Dietary and fluid compliance in Chinese hemodialysis patients

Lee, Shuk Hang; Molassiotis, Alex

doi:10.1016/s0020-7489(02)00007-x

Cited by 74 publications

(102 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the case of potassium and phosphorus intake, dietary non-adherence is estimated at 2% in USA to nearly 39% in Hong Kong (18,22,24,32,35,42). Self-reported estimates of potassium and phosphorus intake ranged from 44% in Hong Kong to 81% in Belgium (19,32,46,47). Protein non-adherence ranged from 4.5% in Iran to 77% in USA.…”

Section: Dietary Adherencementioning

confidence: 99%

Adherence of adult Chronic Kidney Disease patients with regard to their dialysis, medication, dietary and fluid restriction

Chironda¹,

Bhengu²,

Manwere³

2017

Research Journal of Health Sciences

View full text Add to dashboard Cite

Objective: Chronic Kidney Disease (CKD) has become a major health problem as a result of complicated interrelationships with diabetes mellitus, hypertension and other associated diseases. Effective management of CKD depends on patient's adherence to their dialysis plan, medications, dietary and fluid restrictions. This study aimed at systematically reviewing the adherence of adult Chronic Kidney Disease (CKD) patients with regard to their dialysis, medication, dietary and fluid restriction.Methods: Key words were used for the search in various data bases: "adherence", "Chronic Kidney Disease", "dialysis", "medication", "dietary" and "fluid restriction". Online data bases namely Medline, PubMed, Ebsco Host, CINAHL, google scholar and grey literature were used to identify published research from 1993 -2016. Forty three (43) articles were identified regarding adherence of CKD patients to dialysis, medication, dietary and fluid restriction.Results: Medication non adherence ranged from 3 to 80% through self-report, structured interview and biological markers. Fluid non-adherence was 10-74%. Using self-report and biological markers, nonadherence to diet was 2-39% and 19-57% respectively. With regards to dialysis, skipping and shortening hemodialysis adherence ranged from 2.5% -19% and 20.3% -32.3 % respectively. Globally, adherence rates to CAPD are not well documented in literature. Conclusion:Non-adherence to dialysis, medication, dietary and fluid restriction is an area of concern internationally in CKD population. Furthermore, non-adherence rates are not well researched and documented in African literature. Therefore, Nephrology professionals in clinical practice are agents of improving adherence of CKD patients to ensure effective management of the disease.Keywords: Adherence and non-adherence to medication, fluid, diet and dialysis, Chronic Ambulatory Peritoneal Dialysis (CAPD), Chronic Kidney Disease (CKD) and hemodialysis. Méthodes: Les mots clés suivants ont été utilisés pour la recherche: l'observance, la maladie rénale chronique, la dialyse, la médication, la restriction alimentaire et la restriction des fluides. La recherche a identifié 47 articles qui quantifient l 'adhérence des patients CKD à la dialyse, à la médication, à la restriction alimentaire et à la restriction des fluides.Résultats: La non-adhésion aux médicaments variait de 3 à 80% grâce à l'auto-évaluation, à l'entrevue structurée et aux marqueurs biologiques. La non-adhésion fluide de 30-74% en utilisant l'auto-rapport et de 10 à 60% sur la base d'un gain de poids interdialytique inapproprié. À l'aide de marqueurs biologiques et d'auto-évaluation, la nonadhésion à l'alimentation était respectivement de 2 à 39% et de 19 à 57%. En ce qui concerne la dialyse, le saut et le raccourcissement de l'hémodialyse ont varié respectivement de 2,5% à 19% et de 20,3% à 32,3%. Globalement, les taux d'adhésion à la CAPD ne sont pas bien documentés dans la littérature. Conclusion:Des preuves documentées ont révélé une non-adhésion à la dialyse, aux m...

show abstract

Section: Dietary Adherencementioning

confidence: 99%

Adherence of adult Chronic Kidney Disease patients with regard to their dialysis, medication, dietary and fluid restriction

Chironda¹,

Bhengu²,

Manwere³

2017

Research Journal of Health Sciences

View full text Add to dashboard Cite

show abstract

“…While adhering to fluid restriction is very important for HD patients, studies on the self-care behaviors involving HD patients from both western and eastern countries have indicated that between 32.6 and 74.6% of patients only adhere to recommended fluid intake [4,[9][10][11][12] . There are likely to be a number of reasons why patients do not adhere to fluid restrictions, including the distress the patient may experience from severe thirst.…”

Section: Introductionmentioning

confidence: 99%

Effect of Acupressure on Thirst in Hemodialysis Patients

Yang¹,

Yates

Chin³

et al. 2010

Kidney Blood Press Res

View full text Add to dashboard Cite

Background: Thirst and dry mouth are common among hemodialysis (HD) patients. This paper reports a study to evaluate the impact of an acupressure program on HD patients’ thirst and salivary flow rates. Methods: The acupressure program included placebo, followed by true acupressure each applied for 4 weeks. Twenty-eight patients (mean age 57.6, SD = 16.13 years) first received a sticker as placebo acupressure at two acupoints CV23 and TE17 three times a week for 4 weeks, and then received true acupressure in the same area for the next 4 weeks. Salivary flow rate and thirst intensity were measured at baseline, during and after treatment completion for both the placebo and true acupressure program. Results: The true acupressure program was associated with significantly increased salivary flow rate (0.09 ± 0.08 ml/min at baseline to 0.12 ± 0.08 ml/min after treatments completion, p = 0.04). The mean thirst intensity also improved from 4.21 ± 2.66 at baseline to 2.43 ± 2.32 (p = 0.008) after treatment completion in HD patients. There was no statistically significant difference in pre-post program salivary flow rate; however, significant improvement in thirst intensity scores was observed (p = 0.009) in the placebo acupressure program. Conclusion: This study provides preliminary evidence that acupressure may be effective in improving salivary flow rates and thirst intensity.

show abstract

“…Studies examining the prevalence of nonadherence to end-stage renal disease therapy [7][8][9][10][11][12][13][14] suggest that many patients are unsuccessful in following diet, fluid, and/or medication regimens. Adherence to recommended fluid intake is crucial and it is one of the most difficult regimens to accomplish [1].…”

Section: Introductionmentioning

confidence: 99%