Self-care Through Dynamic Appetite Alteration: A Grounded Theory Study of Patient Experience on Maintenance Hemodialysis

Hwang, Wonsun; Lee, Ji Hyun; Nam, Juha; Oh, Ji-Eun; Park, Inwhee; Cho, Mi Sook

doi:10.7762/cnr.2022.11.4.264

Cited by 2 publications

(6 citation statements)

References 22 publications

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“…During search reconstruction, the levels of knowledge and self-efficacy ranged from low to high, and the degree of self-monitoring ranged from partial to overall. A detailed description of each category can be found in the other publications [ 1 ]. The following framework, displayed below ( Figure 1 ), illustrates our research design’s exploratory, confirmatory sequence.…”

Section: Resultsmentioning

confidence: 99%

“…Therefore, convenient and simple tools are needed for early and individualized malnutrition screening and determining the outcomes after appropriate intervention in HD patients. Before this study, an examination of a nutrition screening tool for HD patients [ 13 ] and a qualitative study of self-care through dynamic appetite alteration [ 1 ] was conducted in the HD unit of Ajou University Hospital. This study used an MM-GT exploratory instrument development design in Figure 1 .…”

Section: Methodsmentioning

confidence: 99%

“…This study used multiple methods, which is a research program of quantitative study 1 [ 13 ] and qualitative study 2 [ 1 ]. Study 1 and study 2 are related but thoroughly independent studies.…”

Section: Methodsmentioning

confidence: 99%

“…Malnutrition is a common problem among hemodialysis (HD) patients, and it can have a substantial influence on their quality of life and overall health outcomes. Appetite alterations are a major cause of malnutrition in this population, and effective self-management strategies that incorporate a holistic approach are required to address this issue [ 1 ]. A holistic approach to self-management takes into consideration not only the physical elements of malnutrition but also the psychological, social, and cultural factors that may influence an individual’s nutrition and health.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the Impact of Appetite Alteration on Self-Management and Malnutrition in Maintenance Hemodialysis Patients: A Mixed Methods Research Using the International Classification of Functioning, Disability and Health (ICF) Framework

et al. 2023

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Hemodialysis (HD) patients face a common problem of malnutrition due to poor appetite. This study aims to verify the appetite alteration model for malnutrition in HD patients through quantitative data and the International Classification of Functioning, Disability, and Health (ICF) framework. This study uses the Mixed Method-Grounded Theory (MM-GT) method to explore various factors and processes affecting malnutrition in HD patients, create a suitable treatment model, and validate it systematically by combining qualitative and quantitative data and procedures. The demographics and medical histories of 14 patients were collected. Based on the theory, the research design is based on expansion and confirmation sequence. The usefulness and cut-off points of the creatinine index (CI) guidelines for malnutrition in HD patients were linked to significant categories of GT and the domain of ICF. The retrospective CIs for 3 months revealed patients with 3 different levels of appetite status at nutrition assessment and 2 levels of uremic removal. In the same way, different levels of dry mouth, functional support, self-efficacy, and self-management were analyzed. Poor appetite, degree of dryness, and degree of taste change negatively affected CI, while self-management, uremic removal, functional support, and self-efficacy positively affected CI. This study identified and validated the essential components of appetite alteration in HD patients. These MM-GT methods can guide the selection of outcome measurements and facilitate the perspective of a holistic approach to self-management and intervention.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the Impact of Appetite Alteration on Self-Management and Malnutrition in Maintenance Hemodialysis Patients: A Mixed Methods Research Using the International Classification of Functioning, Disability and Health (ICF) Framework

et al. 2023

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“…1,2 Although these symptoms are considered the most distressing, their clinical evaluation and management are usually overlooked. 3 The prevalence of altered taste and smell in hemodialysis patients ranges from 30% to 80%. [4][5][6] Altered smell and taste in hemodialysis patients have been attributed to increased urea, trimethylamine levels, and decreased serum zinc levels, [7][8][9] and have been associated with loss of appetite, low food consumption, inadequate or inappropriate food choices, poor adherence to dietary treatments, and malnutrition in various patient groups.…”

Section: Introductionmentioning

confidence: 99%

Relationship between altered taste and smell with malnutrition among hemodialysis patients

Özkan,

Taylan,

Kurt

2024

Hemodialysis International

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IntroductionAlterations in taste and smell are among the most distressing symptoms experienced by haemodialysis patients. There is limited research on the relationship between these two symptoms and malnutrition in haemodialysis patients. This study aimed to investigate alterations in taste and smell in hemodialysis patients and their relationship with malnutrition.MethodsThis cross‐sectional study was carried out with 149 hemodialysis patients at the dialysis centers of three state hospitals. The Taste and Smell Dysfunction Questionnaire was used to assess the changes in patients' taste and smell, and the Prognostic Nutritional Index (PNI), as well as the Controlling Nutritional Status (CONUT) tool, were utilized to evaluate their nutritional status.FindingsA substantial percentage (45.6%) of patients reported an altered sense of smell, and 40.2% reported an altered sense of taste. The aspect of taste that was most abnormal was bitterness (46.7%); 53.0% of the patients were at moderate risk of malnutrition by PNI score, and 14.8% were categorized as malnourished by CONUT score. Malnutrition was related to dialysis vintage: a 1‐year increase in vintage was associated with an increased risk of malnutrition (OR: 1.17, 95% CI 1.02–1.32, p < 0.001). Altered taste was associated with malnutrition: one‐unit increase in the standard deviation of the taste subdimension score was associated with a relative risk of malnutrition (OR: 6.89, 95% CI 1.67–28.39, p < 0.001). A one‐unit increase in the standard deviation of the smell subdimension was associated with relative risk of malnutrition (OR: 1.35, 95% CI 1.10–1.64, p < 0.001).DiscussionMalnutrition was found in a significantpercentage of hemodialysis patients. Altered taste and smell and the durationof dialysis treatment were significantly associated with malnutrition scores It isrecommended that healthcare professionals regularly assess alterations in tasteand smell in hemodialysis patients, as these alterations may be associated withmalnutrition, and manage these alterations accordingly.

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Self-care Through Dynamic Appetite Alteration: A Grounded Theory Study of Patient Experience on Maintenance Hemodialysis

Cited by 2 publications

References 22 publications

Exploring the Impact of Appetite Alteration on Self-Management and Malnutrition in Maintenance Hemodialysis Patients: A Mixed Methods Research Using the International Classification of Functioning, Disability and Health (ICF) Framework

Exploring the Impact of Appetite Alteration on Self-Management and Malnutrition in Maintenance Hemodialysis Patients: A Mixed Methods Research Using the International Classification of Functioning, Disability and Health (ICF) Framework

Relationship between altered taste and smell with malnutrition among hemodialysis patients

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