IRCT2015121025457N1 IRCT 2016-01-25 Vice Chancellor for Research Shahed University of Medical Sciences The effect of blended education on dialysis adequacy and nutritional status The effect of blended education on dialysis adequacy and nutritional status in patients with hemodialysis 2016-01-21 anticipated 60 Complete https://irct.ir/trial/21289 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Other design features: In this study, patients referred to the center on odd or even days, are divided into tow groups by throwing a coin. N/A Chronic kidney disease. Intervention 1: Intervention group: In addition to routine dialysis training in the intervention group, patients also will receive integrated training. In the first session of this group, individual interviews are done to determine the educational needs of patients. During dialysis the next day and a 3-2 persons group sessions during 20-30 minutes will be held on hemodialysis Diet. The more an individual session will be based on patient needs .The next day a group meeting will be done on the protection of vascular access،physical activity and medicines .And then an individual session will be done In this context based on patient needs .At the end of the sessions will be presented the pamphlet. Then, a telephone conversation with patient and answers to questions and emphasis on educational materials will be done every two weeks to the end of study. Within one month after intervention and two months after intervention dialysis, adequacy and nutritional status will be reviewed. Intervention 2: Control Group: At the beginning of the study, the adequacy of dialysis and nutritional status will be reviewed in the control group. During the study, patients will receive only training routine dialysis. Then, one month after intervention and two months after the start of the study, the adequacy of dialysis and nutritional status will be reviewed.