Adherence to diet and fluid restriction of individuals on hemodialysis treatment and affecting factors in <scp>T</scp>urkey

Efe, Dilek; Kocaöz, Semra

doi:10.1111/jjns.12055

Cited by 36 publications

(53 citation statements)

References 16 publications

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“…Yaptığımız bu araştırmadaki HD tedavisi alan bireylerin sıvı kısıtlamasına uyum düzeyleri, Albayrak Coşar'ın (2012) yaptığı araştırmada bulunan HD tedavisi alan bireylerin sıvı kısıtlamasına uyum düzeylerinden düşük, Balım ve Çınar Pakyüz'ün (2016) yaptığı araştırma-daki HD tedavisi alan bireylerin sıvı kısıtlamasına uyum düzeylerinden yüksek bulunmuş olup, bu araştırmadaki HD tedavisi alan bireylerin sıvı kısıtlaması bilgi düzeyleri her iki araştırmadaki bireylerin sıvı kısıtlaması bilgi düzey-lerinden yüksek, tutum düzeylerinden düşük bulunmuş-tur. Yapılan birçok araştırma sonucunda HD tedavisi alan bireylerin sıvı alımı konusunda uyumsuz oldukları görül-mektedir (4,20,30,37,38,39,40,41,42 (36,39). Bekarların sıvı kontrolüne ilişkin uyum düzeylerinin daha yüksek olması, bizim hasta grubumuzdaki bekarların aile sorumluluğu gibi önemli sorumluluklarının olmaması, daha genç olmaları nedeniyle hayata daha sıkı bağlanmaları ve geleceğe dair ümitlerinin fazla olması ile ilişkilendirilebilir.…”

Section: Discussionunclassified

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Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Karabulutlu¹,

Yilmaz²

2020

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ÖZETAmaç: Bu araştırma, hemodiyaliz tedavisi alan bireylerin sıvı kısıtlamasına uyum düzeylerini değerlendirmek ve sıvı kısıtlamasına uyumu etkileyen faktörleri belirlemek amacıyla yapılmıştır. Results: It was found that individuals receiving hemodialysis had a moderate level of concordance with fluid restriction (51.23±5.88); they had high levels of knowledge regarding fluid restriction (20.22±1.07); and they had a moderate level of concordance in terms of behavioral aspects (22.42±4.23), but low levels of concordance in terms of the attitudes aspect (8.59±2.61). Individuals' concordance with fluid restriction was found to be influenced by gender and marital status; knowledge level was found to be influenced by gender and treatment duration, and behavior was significantly influenced by gender. Women, in comparison to men, were found to have higher concordance levels in terms of knowledge, behavior and total fluid control aspects; single patients' level of concordance with total fluid control was higher compared to married patients, and the level of knowledge about fluid control was lower in patients who had had a treatment duration of 6 months to 2 years, in comparison with other groups. Interdialytic weight gain decreased with increasingly concordant attitudes and total scores for fluid control, and the amount of ultrafiltration needed decreased with the increase in behavior and total scores. Gereç ve Conclusion:It was found that individuals who received hemodialysis were not adequately concordant with fluid restriction. Individualized training and practice is required to increase concordance with fluid restriction.

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Section: Discussionunclassified

“…Hastaların sıvı kontrolü uyumunda tutum ve toplam puanları arttıkça İDWG'nin azaldığı tespit edilmiştir. Kugler (20,39,44). Günalay ve ark.…”

Section: Discussionunclassified

Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Karabulutlu¹,

Yilmaz²

2020

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“…Four of nine studies (44%) reported significant associations between social support and adherence to diet. These studies suggested that the presence of someone to share problems 27 was positively associated with self-reported measures of this type of adherence 6,25,27 and negatively associated with biochemical levels of serum phosphate and blood urea nitrogen. 21 Significant results were found for the perceived support from family members, 6,21,25 from significant others, 6…”

Section: Adherence To Diet Restrictionsmentioning

confidence: 97%

“…Treatment adherence was assessed using both direct (biomarkers) and indirect (pill counts, medical records and self-reported) measures. Four studies analyzed biological and biochemical markers, [20][21][22][23] seven studies applied PROM, 6,18,[24][25][26][27] one study used visual analogue scales, 19 two studies consulted medical records to assess information about dialysis sessions, 2,28 and one study used a medical device to assess medication intake. 28 Three studies collected information with direct and indirect measures, [29][30][31] while one study combined results from both measures into an overall score for treatment adherence.…”

Section: Treatment Adherence Assessmentmentioning

confidence: 99%

Social support and treatment adherence in patients with end‐stage renal disease: A systematic review

Sousa

Ribeiro

Paúl

et al. 2019

Seminars in Dialysis

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Successful dialysis in end‐stage renal disease (ESRD) largely depends on the patients’ ability to adhere to several clinical requirements and life‐style changes. Social support has been consistently linked to better health outcomes in a number of chronic diseases. The current study presents a systematic review of the literature on the relationship between social support and treatment adherence in ESRD. The search was performed on Web of Science, PsycInfo, ScienceDirect, and Scopus from January 19 to May 15, 2019. Two hundred and twenty‐four records were identified. After quality assessment, 17 studies were included for qualitative synthesis. This review comprised a total of 2362 patients. Most patients were on hemodialysis (97.5%) for an average of 58.2 months. Results suggested an overall pattern of mixed findings regarding the association between social support and treatment adherence. Adherence to fluid restrictions was the type of adherence with more significant associations with social support (63%). Mixed results were found for adherence to dialysis sessions (50%) and to medication (50%). Associations between adherence to diet restrictions and social support were found in 44% of the included studies. No significant associations were found between social support and adherence to follow‐up consults. All of the included studies combining several types of adherence into an overall score found significant associations with social support. Findings suggested that it might be particularly beneficial to focus future research and clinical efforts toward social support from family, significant others, and health professionals, to improve patient's with ESRD treatment adherence.

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“…Nonadherence to diet and fluid restriction is rated on a 5‐point likert scale ranging from 0 to 4 (no nonadherence = 0, mild nonadherence = 1, moderate nonadherence = 2, severe nonadherence = 3 and very severe nonadherence = 4). The higher the score is, the higher the patient's nonadherence . In the present study, the Cronbach's alpha coefficient was found to be 0.72 for internal consistency.…”

Section: Methodsmentioning

confidence: 82%

The effect of a hemodialysis patient education program on fluid control and dietary compliance

Başer

Mollaoğlu

2019

Hemodialysis International

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Introduction: Some hemodialysis patients may experience problems in completing activities of daily living and adhering to diet and fluid restrictions due to a decrease in self‐care power and a loss of competence. Methods: The study was conducted with 78 people assigned to the intervention (N = 38) and control groups (N = 40). Data were collected using the sociodemographic characteristics questionnaire, dialysis diet and fluid nonadherence questionnaire (DDFQ), and fluid control in hemodialysis patients scale (FCHPS). The participants in the intervention group were given the “Nutrition Education Booklet for Dialysis Patients”. The participants in the intervention group were trained through four education sessions across 4 months, and the measurement tools were administered to them. The participants in the control group were interviewed twice, once at the onset of the study and once 2 months later and the measurement tools were administered to them. Findings: In the intervention group, a decrease was observed in the pre‐ and postdialysis interdialytic weight gain, ultrafiltration (UF) volume, and blood pressure values of the patients after the training. There was a statistically significant decrease in the mean scores for the frequency and degree of nonadherence to diet restriction, and for the frequency and degree of nonadherence to fluid restriction in the participants in the intervention group compared to the participants in the control group (P < 0.05). There was a statistically significant increase in the mean scores obtained from the FCHPS and its subscales by the participants in the intervention group compared to the participants in the control group (P < 0.05). Conclusion: The training given to the hemodialysis patients positively contributed to their adherence to diet and fluid restrictions. The patients' adherence to diet and fluid restriction increased.

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Adherence to diet and fluid restriction of individuals on hemodialysis treatment and affecting factors in Turkey

Abstract: Based on these results, regular training and information regarding diet and fluid restriction must be provided to individuals aged 21-35 years with no one in the family to help with their care, those who consumed salted food, or had interdialytic weight gain of 4.5 kg or more.

Cited by 36 publications

References 16 publications

Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Social support and treatment adherence in patients with end‐stage renal disease: A systematic review

The effect of a hemodialysis patient education program on fluid control and dietary compliance

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