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Aim: To explore the experience of patients with chronic kidney disease with regard to adopting a low-protein diet. Background: Chronic kidney disease is a serious and increasingly prevalent global health problem. A low-protein diet helps delay the progression of the disease and decreases associated complications. However, many patients with chronic kidney disease have difficulties adhering to a low-protein diet, even after several consultations. Design: A phenomenological study. Methods: This study used a phenomenological inquiry based on Colaizzi’s phenomenological analysis. Participants with chronic kidney disease were recruited from a nephrology unit at a local district hospital in southern Taiwan. Results: Fifteen Taiwanese adults with stages 3b-5 chronic kidney disease participated in this study. More than half (53%) were men, the mean age was 57 years, and the mean duration of chronic kidney disease was nine (range, 2-19) years. Most participants reported that the diet education they received from health care providers was inconsistent and confusing. Four themes emerged from participant experiences: confusion about eating restrictions, struggling with the daily diet, concerns about quality of life and mortality, and a fresh look at life and motivation to adhere to the low-protein diet. With diet management, these participants had maintained their minimum kidney function for many years. Conclusion: This study highlights the substantial problems faced by chronic kidney disease patients while self-managing a low-protein diet. Also, we found some tips to manage the patients’ diet which all professional health practitioners could learn from them.

The Lived Experiences of Living with LPD among CKD Patients in Southern Taiwan