Dietary and fluid compliance: an educational intervention for patients having haemodialysis

Baraz, Shahram; Parvardeh, Siavash; Mohammadi, Eesa; Broumand, Behrouz

doi:10.1111/j.1365-2648.2009.05142.x

Cited by 74 publications

(109 citation statements)

References 25 publications

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“…Similar are the results of Hain et al [20] and Murray [21] regarding age. Opposite are the results in the study of Baraz et al [22]in which young patients were found more compliant than older after an educational intervention.…”

Section: Demographic Characteristicssupporting

confidence: 90%

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Family Support, Social and Demographic Correlations of Non-Adherence among Haemodialysis Patients

Alikari¹

2015

AJNS

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Abstract:Non-adherence to treatment is an increasing problem for patients with end stage renal disease under haemodialysis.Aim: This study aimed to review the basic literature mentioned to the correlation between haemodialysis patient demographic characteristics and non-adherence to their treatment regimen.Method: Studies written in English published in 2002-2013 were identified through PubMed, PubMed Central, Dove press, Scopus. Clinical trials and review articles were excluded. Key-words used for search included a combination of adherence / non-adherence and haemodialysis in titles. Results: According to the literature, patient demographic characteristics are important factors for patient adherence to treatment regimen. Generally, factors associated with increased level of non-adherence to haemodialysis treatment regimen included young age, sex, race and educational level. Conclusions: Early identification of risk factors, inclusion of patients in the health care team and participation in clinical decision making, can lead to behavior adherence.

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Section: Demographic Characteristicssupporting

confidence: 90%

“…Some of them are age [4,6,7,[19][20][21][22]26,27,28,36] , race [4,6,7,19,23] , sex [4,7,22,26,27] , educational level [6,22,23] , work [27,34],marital status [18,33,34,36]. Studies that have analyzed the demographic characteristics and correlated them with adherence in HD are summarized below (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Family Support, Social and Demographic Correlations of Non-Adherence among Haemodialysis Patients

Alikari¹

2015

AJNS

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“…Baraz et al (2014) also investigated the effect of education on biochemical parameters of 63 patients under hemodialysis in 2 groups of oral and visual educations. In this study, oral education led to a significant decrease in creatinine, phosphate, uric acid, and blood urea nitrogen, but no significant effect was found in other parameters such as albumen, calcium, and potassium (23). In another quasi-experimental study, the effect of intervention based on a self-care model on 32 patients under hemodialysis was investigated.…”

Section: Sufficientmentioning

confidence: 76%

“…Studies also found favorable clinical results and knowledge of nutrition education in hemodialysis patients. In these studies, nutrition education had positive effects on certain biochemical parameters and no significant impact on some others (7,12,(22)(23)(24).…”

Section: Introductionmentioning

confidence: 89%

The Effect of Nutrition Education Program on Biochemical Parameters Among Patients With Chronic Kidney Disease Undergoing Hemodialysis

Jahanpeyma¹,

Makhdoomi²,

Sajadi³

2017

Crit Care Nurs J

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Background: Nutrition is considered an important part of treatment in patients with chronic kidney disease (CKD). Therefore, poor nutrition leads to decreased life quality and increased complications of hemodialysis as well as mortality in these patients. This study aimed at investigating the effect of nutrition education program (NEP) on biochemical parameters among patients undergoing hemodialysis. Methods: This quasi-experimental study was conducted on 30 patients who referred to hemodialysis unit at Ayatollah Taleghani hospital in Urmia province, Iran. The sampling method was purposive. Data were collected through interviews and data collection instruments consisted of demographic questionnaires and checklist. In the pre-education stage, the demographic questionnaire was completed and a 2-month average of biochemical parameters (sodium, potassium, calcium, phosphor, blood urea nitrogen, and creatinine) were measured and recorded in the checklist by the researcher. Then, the patients received four 30-minute educational sessions on nutrition using learning assistant tools. Two months after the education program, the laboratory results were measured and recorded again by the researcher. Data analysis was performed using SPSS 14 and paired t test, and significance level was set at 0.05 (P < 0.5). Results:The findings revealed a significant decrease in sodium, potassium, calcium, blood urea nitrogen (P < 0.05), but no significant difference was found in the laboratory results of phosphor and creatinine (P < 0.05). Conclusions: The implementation of nutrition education program (NEP) for patients under hemodialysis can improve biochemical parameters as well as complications resulting from their imbalance. Therefore, this program is recommended for this group of patients.

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“…Increased knowledge, better understanding of their disease process and active participation in health behaviors, including dietary restrictions, have been suggested as methods to improve HD adherence and phosphorus control (Baraz, Parvardeh, Mohammadi & Broumand , 2009;Cupisti, et al, 2012;Brogdon 2013;Reddy et al, 2009) …”

Section: Background and Significancementioning

confidence: 99%

Hyperphosphatemia in Hemodialysis Patients: Can an Educational Intervention Make a Difference?

Agbelese¹

2016

Preprint

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<p>Adherence to the treatment regimen, including proper phosphate binder use and the monitoring of dietary phosphorus intake, is crucial to optimal health outcomes in hemodialysis patients. Hyperphosphatemia remains a significant health problem in hemodialysis patients since excessive serum phosphate is associated with increased morbidity and mortality rates in this patient population. Hyperphosphatemia can occur due to lack of knowledge. The purpose of this program is to determine the effect of an educational intervention on phosphorus knowledge in hemodialysis patients.</p> <p>Participants consisted of a convenience sample of 12 hemodialysis patients. The teaching intervention utilized a pre and posttest design. The difference in pre and posttest scores was analyzed to determine the effect of the educational intervention on patients’ knowledge of phosphorus. Post test scores revealed a statistically significant increase in phosphorus knowledge in participants (Z value = -2.97; p � .05). Responses to the openended qualitative question revealed that friends and family members were important support team members that enabled participants to adhere to their dietary phosphorus regimen. Implications for further studies include the expansion of educational interventions to include friends and family members and the inclusion of individuals from various ethnic and racial backgrounds. Nurses are strategically situated in hemodialysis units to provide patient education. Advanced practice registered nurses can provide leadership to other nurses on the use of evidenced-based educational interventions that positively impact patient outcomes.</p>

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Dietary and fluid compliance: an educational intervention for patients having haemodialysis

Abstract: Nurses should emphasize sodium compliance in patients having haemodialysis and explain its adverse effects, such as excessive weight gain, hypertension, and peripheral oedema.

Cited by 74 publications

References 25 publications

Family Support, Social and Demographic Correlations of Non-Adherence among Haemodialysis Patients

Family Support, Social and Demographic Correlations of Non-Adherence among Haemodialysis Patients

The Effect of Nutrition Education Program on Biochemical Parameters Among Patients With Chronic Kidney Disease Undergoing Hemodialysis

Hyperphosphatemia in Hemodialysis Patients: Can an Educational Intervention Make a Difference?

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