SIBEL ERSAN, FATMA LIV, MEHMET TANRISEV, HULYA COLAK, BANU YILMAZ, ALPER ALP
Izmir Tepecik Research and Training Hospital, Department of Nephrology, Izmir, Turkey
Introduction: Hemodialysis patients are particularly susceptible to the adverse effects of salt because of impaired ability to excrete sodium. The patients who restrict dietary sodium intake have better cardiovascular outcomes and quality of life. The purpose of this study was to assess dietary knowledge of patients about dietary sodium and medical complications of noncompliance.
Materials and methods: An interviewer-administered questionnaire about knowledge of dietary sodium, and medical complica- tions of dietary noncompliance was applied to hemodialysis patients.
Results: Although 85.3% of patients reported that high sodium intake was associated with high blood pressure, interdialytic wei- ght gain were more than 5.7% in 81.6% of patients. There was no statistically significant difference between genders, educational, and economic status of patients and interdialytic weight gain. Overall knowledge scores were poor, moderate, and high in 16%, 56%, and 28% of patients, respectively. The awareness score of risks of noncompliance was high in only 24% of patients. The knowledge scores showed significant weak positive correlation with educational level (spearman’s rho (rs)=0.17, p=0.03). There was no correlation with knowledge levels and interdialytic weight gains (rs=-0.13, p=0.11). The awareness did not differ with educational level, and age (rs=- 0.01, p=0.84, and rs=0.13, p=0.10, respectively).
Conclusion: Majority of the patients have not still perceived the constituents of salt-free diet despite the implementation of the governmental salt reduction program. More impressive dietetic and psycho-educational techniques to promote dietary changes and compliance should be implemented.
chronic kidney disease, hemodialysis patients, nutrition, salt.