{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T07:02:02Z","timestamp":1780038122623,"version":"3.53.1"},"reference-count":33,"publisher":"Korean Society of Biological Nursing Science","issue":"2","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["jkbns.org"],"crossmark-restriction":true},"short-container-title":["J Korean Biol Nurs Sci"],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:p>Purpose: Digital-enhanced repetitive learning has been proposed as an effective strategy for improving dietary education among patients undergoing hemodialysis. This study examined the effects of a digital repetitive dietary education (DRDE) program on dietary knowledge, dietary self-care behaviors, and physiological indicators among hemodialysis patients residing in a rural area of South Korea. Methods: A quasi-experimental study with a nonequivalent control group and repeated measures was conducted. A total of 40 hemodialysis patients were recruited from a hemodialysis unit in a rural area of Chungcheongbuk-do, South Korea, and assigned to either an experimental group (n = 20) or a control group (n = 20). The experimental group participated in an 8-session DRDE program, whereas the control group received usual care. Data were analyzed using SPSS version 22.0 with the independent t-test, chi-square test, and 2 \u00d7 2 repeated-measures analysis of variance. Results: Participants in the experimental group demonstrated significantly greater improvements in dietary knowledge (F = 14.83, p = .001) and dietary self-care practice behaviors (F = 4.21, p = .048) compared with the control group. Significant improvements were also observed in selected physiological indicators, including interdialytic weight gain (F = 7.02, p = .012), serum potassium levels (F = 9.55, p = .004), and serum phosphorus levels (F = 4.62, p = .038). Conclusion: The DRDE program improved dietary knowledge, dietary self-care behaviors, and selected physiological outcomes among hemodialysis patients in rural areas. These findings suggest that the DRDE program is a practical and feasible nursing intervention for dietary management in rural hemodialysis settings with limited educational resources.<\/jats:p>","DOI":"10.7586\/jkbns.26.005","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T06:07:32Z","timestamp":1780034852000},"page":"275-287","update-policy":"https:\/\/doi.org\/10.7586\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of a digital repetitive dietary education intervention on dietary knowledge, dietary self-care behaviors, and physiological indicators among hemodialysis patients in rural Korea: a quasi-experimental study"],"prefix":"10.7586","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6053-582X","authenticated-orcid":true,"given":"Eun-Ho","family":"Ha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0743-2142","authenticated-orcid":true,"given":"Sun-Ju","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4406","reference":[{"key":"ref1","volume-title":"Aging index [Internet]","year":"2024"},{"key":"ref2","volume-title":"Current status of renal replacement therapy in Korea, 2024 [Internet]","year":"2024"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.7475\/kjan.2020.32.5.515"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2020.05.006"},{"key":"ref5","first-page":"257","volume-title":"Effects of individualized diet education program on dietary knowledge and self-care compliance in hemodialysis patients","author":"Kim","year":"2016"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.7475\/kjan.2018.30.4.437"},{"key":"ref7","first-page":"55","volume-title":"The effects of a video education program for hemodialysis patients on self-care, stress, and physiological indices","author":"Yoo","year":"2015"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11172371"},{"key":"ref9","first-page":"223","volume-title":"","author":"Mayer","year":"2009"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.22715\/jkarhn.2025.20.1.85"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.12799\/rcphn.2024.00766"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.5932\/JKPHN.2023.37.3.362"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-024-03693-w"},{"key":"ref14","volume-title":"Educational videos provided by the official YouTube channel of the Korean Society of Nephrology [Internet]","year":"2025"},{"key":"ref15","volume-title":"Hemodialysis patients\u2019 nutrition and dietary management. Vol. 2 [Internet]","year":"2022"},{"key":"ref16","doi-asserted-by":"crossref","DOI":"10.1037\/10011-000","volume-title":"Memory: a contribution to experimental psychology [Internet]","author":"Ebbinghaus","year":"1913"},{"key":"ref17","first-page":"134","volume-title":"The effect of a video dietary instruction program for hemodialysis patients","author":"Kim","year":"2014"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.5762\/KAIS.2023.24.9.663"},{"key":"ref19","first-page":"487","volume-title":"","author":"Field","year":"2018"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3390\/urbansci9060192"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.104951"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.94.3.361"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.22705\/jkashcn.2024.31.1.66"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.7475\/kjan.2022.34.1.51"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.7739\/jkafn.2023.30.1.1"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2024.08.005"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_300_22"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15627"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.7475\/kjan.2018.30.2.149"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.17079\/jkgn.2025.00045"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.11111\/jkana.2024.30.3.271"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.2196\/67246"}],"container-title":["Journal of Korean Biological Nursing Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jkbns.org\/upload\/pdf\/jkbns-26-005.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jkbns.org\/journal\/view.php?doi=10.7586\/jkbns.26.005","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jkbns.org\/upload\/pdf\/jkbns-26-005.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T06:07:43Z","timestamp":1780034863000},"score":1,"resource":{"primary":{"URL":"https:\/\/jkbns.org\/journal\/view.php?doi=10.7586\/jkbns.26.005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,5]]}},"URL":"https:\/\/doi.org\/10.7586\/jkbns.26.005","relation":{},"ISSN":["2383-6415","2383-6423"],"issn-type":[{"value":"2383-6415","type":"print"},{"value":"2383-6423","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,31]]},"assertion":[{"value":"2026-01-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-29","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}