant (P > .05). After the intervention, the total self-management score (96.91 +/- 3.02) and the total survival quality score (96.59 +/- 4.27) of the experimental group were higher than those of the control group, and the difference was statistically significant (P < .05); the total health literacy score of the experimental group (80.30 +/- 6.11) was higher than those of the control group, and the difference was statistically significant (P < .05); in which, the willingness of financial support of the experimental group score (3.27 +/- 4.13) improved, but the difference was not statistically significant (P > .05). Conclusion: Multimodal health education combined with the teach-back method can effectively enhance the self-management level and health knowledge of hemodialysis patients, improve the quality of patients' survival and disease prognosis, and improve the level of patients' disease health literacy.