Background: Chronic kidney disease (CKD) is a prevalent chronic condition and the incidence of End-Stage Renal Disease (ESRD) is expected to continue to climb in the coming decade. CKD has significant health and a lifestyle implication for those affected, including increased risk of cardiovascular disease, malnutrition and is a public health burden particularly in those patients who progress to end stage renal failure or ESRD. This study aimed to: assess nutritional needs for patients undergoing hemodialysis. A descriptive design was applied in the current study. The study was conducted at hemodialysis department at El -Hussein university hospital in Cairo and at Port Said hospitals disturbed as following, Port Said General Hospital and Port-Fouad General Hospital. A convenience sample of 100 patients undergoing hemodialysis was included. Three tools were used for data collection; Structured interview questionnaire, Dietary assessment questionnaire and Nutritional needs assessment questionnaire. Results of the study revealed that, more than three quarters of studied HD patients (80%) have abnormalities of nutritional parameters and there are a statically significances between sociodemographic variables, some of nutritional needs and dietary habits whereas (p< 0.05). Conclusion: abnormalities of nutritional parameters are over prevalent than expected by analysis of dietary food intake. The current study recommended that, dietetic counseling is very important in HD patients, as well as a reevaluation of the type of dietary protein and energy requirements.

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