Chiranjit Pal,
Debi Chakrabarti,
- Community Health Officer Department of Health & Family Welfare, Government of Tripura India
- Assistant Professor Department of Nursing, Agartala Government Nursing College India
Abstract
Introduction and objectives of the study: – Chronic renal failure is a gradual, irreversible decline in kidney function, leading to uremia. This condition necessitates hemodialysis to manage the body’s internal environment. Dialysis becomes essential at the final stage of chronic kidney disease, known as end-stage renal disease. Objectives of the study are as: i) The objectives of this study are: i) To evaluate caregivers’ understanding of dietary regulations following dialysis in chronic kidney disease patients. ii) To examine caregivers’ perspectives on dietary regulations after dialysis for chronic kidney disease patients. iii) To determine the relationship between caregivers’ knowledge and attitudes regarding post-dialysis dietary regulations for chronic kidney disease patients. iv) To explore how knowledge scores correlate with selected demographic factors among caregivers of chronic kidney disease patients regarding post-dialysis dietary regulations. Methodology: This study used a descriptive survey design with purposive sampling, involving 50 caregivers aged 16 to 55. Data was collected using a structured knowledge questionnaire and a 5-point Likert scale. Both descriptive and inferential statistical methods were used for analysis. Results: The study found that out of 50 caregivers, 44 (88%) demonstrated adequate knowledge, while 6 (12%) had moderately adequate knowledge. The average knowledge score was 20.4, with a mean percentage of 85 and a standard deviation of 2.25. In terms of attitude, a majority of 45 (90%) showed favorable attitudes, whereas 5 (10%) had neutral attitudes. The mean attitude score was 59.84, with a mean percentage of 86.72 and a standard deviation of 5.6. There was a positive correlation between knowledge and attitude (r = 0.13) at the 0.05 significance level. Conclusions: The chi-square analysis indicated a significant association between knowledge score and selected demographic variables such as age (χ2 = 8.04, df = 3) and educational qualifications (χ2 = 8.05, df = 3). Additionally, there was a positive correlation between knowledge and attitude (r = 0.13) at the 0.05 significance level.
Keywords: Knowledge, attitude, Care givers, chronic kidney disease patients, post dialysis dietary regulations
[This article belongs to Research & Reviews: A Journal of Health Professions(rrjohp)]
References
- Joyce M, Matassarin E. Medical Surgical Nursing, 5th ed. Singapore: Saunders publishers; 1998.
- Lewis S M, Heitkemper M M, Dirkren S R. Medical Surgical Nursing, 6th ed. St. Louis Missouri: Mosby; 2004.
- J. Medical Surgical Nursing. United Kingdom: Heinemann publisher; 1985.
- Brudag DT, Nursing Management of Renal Problems, 2nd ed. St. Louis Missouri: Mosby; 1994.
- Hinkle, Janice L. Brunner &Suddarth’s Textbook of Medical Surgical Nursing, 11th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008.
- Boon NA, Colledge NR, Walker BR, Hunter JA, Davidson LS. Davidson’s principles and practice of medicine. (No Title). 2006 Jun 1.
- Samant K. Nutrition and Nurses “Question and answer”, Mumbai: Vora Medical Publications; 2006.
- Levin A, Hemmelgarn B, Culleton B, Tobe S, McFarlane P, Ruzicka M, Burns K, Manns B, White C, Madore F, Moist L. Guidelines for the management of chronic kidney disease. Cmaj. 2008 Nov 18;179(11):1154-62. Available from: http://www.nlm.nih.gov/ pmc/articles/PMC2582781/.
- Coresh J, Astor BC, Greene T, Eknoyan G, Levey AS. Prevalence of chronic kidney disease and decreased kidney function in the adult US population: Third National Health and Nutrition Examination Survey. American journal of kidney diseases. 2003 Jan 1;41(1):1-2. Available from: https://www.ncbi.nlm.nih.gov/pubmed/12500213
- Ann C, Ikizler T A. Dialysis diet. Health Guide. Journal of Renal Nutrition 2010 Nov 3; 5:16-25.
- Norris KC, Agodoa LY. Unraveling the racial disparities associated with kidney disease1. Kidney international. 2005 Sep 1;68(3):914-24.
- Fung KY, Low CL, Lye WC. Patient Education and Its Effects on Calcium‐Phosphate Balance in Hemodialysis Patients. Hemodialysis International. 2003 Feb;7(1):73-104.
- Eyre S, Attman PO, Haraldsson B. Positive effects of protein restriction in patients with chronic kidney disease. Journal of Renal Nutrition. 2008 May 1;18(3):269-80. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18410883
- Nerbass FB, Morais JG, Santos RG, Krüger TS, Koene TT, Luz Filho HA. Adherence and knowledge about hyperphosphatemia treatment in hemodialysis patients with hyperphosphatemia. Brazilian Journal of Nephrology. 2010; 32:149-55.Available from: https://www.ncbi.nlm.nih.gov/pubmed/21103674
- Montazeri RS, Sharifi N. Evaluation of nutritional knowledge in terms of dietary sources of protein, phosphorous, potassium and fluids restriction in hemodialysis patients. Jentashapir Journal of Health Research. 2014 Aug 1;5(4).Available from: http://jjhres.com/article.
- Sharaf AY. The impact of educational interventions on hemodialysis patients’ adherence to fluid and sodium restrictions. IOSR Journal of Nursing and Health Science (IOSR-JNHS). 2016 May;5(3):50-60. Avvailable from: http://www.iosrjournals.org/iosr-jnhs/papers/vol5-issue3/Version-2/G0503025060.pdf.
- Abozead SE, Ahmed AM, Mahmoud MA. Nutritional status and malnutrition prevalence among maintenance hemodialysis patients. IOSR Journal of Nursing and Health Science. 2015;4(1):51-8. Available from: http://www.iosrjournals.org/iosr-jnhs/papers/vol4-issue4/Version-6/H04465158.pdf.
Research & Reviews: A Journal of Health Professions
| Volume | 14 |
| Issue | 02 |
| Received | June 13, 2024 |
| Accepted | June 25, 2024 |
| Published | August 14, 2024 |