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Adherence to diet and fluid restriction of individuals on hemodialysis treatment and affecting factors in T urkey
Author(s) -
Efe Dilek,
Kocaöz Semra
Publication year - 2015
Publication title -
japan journal of nursing science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.363
H-Index - 17
eISSN - 1742-7924
pISSN - 1742-7932
DOI - 10.1111/jjns.12055
Subject(s) - hemodialysis , fluid restriction , medicine , dialysis , test (biology) , descriptive statistics , gastroenterology , biology , mathematics , paleontology , statistics , hyponatremia
Aim This study was conducted to determine adherence to diet and fluid restriction in hemodialysis‐treated individuals and the affecting factors in T urkey. Methods This descriptive study was conducted between 15 O ctober 2010 and 15 J anuary 2011 in subjects who voluntarily agreed to participate in the study from three dialysis centers in a city located in the C entral A natolia R egion of T urkey. One hundred and twenty‐one individuals treated with hemodialysis made up the study sample. The data were collected using a questionnaire consisting of 41 questions and the D ialysis D iet and F luid N on‐adherence Q uestionnaire. The data were evaluated with percentage, median, M ann– W hitney U ‐test, K ruskal– W allis test, S tudent's t ‐test in independent samples and S pearman's rank correlation coefficient. Results The authors found that 98.3% of the individuals experienced non‐adherence to diet and 95.0% with fluid restriction. The authors found a weak and negative relationship between calcium levels and non‐adherence to fluid restriction, a weak relationship between phosphorus levels and diet non‐adherence frequency and degree and the fluid non‐adherence frequency scores, and a moderate positive relationship between phosphorus levels and fluid restriction non‐adherence degree scores ( P < 0.05). Conclusion Based on these results, regular training and information regarding diet and fluid restriction must be provided to individuals aged 21–35 years with no one in the family to help with their care, those who consumed salted food, or had interdialytic weight gain of 4.5 kg or more.