Effect of Diet Education on Blood Pressure Changes and Interdialytic Weight in Hemodialysis Patients Admitted in Hajar Hospital in Shahrekord

Abstract

Background and aim:Nutrition is a key factor in the treatment of patients with chronic kidney disease because kidney burden decrease causes uremic reduction and its side effects. The aim of this research is to examine the effect of diet education on blood pressure changes and interdialytic weight in Hemodialysis patients admitted to Hemodialysis ward of Hajar hospital in Shahrekord.Methods:This quasi-experimental and interventional study of 100 dialysis patients referred to Hemodialysis ward of Hajar hospital was performed in a pre-test and post-test in 2011. Diet education, including face to face training with instruction booklets, were conducted in the two sessions. Having carried out the educational program, blood pressure and interdialytic weight gain were measured and recorded one month before and during three stages and after the educational program by researcher-designed checklists. The data were analyzed through SPSS 16 software by Paired t-test and ANOVA.Results:The results showed that mean of primary weight of the patients increase from 66.15±15.10 to 64.43±14.67. Mean of Systolic and diastolic blood pressure in patients in three stages were reduced to 6.65±1.51 mmg 2.24±1.82 mmg respectively. There was a significant difference between the creatinine amount in patients before and after of training (p≤0.01) but no meaningful difference was observed between the BUN amount before and after of training (p≤0.031).Conclusion:training to patients underwent hemodialysis in order to observe diet and its effects on improvement in treatment are of significant importance.

Hydration class of NANDA International in patients undergoing hemodialysis: a cross-sectional study

“…The last dialysis census showed that most dialysis patients are in the 19 to 64 year age group, corroborating the average age of the patients (10) . As for the educational level, the population surveyed had a median of five years of study, equivalent to incomplete primary education -similar to the results of another study (16) .…”

“…The literature shows the importance of strictness as to the fluid restriction in the search for water balance control and the Leite prevention of edema, as well as the activities aimed at education and guidance of these patients (16,21) . Adequate fluid intake is reflected by the gain in interdialytic weight.…”

Contributing factors for therapeutic diet adherence in patients receiving haemodialysis treatment: an integrative review

“…If these procedures are performed periodically, patient health improves due to a change of attitude and the acquisition of a deeper knowledge of nutrition. These findings are based on a quasi‐experimental study conducted by Jaferi, Mobasheri, and Mirzaeian () in which, after an educational programme lasting 2 months, interdialytic weight was reduced.…”

Hemodialysis interval and its association with emergency care and mortality

“…Therefore, patients on HD can reduce the occurrence of comorbidities through daily diet and fluid control, continual nutritional education, and regular evaluations. [ 26 , 27 ] The provision of patient health education, particularly regarding the limiting of fluid intake in the diet, with clinical medical teams is instrumental. Particularly useful is the prevention of careless dietary moderation during the 3 days over the weekend (Saturday and Sunday) until the dialysis treatment, as well as during long consecutive holidays, to avoid excessive water retention.…”