The Effect of Nutrition Education Program on Biochemical Parameters Among Patients With Chronic Kidney Disease Undergoing Hemodialysis

Abstract

Background: Nutrition is considered an important part of treatment in patients with chronic kidney disease (CKD). Therefore, poor nutrition leads to decreased life quality and increased complications of hemodialysis as well as mortality in these patients. This study aimed at investigating the effect of nutrition education program (NEP) on biochemical parameters among patients undergoing hemodialysis. Methods: This quasi-experimental study was conducted on 30 patients who referred to hemodialysis unit at Ayatollah Taleghani hospital in Urmia province, Iran. The sampling method was purposive. Data were collected through interviews and data collection instruments consisted of demographic questionnaires and checklist. In the pre-education stage, the demographic questionnaire was completed and a 2-month average of biochemical parameters (sodium, potassium, calcium, phosphor, blood urea nitrogen, and creatinine) were measured and recorded in the checklist by the researcher. Then, the patients received four 30-minute educational sessions on nutrition using learning assistant tools. Two months after the education program, the laboratory results were measured and recorded again by the researcher. Data analysis was performed using SPSS 14 and paired t test, and significance level was set at 0.05 (P < 0.5). Results:The findings revealed a significant decrease in sodium, potassium, calcium, blood urea nitrogen (P < 0.05), but no significant difference was found in the laboratory results of phosphor and creatinine (P < 0.05). Conclusions: The implementation of nutrition education program (NEP) for patients under hemodialysis can improve biochemical parameters as well as complications resulting from their imbalance. Therefore, this program is recommended for this group of patients.

Association of Nutrition Education and Its Interaction with Lifestyle Factors on Kidney Function Parameters and Cardiovascular Risk Factors among Chronic Kidney Disease Patients in Taiwan

“…In line with the current guidelines, our findings agreed that the NE program provides supporting management to delay CKD progression. Similarly, the previous studies demonstrated that face-to-face NE was associated with decreases in BUN [34,35] and serum creatinine levels [35,36] in hemodialysis patients.…”

“…Additionally, hemodialysis patients receiving face-to-face NE for 3 months significantly decreased serum creatinine, potassium, and phosphorus levels compared to the control group receiving routine education rather than NE [36]. Similarly, hemodialysis patients significantly reduced serum sodium, potassium, and calcium levels after receiving four 30-min face-to-face NE sessions weekly for 30 days as compared to the baseline before NE intervention [34]. The intervention of NE has been proposed to improve the health outcomes and self-care skills of the patients.…”

Comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients: A systematic review and meta‐analysis of randomized controlled trials

“…Studies that performed educational interventions, it is stated that education is effective on the adherence to treatment of hemodialysis patients, and it provides behavioral changes in patients. [21][22][23][24] Self-management interventions are complex behavioral strategies and these interventions provide monitor and regulation of behavior and reinforcement. 25 The core elements of self-management interventions consist of self-observation of the targeted behavior, self-recording, and providing reinforcement.…”

“…Education can be given to patients by healthcare professionals. Studies that performed educational interventions, it is stated that education is effective on the adherence to treatment of hemodialysis patients, and it provides behavioral changes in patients 21‐24 …”