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NUTRITIONAL EDUCATION FOR THE MANAGEMENT OF OSTEODYSTROPHY (NEMO) IN PATIENTS ON HAEMODIALYSIS: A RANDOMISED CONTROLLED TRIAL
Author(s) -
Karavetian Mirey,
Ghaddar Sana
Publication year - 2013
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/j.1755-6686.2012.00327.x
Subject(s) - medicine , osteodystrophy , renal osteodystrophy , randomized controlled trial , physical therapy , intensive care medicine , kidney disease
SUMMARY Objective To examine the effect of self‐management dietary counselling (SMDC) on adherence to dietary management of hyperphosphatemia among haemodialysis patients. Design An eight‐week cluster based randomised control trial. Participants 122 stable adult patients were recruited from an HD unit in Sidon, Lebanon. Study groups were: full intervention (A) (n = 41), partial intervention (B) (n = 41) and control (C) (n = 40). Intervention Group (A) received SMDC, Group (B) received educational games only and Group (C) did not receive any research intervention. Main Outcome Measures Serum phosphorus (P), Calcium Phosphate product (Ca × P) and two questionnaires: patient knowledge (PK) and dietary non‐adherence (PDnA) to P reduced diet. Results Group A experienced a significant improvement in mean (± SD) P (6.54 ± 2.05 − 5.4 ± 1.97 mg/dl), Ca × P (58 ± 17 − 49 ± 12), PK scores (50 ± 17 − 69 ± 25%) and PDnA scores (21.4 ± 4.0 − 18.3 ± 2.0). Group B experienced a significant improvement in Ca × P (52 ± 14–45 ± 16). Group C did not experience any significant change post intervention. Conclusion Our findings demonstrate the importance of patient‐tailored counselling on serum P management.