Dietary self-efficacy: determinant of compliance behaviours and biochemical outcomes in haemodialysis patients

Abstract

Results indicated that dietary self-efficacy determined both behaviours and laboratory outcomes. Patients with greater dietary self-efficacy had lower serum potassium and weight gain, showed favourable compliance attitudes and behaviours toward prescribed regimens and fostered better relationships with staff. Based on these findings we recommend an experimental approach to clarify whether maximizing dietary self-efficacy efforts is without psychological burden to patients and whether the positive effect of increased dietary self-efficacy is maintained in long-term dialysis patients.

The effects of diet and fluid education administered to patients of hemodialysis on some parameters

“…In the study conducted by Yöntem and Odabaş; the K values of the patients were found as 5.03mEq/L before dialysis and 3.68 mEq/L after dialysis. In addition to the studies revealing that there was no significant difference between K values before and after hemodialysis and between groups, there are also studies indicating that potassium levels of patients who could maintain control in their diet are lower and that they take lower quantity of fluid between two dialysis sessions (Zrinyi, et al, 2003(Zrinyi, et al, :1871Çınar ve ark. 2005).…”

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

“…However, marital status was not found to be related to patient adherence in three recent studies [54][55][56].Lack of social/family support is sometimes a bar to adherence in HD according to the reviewed literature [29,32,34,[37][38][39][40][41][42].Friends and family offers an incentive for learning and complying with the life changes. However, social support affects positively outcomes and is a link between HD patient and adherence to treatment regimen.…”

“…Several studies found that the high educational level predict better rates of adherence, [6,22,23,32] while some studies found no correlation [4,19] , Baraz et al [22] claims that thehigher the educational level the better knowledge and better adherence. Baraz et al [22] argues that a high educated patient might understand more easily the usefulness of the treatment whereas Grierson et al [58] mention that it is difficult for high educated patients to be adherent because of their business and their professional status [58].…”

“…Other searchers found no correlation between age, sex [23,32], or marital status [32] . Ambiguous are the findings about the effect of employment in patient adherence.…”

Assessment of nutritional status of patients on hemodilaysis: a single center study from Jeddah, Saudi Arabia.

“…It has been reported that 28-78% of HDP fail to adhere to prescribed diet and limiting fluid intake (28,(32)(33)(34). The non-adherence in the previous studies may be related to several factors such as a rigid and complex diet that affected patient's food preferences and altered lifestyle, patient's perception of the usefulness of therapeutic diet was out weighed by the traditional beliefs, and patient did not ask questions about the diet or fluid restrictions either because he/she was embarrassed or did not have enough knowledge to know what to ask (28,(32)(33)(34). In addition to diet and fluid non-adherence factors in the previous studies that could relate to this study, diet and fluid non-adherence in this study may be due to the low educational level of the patients as they may not have understood the dietary and fluid restrictions and the significance of those restrictions.…”