Knowledge, Attitude, and Practice Related to Renal Diet in Hemodialysis Patients: An Analysis of the Impact of Socioeconomic Status on KAP
Abstract
Abstract Views: 0
Hemodialysis patients require major modifications in their behavior and dietary pattern for catering to their health complications. Slight inaccuracies in diet and practices can create severe complications for patients including overhydration, hyperkalemia, and phosphorus excess. Patients must have adequate knowledge to maintain the optimum balance of minerals and dry weight. The objective of the study was to assess the dietary knowledge of hemodialysis patients and compare it with their attitudes and practices. Also, to examine the effect of socioeconomic status on knowledge, attitudes and practices (KAP). For this purpose, data was collected from 6 different hospitals across Lahore that include Hijaz Hospital, Jinnah Hospital, Bahria International Hospital, Indus Hospital, Services Hospital, and Skyline welfare trust. The target population included the hemodialysis patients both males and females with no specification regarding race or ethnicity. Convenience sampling was employed to gather data from available dialysis patients. The result’s analysis reported that out of 306 participants, 54.9% were male and 16.1% were female. Gender comparison demonstrated that males exhibited more favorable attitudes than females. Analysis of the KAP questionnaire revealed that 64.4% of patients had good knowledge, while 77.4% demonstrated a positive attitude. In conclusion, the study reveals that the socioeconomic status of most patients marked significant differences in their level of knowledge and attitude, however, practices remain unaffected from socioeconomic status. Education appears to have a strong correlation with good knowledge about renal diet, whereas attitudes and practices are independent of it.
Downloads
References
Iyengar SK, Freedman BI. Renal failure, chronic. In: Lang F, ed. Encyclopedia of Molecular Mechanisms of Disease. Springer; 2009:1823–1828. https://doi.org/10.1007/978-3-540-29676-8_349
Banaga ASI, Mohammed EB, Siddig RM, et al. Causes of end stage renal failure among haemodialysis patients in Khartoum State/Sudan. BMC Res Notes. 2015;8:e502. https://doi.org/10.1186/S13104-015-1509-X
Elmorshedy H, Aziz EMA, Elmorshedy HA, Abd-Elkader AS, Haridi MA. Causes of end stage renal disease in patients undergoing regular hemodialysis in Assiut University Hospital. Sapporo Med J. 2021;55(12).
Ye H, Ding H, Gan W, et al. Hemodialysis. In: Yang J, He W, eds. Chronic Kidney Disease: Diagnosis and Treatment. Springer Nature; 2020:209–231. https://doi.org/10.1007/978-981-32-9131-7_17
Andreoli MCC, Totoli C. Peritoneal dialysis. Rev Assoc Med Bras. 2020;66(1):s37–s44. https://doi.org/10.1590/1806-9282.66.S1.37
Hendriks FK, Smeets JSJ, Broers NJH, et al. End-Stage renal disease patients lose a substantial amount of amino acids during hemodialysis. J Nutr. 2020;150(5):1160–1166. https://doi.org/10.1093/jn/nxaa010
Ikizler TA, Burrowes JD, Byham-Gray LD, et al. KDOQI clinical practice guideline for nutrition in CKD: 2020 update. Am J Kid Dis. 2020;76(3):S1–S107. https://doi.org/10.1053/j.ajkd.2020.05.006
Garcia-Torres R, Young L, Murray DP, Kheda M, Nahman NS. Dietary protein source and phosphate levels in patients on hemodialysis. J Ren Nutr. 2020;30(5):423–429. https://doi.org/10.1053/j.jrn.2019.11.006
Mafra D, Borges NA, Cardozo LFM de F, et al. Red meat intake in chronic kidney disease patients: Two sides of the coin. Nutrition. 2018;46:26–32. https://doi.org/10.1016/j.nut.2017.08.015
Mahan K, Escott-Stump S, Raymond J. Krause’s Food and the Nutrition Care Process. Elsevier; 2012.
Li J, Wang L, Han M, et al. The role of phosphate-containing medications and low dietary phosphorus-protein ratio in reducing intestinal phosphorus load in patients with chronic kidney disease. Nutr Diabet. 2019;9(1):1–10. https://doi.org/10.1038/s41387-019-0080-2
Dwyer JP, Kelepouris E. New directions in phosphorus management in dialysis. J Ren Nutr. 2023;33(1):12–16. https://doi.org/10.1053/j.jrn.2022.04.006
Sanghavi S, Whiting S, Uribarri J. Potassium balance in dialysis patients. Semin Dial. 2013;26(5):597–603. https://doi.org/10.1111/sdi.12123
Mahajan H, Kazi Y, Sharma B, Velhal GD. Assessment of KAP, risk factors and associated co-morbidities in hypertensive patients. IOSR J Dent Med Sci. 2012;1(2):6–14.
Modified Kuppuswamy scale. I Hate PMS Web site. https://ihatepsm.com/blog/modified-kuppuswamy-scale. Accessed December 09, 2023.
Sample Size Formula. Cuemath Web site. https://www.cuemath.com/sample-size-formula/. Accessed December 9, 2023.
Kanagarajah S, Velraja S, Arambakkam H. Knowledge, attitude, and practices of renal diets among hemodialysis patients. Biomed Biotechnol Res J. 2022;6(1):86–92. https://doi.org/10.4103/BBRJ.BBRJ_200_21
Parvan K, Hasankhani H, Seyyedrasooli A, Riahi SM, Ghorbani M. The effect of two educational methods on knowledge and adherence to treatment in hemodialysis patients: clinical trial. J Caring Sci. 2015;4(1):83–93. https://doi.org/10.5681/jcs.2015.009
Copyright (c) 2025 Aiza Talat, Ribaha Javaid, Umm-e-Habiba, Faiza Kamal, Ayesha Jamshaid
This work is licensed under a Creative Commons Attribution 4.0 International License.
