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http://dx.doi.org/10.7318/KJFC/2020.35.2.201

Qualitative Study on Dietary Practices of Hemodialysis Patients  

Park, Hee-Jung (Department of Food & Nutrition, Yuhan University)
Jang, Eun-Young (Department of Clinical Nutrition, Gachon University Graduate School of Professional Therapy, Central Hospital)
Cho, Wookyoun (Department of Food & Nutrition, Gachon University)
Publication Information
Journal of the Korean Society of Food Culture / v.35, no.2, 2020 , pp. 201-214 More about this Journal
Abstract
This study was a qualitative investigation into hemodialysis patients' dietary practices. The purpose of this study was to explore the obstacles and requirements to maintain a recommended diet therapy in hemodialysis patients. Five patients undergoing hemodialysis in the renal chamber of the general hospital were interviewed individually. The interviews were based on an interview guide and analyzed by Giorgi's method of analysis. As a result of this study, five elemental factors and 12 subelemental factors were derived. Derived elements were "difficulty in dietary guidelines", "recognizing necessity of diet therapy", "awareness of importance of diet", "difficulty practicing diet therapy", and "looking for ways to practice diet therapy". Patients not only felt difficulties in practicing dietary guidelines but also recognized the need and importance of diet therapy. Patients seemed to have difficulty practicing meal therapy and eating with their families or others. They were also stressed by the limited selection of dietary components and rapid dietary changes before and after dialysis. However, patients showed a willingness to implement dietary management to improve their quality of life and to practice dietary therapy. In order to improve the practice of dietary management in hemodialysis patients, nutritional education should be focused on long-term dietary habits through continuous education and monitoring, not just one-off education. Moreover, patients should be educated that adherence to dietary control may be less burdensome on their families.
Keywords
Hemodialysis; Giorgi's method; dietary education;
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1 Campbell KL, Ash S, Zabel R, McFarlane C, Juffs P, Bauer JD. 2009. Implementation of standardized nutrition guidelines by renal dietitians is associated with improved nutrition status. J. Ren. Nutr., 19(2):136-144   DOI
2 Cicchetti D, Rogosch FA, Lynch M, Holt KD. 1993. Resilience in maltreated children: processes leading to adaptive outcome. Dev. Psychopathol., 5(4):629-647   DOI
3 D'Alessandro C, Piccoli GB, Calella P, Brunori G, Pasticci F, Egidi MF, Capizzi I, Bellizzi V, Cupisti A. 2016. "Dietaly": practical issues for the nutritional management of CKD patients in Italy. BMC Nephrol., 17(1):102-119   DOI
4 Dulal SL, Thakurathi MT, Dulal RK, Karki S, Raut KB. 2018. Dietary practice among the patients with end stage renal disease undergoing maintenance haemodialysis. J. Nepal. Med. Assoc., 56(213):830-836   DOI
5 Erlandson DA, Harris EL, Skipper B, Allen SD. 1993. Doing naturalistic inquiry: A guide to methods. Newbury Park, CA: Sage Publications.
6 Ghimire S, Castelino RL, Jose MD, Zaidi STR. 2017. Medication adherence perspectives in haemodialysis patients: a qualitative study. BMC Nephrol., 18(1):167-175   DOI
7 Giorgi A. 1985. Phenomenology and psychological research. Pittsburgh, PA: Duquesne University Press
8 Hamid A, Dhrolia MF, Qureshi R, Imtiaz S, Ahmad A. 2019. Clinical characteristics of patients on long-term hemodialysis. J. Coll. Physicians Surg. Pak., 29(4):328-332   DOI
9 Han YM. 2005. The Relationship between perceived family support and self-care behaviors among early hemodialysis patients. Master's degree thesis. Ewha University, Korea, pp 18-28
10 Huang CW, Lee MJ, Lee PT, Hsu CY, Huang WC, Chen CL, Chou KJ, Fang HC. 2015. Low potassium dialysate as a protective factor of sudden cardiac death in hemodialysis patients with hyperkalemia. PLoS One, 10(10):e0139886   DOI
11 Hwang KM. 2008. Study on the knowledge about hemodialysis and the needs for education in hemodialysis patients. Master's degree thesis, Chungnam National University, Korea, pp 5-22
12 Johansen KL, Painter PL, Sakkas GK, Gordon P, Doyle J, Shubert T. 2006. Effects of resistance exercise training and nandrolone decanoate on body composition and muscle function among patients who receive hemodialysis: A randomized, controlled trial. J. Am. Soc. Nephrol., 17(8):2307-2314   DOI
13 Kim BH, Kim KJ, Park IS, Lee KJ, Kim JK, Hong JJ, Lee MW, Kim YH, Yoo IY, Lee HY. 1999. A comparison of phenomenological research methodology. J. Korean Acad. Nurs. Adm., 29(6):1208-1220   DOI
14 Kim HB. 2002. Adjustment process of hemodialysis patients: a grounded theory approach. Korean J. Rehabil. Nurs., 5(2):217-225
15 Kim HW, Hong MS. 2009. Spiritual need and spiritual well-being in hemodialysis patients. Chonnam J. Nurs. Sci., 14(1):6-23
16 Kim JC, Jo ST, Yoon JY, Kim GH, Jeon RW, Kim HJ, Chae DW, Noh JW, Son BK, Koo JR. 2002. Depression in chronic hemodialysis patients:risk factors and effects on nutritional parameters. Korean J. Med., 62:77-82
17 Lee JJ, Kim JM, Kim Y. 2013. Association of diet-related quality of life with dietary regimen practice, healthrelated quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis. J. Nutr. Health, 46(2):137-146   DOI
18 Kim JS, Kim EH, An M. 2016. Experience of dementia-related anxiety in middle-aged female caregivers for family members with dementia: a phenomenological study. Asian Nurs. Res. (Korean Soc. Nurs. Sci.)., 10(2):128-135   DOI
19 Kim SM, Lee YS, Cho DK. 2000. Nutritional assessment of the hemodialysis patients. J. Nutr. Health, 33(2):179-185
20 Kim SS, Jo HS, Kang MS. 2017. Retention effects of dietary education program on diet knowledge, diet self-care compliance, physiologic indices for hemodialysis patients J. Korean Biol. Nurs. Sci., 19(2):51-59   DOI
21 Lee SH, Molassiotis A. 2002. Dietary and fluid compliance in Chinese hemodialysispatients. Int. J. Nurs. Stud., 39(7):695-704   DOI
22 Leon JB, Majerle AD, Soinski JA, Kushner I, Ohri-Vachaspati P, Sehgal AR. 2001. Can a nutrition intervention improve albumin levels among hemodialysis patients? A pilot study. J. Ren. Nutr., 11(1):9-15   DOI
23 Lim HS, Kim HS, Kim JK, Park M, Choi SJ. 2019. Nutritional status and dietary management according to hemodialysis duration. Clin. Nutr. Res., 8(1):28-35   DOI
24 Lindhardt CL, Rubak S, Mogensen O, Lamont RF, Joergensen JS. 2013. The experience of pregnant women with a body mass index >30 $kg/m^2$ of their encounters with healthcare professionals. Acta Obstet. Gynecol. Scand., 92(9):1101-1107   DOI
25 Mahjoub F, Mizouri R, Ben Amor N, Bacha MM, Khedher A, Lahmar I, Jamoussi H. 2019. Prevalence of malnutrition for elderly hemodialysis patients. Tunis. Med., 97(4):588-594
26 Park KA, Choi-Kwon S, Sim YM, Kim SB. 2008. Comparison of dietary compliance and dietary knowledge between older and younger Korean hemodialysis patients. J. Ren. Nutr., 18(5):415-423   DOI
27 Mosleh H, Alenezi M, Al Johani S, Alsani A, Fairaq G, Bedaiwi R. 2020. Prevalence and factors of anxiety and depression in chronic kidney disease patients undergoing hemodialysis: a cross-sectional single-center study in Saudi Arabia. Cureus., 12(1):e6668-e6679
28 Naalweh KS, Barakat MA, Sweileh MW, Al-Jabi SW, Sweileh WM, Zyoud SH. 2017. Treatment adherence and perception in patients on maintenance hemodialysis: a cross-sectional study from Palestine. BMC Nephrol., 18(1):178-186   DOI
29 Ohri-Vachaspati P, Sehgal AR. 1999. Correlates of poor appetite among hemodialysis patients. J. Ren. Nutr., 9(4):182-185   DOI
30 Palmer SC, Hanson CS, Craig JC, Strippoli GF, Ruospo M, Campbell K, Johnson DW, Tong A. 2015. Dietary and fluid restrictions in CKD: a thematic synthesis of patient views from qualitative studies. Am. J. Kidney Dis., 65(4):559-573   DOI
31 Rocco MV, Burkart JM. 1993. Prevalence of missed treatments and early sign-offs in hemodialysos patients. J. Am. Soc. Nephrol., 4(5):1178-1183   DOI
32 Seo MR, Lee EB, Yang WS, Kim SB, Park SG, Lee SG, Park JS, Hong CK. 2002. Survival analysis of hemodialysis patients-A single center study. Kidney Res. Clin. Pract., 21(4):636-644
33 Seo NS, Kang SJ. 2015. Its relationship with symptoms index, self efficacy and family support in hemodialysis patients. J. Korea Academia-Industrial cooperation Society, 16(10):6483-6494   DOI
34 Shin KR. 1996. Criteria for critique of qualitative nursing research. J. Korean Acad. Nurs., 26(2):497-506
35 Verseput C, Piccoli GB. 2017. Eating Like a Rainbow: The development of a visual aid for nutritional treatment of CKD Patients. A South African Project. Nutrients, 9(5):E435-E448   DOI
36 Smith K, Coston M, Glock K, Elasy TA, Wallston KA, Ikizler TA, Cavanaugh KL. 2010. Patient perspectives on fluid management in chronic hemodialysis. J. Ren. Nutr., 20(5):334-341   DOI
37 Su HH, Kao CM, Lin YC, Lin YC, Kao CC, Chen HH, Hsu CC, Chen KC, Peng CC, Wu MS. 2017. Relationship between serum total bilirubin levels and mortality in uremia patients undergoing long-term hemodialysis: A nationwide cohort study. Atherosclerosis, 265:155-161   DOI
38 Theofilou P. 2012. Quality of life and mental health in hemodialysis and peritoneal dialysis patients: the role of health beliefs. Int. Urol. Nephrol., 44(1):245-253   DOI
39 Yang EK, Kim IO. 2016. Hemodialysis patients' experience of adapting to dietary therapy. Korean J. Adult Nurs., 28(3):323-333   DOI
40 Yang JL, Seo HJ, Kim YH. 2003. Effects of nutrition education on nutritional status of hemodialysis patients. J. Nutr. Health, 36(7):749-758
41 Antunes SA, Canziani ME, Campos AF, Vilela RQ. 2016. Hypoalbuminemia seems to be associated with a higher rate of hospitalization in hemodialysis patients. J. Bras. Nefrol., 38(1):70-75
42 Aghakhani N, Samadzadeh S, Mafi TM, Rahbar N. 2012. The impact of education on nutrition on the quality of life in patients on hemodialysis: a comparative study from teaching hospitals. Saudi. J. Kidney Dis. Transpl., 23(1):26-30
43 Ahrari S, Moshki M, Bahrami M. 2014. The relationship between social support and adherence of dietary and fluids restrictions among hemodialysis patients in Iran. J. Caring Sci., 3(1):11-19
44 Al-Ali FS, Bieber BA, Pisoni RL, Ezzat H, AlGhonaim M, AlHejaili F, AlGhareeb S, Saleh A, Al Maimani Y, Alyousef A, Ahmed HZ, Hamad A; GCC-DOPPS 5 Study Group. 2016. Nutritional status and outcomes in hemodialysis patients from the Gulf Cooperation Council countries enrolled in the dialysis outcome and practice patterns study phase 5 (2012-2015). Saudi. J. Kidney Dis. Transpl., 6(Suppl1):S31-41
45 Bae EJ. 2008. The meanings of latest trends in qualitative research. J. Anthropo. Edu., 11(2):1-27   DOI
46 Bednarek-Skublewska A, Smole A, Jaroszyski A, Zaluska W, Ksiazek A. 2010. Effects of vitamin D3 on selected biochemical parameters of nutritional status, inflammation, and cardiovascular disease in patients undergoing long-term hemodialysis. Pol. Arch. Med. Wewn., 120(5):167-174
47 Becker S, Walter S, Witzke O, Krber A, Bienholz A, Kottmann T, Kribben A, Kaiser G, Mitchell A. 2016. Edema, hyperpigmentation, induration: 3 skin signs heralding danger in patients on maintenance hemodialysis. Medicine (Baltimore), 95(12):e3121   DOI