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Effect of Diet Therapy Program on Dietary Knowledge and Practice of Elderly Patients on Regular Hemodialysis

Received: 30 April 2015     Accepted: 20 May 2015     Published: 13 June 2015
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Abstract

The identification and proper management of risk factors for chronic renal diseases is a public health priority. Diet Nutrition program on elderly patients with uraemia on dialysis plays an important role in the process of treatment, decreasing complications and improving quality life of patients. The aim of this study was to assess the effectiveness of diet therapy program on dietary knowledge and practice of elderly patients on regular hemodialysis. Design: An interventional study was used. Setting: The study was conducted at the hemodialysis units of the Urology and Nephrology Centers at Zagazig University Hospitals. Sample: The study sample consisted of 90 elderly patients on regular hemodialysis who received the diet therapy program. Tools: Data was collected through: (1) An interviewing questionnaire to assess sociodemographic characteristics of patients, their dietary knowledge and practice before and after diet therapy program; (2) physical assessment checklist to assess abnormal physical findings of patients before and after intervention. Results: the elderly patients under hemodialysis have deficient dietary knowledges and practices. The implementation of the diet therapy program was effective in improving dietary knowledge and practices of elderly patients. The total knowledge and practice of the patients showed statistically significant improvements after the intervention ( 61.1% and 67.8% )respectively after the intervention compared with 18.9% and 23.3% respectively before intervention( p<0.001). Recommendations: Diet therapy programs need to be a priority on management of elderly patients under regular hemodialysis.

Published in American Journal of Nursing Science (Volume 4, Issue 3)
DOI 10.11648/j.ajns.20150403.23
Page(s) 131-137
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Diet Therapy Programs, Elderly Nutrition, Elderly Patients Under Hemodialysis

References
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[4] Chiou C.P., and Chung Y.C. (2012): Effectiveness of multimedia. interactive patient education on knowledge, uncertainty and decision- making in patients with end-stage renal disease. J Clin Nurs.;21(9- 10):1223-31.
[5] Choi S.J., Kim E.J., Park M.Y., Kim J.K., Hwang S.D. (2014): Does body fat mass define survival in patients starting peritoneal dialysis? Perit Dial Int.;34(4):376-82.
[6] Cupisti A., Ferretti V., D 'Alessandro C., Petrone I., Di Giorgio A., Meola M., Panichi V., Conti P., Lippi A., Caprioli R., and Capitanini A. (2012): Nutritional knowledge in hemodialysis patients and nurses: focus on phosphorus. J RenNutr.; 22(6):541-6.
[7] Dean A.G., Dean J.a., Coulombeir D. and Brendel K.A. 2005: Epi-info version 3.5.3: a window processing data base and statistics program for epidemiology on microcomputers. Center for Disease Control. Atlanta, Georgia, USA.
[8] Elliott J.O., Ortman C., Almaani S., Lee Y.H., and Jordan K. (2014):Understanding the Associations Between Modifying Factors, Individual Health Beliefs, and Hemodialysis Patients' Adherence to a Low-Phosphorus Diet. J RenNutr.Pii; S1051-2276(14):00158-7.
[9] Hegazy I.S., El Raghy H.A., Abdel-Aziz S.B., and Elhabashi E.M.(2013): Study of the effect of dietary counselling on the improvement of end-stage renal disease patients. East Mediterr Health J.;19(1):45- 51.
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[15] McDonald S.P., Marshall M.R., Johnson D.W., and Polkinghorne K.R. (2009): Relationship between dialysis modality and mortality. J Am SocNephrol; 20: 155-163.
[16] Paes-Barreto J.G., Silva M.I., Qureshi A.R., Bregman R., Cervante V.F., Carrero J.J., and Avesani C.M. (2013): Can renal nutrition education improve adherence to a low-protein diet in patients with stages 3 to 5 chronic kidney disease? J Ren Nutr.;23(3):164-71.
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  • APA Style

    Eman Shokry Abd Allah, Eman El-Shahat El-Sayed Oraby, Rasha Gad Ibrahim. (2015). Effect of Diet Therapy Program on Dietary Knowledge and Practice of Elderly Patients on Regular Hemodialysis. American Journal of Nursing Science, 4(3), 131-137. https://doi.org/10.11648/j.ajns.20150403.23

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    ACS Style

    Eman Shokry Abd Allah; Eman El-Shahat El-Sayed Oraby; Rasha Gad Ibrahim. Effect of Diet Therapy Program on Dietary Knowledge and Practice of Elderly Patients on Regular Hemodialysis. Am. J. Nurs. Sci. 2015, 4(3), 131-137. doi: 10.11648/j.ajns.20150403.23

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    AMA Style

    Eman Shokry Abd Allah, Eman El-Shahat El-Sayed Oraby, Rasha Gad Ibrahim. Effect of Diet Therapy Program on Dietary Knowledge and Practice of Elderly Patients on Regular Hemodialysis. Am J Nurs Sci. 2015;4(3):131-137. doi: 10.11648/j.ajns.20150403.23

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  • @article{10.11648/j.ajns.20150403.23,
      author = {Eman Shokry Abd Allah and Eman El-Shahat El-Sayed Oraby and Rasha Gad Ibrahim},
      title = {Effect of Diet Therapy Program on Dietary Knowledge and Practice of Elderly Patients on Regular Hemodialysis},
      journal = {American Journal of Nursing Science},
      volume = {4},
      number = {3},
      pages = {131-137},
      doi = {10.11648/j.ajns.20150403.23},
      url = {https://doi.org/10.11648/j.ajns.20150403.23},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20150403.23},
      abstract = {The identification and proper management of risk factors for chronic renal diseases is a public health priority. Diet Nutrition program on elderly patients with uraemia on dialysis plays an important role in the process of treatment, decreasing complications and improving quality life of patients. The aim of this study was to assess the effectiveness of diet therapy program on dietary knowledge and practice of elderly patients on regular hemodialysis. Design: An interventional study was used. Setting: The study was conducted at the hemodialysis units of the Urology and Nephrology Centers at Zagazig University Hospitals. Sample: The study sample consisted of 90 elderly patients on regular hemodialysis who received the diet therapy program. Tools: Data was collected through: (1) An interviewing questionnaire to assess sociodemographic characteristics of patients, their dietary knowledge and practice before and after diet therapy program; (2) physical assessment checklist to assess abnormal physical findings of patients before and after intervention. Results: the elderly patients under hemodialysis have deficient dietary knowledges and practices. The implementation of the diet therapy program was effective in improving dietary knowledge and practices of elderly patients. The total knowledge and practice of the patients showed statistically significant improvements after the intervention ( 61.1% and 67.8% )respectively after the intervention compared with 18.9% and 23.3% respectively before intervention( p<0.001). Recommendations: Diet therapy programs need  to be a priority on management of elderly patients under regular hemodialysis.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Effect of Diet Therapy Program on Dietary Knowledge and Practice of Elderly Patients on Regular Hemodialysis
    AU  - Eman Shokry Abd Allah
    AU  - Eman El-Shahat El-Sayed Oraby
    AU  - Rasha Gad Ibrahim
    Y1  - 2015/06/13
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ajns.20150403.23
    DO  - 10.11648/j.ajns.20150403.23
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 131
    EP  - 137
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20150403.23
    AB  - The identification and proper management of risk factors for chronic renal diseases is a public health priority. Diet Nutrition program on elderly patients with uraemia on dialysis plays an important role in the process of treatment, decreasing complications and improving quality life of patients. The aim of this study was to assess the effectiveness of diet therapy program on dietary knowledge and practice of elderly patients on regular hemodialysis. Design: An interventional study was used. Setting: The study was conducted at the hemodialysis units of the Urology and Nephrology Centers at Zagazig University Hospitals. Sample: The study sample consisted of 90 elderly patients on regular hemodialysis who received the diet therapy program. Tools: Data was collected through: (1) An interviewing questionnaire to assess sociodemographic characteristics of patients, their dietary knowledge and practice before and after diet therapy program; (2) physical assessment checklist to assess abnormal physical findings of patients before and after intervention. Results: the elderly patients under hemodialysis have deficient dietary knowledges and practices. The implementation of the diet therapy program was effective in improving dietary knowledge and practices of elderly patients. The total knowledge and practice of the patients showed statistically significant improvements after the intervention ( 61.1% and 67.8% )respectively after the intervention compared with 18.9% and 23.3% respectively before intervention( p<0.001). Recommendations: Diet therapy programs need  to be a priority on management of elderly patients under regular hemodialysis.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Community &Gerontological-Nursing, Community Health Nursing, Faculty of Nursing, Zagazig University, Zagazig City, Egypt

  • Public Health and Community Medicine, Faculty of Medicine, Zagazig University, Zagazig City, Egypt

  • Community Health Nursing, Faculty of Nursing, Mansura University, Mansura city, Egypt

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