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CC BY 4.0 · Journal of Health and Allied Sciences NU
DOI: 10.1055/s-0044-1788903
Original Article

Impact of Dietary Counseling on Nutritional requirements and Mitigating Noncompliance behavior in Hemodialysis Patients: A Pilot Study

Authors

  • Sarita Telma Fernandes 

    1   Department of Community Health Nursing, Nitte (Deemed to be University), Nitte Usha Institute of Nursing Sciences (NUINS), Mangalore, Karnataka, India

  • Fatima Dsilva 

    2   Department of Medical Surgical Nursing, Nitte (Deemed to be University), Nitte Usha Institute of Nursing Sciences (NUINS), Mangalore, Karnataka, India
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Abstract

Introduction Hemodialysis is the most sought-after treatment modality in patients with end-stage renal disease. The success of hemodialysis depends on the patient's adherence to diet and fluid restrictions to a great extent. Nutritional health is a critical consideration, especially for hemodialysis patients. Nutritional education and counseling for renal disease patients significantly preserve renal function and overall well-being.

Methods Quantitative research approach with a quasi-experimental crossover design to determine the effectiveness of dietary counseling on the nutritional requirement and noncompliance behavior of patients undergoing hemodialysis conducted at Mangala Kidney Hospital, Mangalore, Karnataka, India.

Results The mean age among the participants was 46.07 + 9.67 years. Nearly half of the subjects, 11 (39.29%), had undergone dialysis for 1 to 5 years. Twenty-six (96.3%) had noncompliance behavior toward diet and fluid. Based on biochemical parameters, 20 (74.07%) were classified as low-risk noncompliance and 7 (25.92%) high-risk noncompliance behavior. A paired t-test showed that there is a significant difference in knowledge of nutritional requirements, t (26) = 6.30, p ≤ 0.001 at 5% level of significance, and noncompliance among the participants before and after the dietary counseling program as t (26) = –5.41, p ≤ 0.001 at 5% level of significance.

Conclusion Implementing nurse-led counseling for hemodialysis patients can improve biochemical parameters and enhance understanding of dietary and fluid restrictions, positively impacting laboratory indicators.

Keywords

nurse-led dietary counseling - noncompliance behavior - hemodialysis patients - nutritional requirements

Authors' Contributions

Study design, Data analysis and Manuscript was was done by S.T.F. and F.D. whereas Data collection was done by S.T.F.




Publikationsverlauf

Artikel online veröffentlicht:
06. August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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