Retention Effects of Dietary Education Program on Diet Knowledge, Diet Self-Care Compliance, Physiologic Indices for Hemodialysis Patients

Abstract

Purpose: The purpose of this study was to identify the retention effects of an individualized dietary education program for hemodialysis patients on diet knowledge, diet self-care compliance, and physiological indices, thus to find the most effective time period for re-education. Method: This study utilized one-group repeated pretest-posttest design. The participants were 52 hemodialysis patients in C hospital, Gyeonggi-Do. Data were collected at 4 and 12 weeks after the education from January through April 2016. Results: There was significant increases in diet knowledge even 12 weeks after the education (p = .007). Diet self-care compliance showed a significant increase at 4 weeks (p= .001), but a decrease at 12 weeks after the education. The level of blood natrium was significantly decreased between 4 and 12 weeks after the education (p= .006). The weight was significantly decreased at 12 weeks after the education. Conclusion: It has been identified that re-education for hemodialysis patients should be implemented between 4 and 12 weeks after education in order to maintain patients' diet self-care compliance, an ultimate aim of diet education. By helping them with their self-care compliance, the patients would maintain their physical and psychological function optimally, thus contributing to a better quality of life among hemodialysis patients. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Effects of self-care intervention using a mobile instant messenger on hemodialysis patient’s knowledge, self-efficacy, self-care behavior and physiological index

“…In a study that analyzed changes in physiological indicators related to diet in hemodialysis patients over the first year, only weight gain was significant, whereas blood potassium and phosphorus were not [34], which is somewhat similar to the results of the present study. However, given that both pre-and post-test scores remained within the normal range, it is likely that the education session had a positive impact on the participants, which is similar to the findings of previous studies [35].…”

“…A study on personalized nutrition education in nonadherent hemodialysis patients did not show significant changes in physiological indicators such as potassium, phosphorus, or weight gain, which may have been because of the vegetarian nature of the Korean diet and the fact that most foods contain phosphorus, making it difficult for pa-tients to control their diet [15]. This finding is similar to those of previous studies showing that although dialysis patients have knowledge of dietary restrictions, they have difficulty changing their dietary habits, requiring ongoing management of complications [35]. Furthermore, weight gain, blood glucose, and potassium levels are related to dietary habits and cannot be changed in the short term [38].…”