Tags

Type your tag names separated by a space and hit enter

Predictors of dietary and fluid non-adherence in Jordanian patients with end-stage renal disease receiving haemodialysis: a cross-sectional study.
J Clin Nurs. 2013 Jan; 22(1-2):127-36.JC

Abstract

AIMS AND OBJECTIVES

The purpose of this study is to provide insight into the relationship between dietary and fluid non-adherence, depressive symptoms, quality of life, perceived barriers and benefits of exercise, and perceived social support among Jordanian patients with end-stage renal disease receiving haemodialysis using Pender's health promotion model.

BACKGROUND

Non-adherence to dietary and fluid restrictions is a leading cause of treatment failure and poor outcomes in end-stage renal disease. Yet, factors that interfere with the patients' ability to follow their dietary restrictions are unknown.

DESIGN

A descriptive, correlational, cross-sectional design was used.

METHODS

Jordanian patients (n = 190) with end-stage renal disease receiving haemodialysis from three main Jordanian cities were included. The dialysis diet and fluid nonadherence questionnaire, Beck Depression Inventory-II, Quality Of Life Index, Dialysis Patient-Perceived Exercise Benefits and Barriers Scale, and the Multidimensional Perceived Social Support were employed to measure the key variables.

RESULTS

Patients were more likely men with mean age of 48·2 ± 14·9. Only 27% of the patients showed full commitment to diet guidelines and 23% to fluid guidelines during the last 14 days. Depression (M = 18·8 ± 11·4) had significant negative association with quality of life (importance and satisfaction) (r = -0·60, r = -0·32, p = 0·001, respectively). Multiple hierarchal regressions revealed a predictive model of only two variables: age (B = -0·22, p = 0·05) and residual renal function (B = -0·23, p = 0·012) for dietary non-adherence.

CONCLUSIONS

Non-adherence to diet and fluid guidelines association with individual characteristics, health perception and psychosocial variables should be investigated in a longitudinal design. Relationship of non-adherence with culture-related factors should deeply be assessed among Jordanian patients with end-stage renal disease receiving haemodialysis.

RELEVANCE TO CLINICAL PRACTICE

Identification of the factors that may worsen dietary and fluid non-adherence may lead to improved therapeutic interventions within the mainstream of medical practice for Jordanian patients with end-stage renal disease receiving haemodialysis.

Authors+Show Affiliations

Clinical Nursing Department, School of Nursing, University of Jordan, Amman, Jordan. a.khalil@ju.edu.joNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22686337

Citation

Khalil, Amani A., et al. "Predictors of Dietary and Fluid Non-adherence in Jordanian Patients With End-stage Renal Disease Receiving Haemodialysis: a Cross-sectional Study." Journal of Clinical Nursing, vol. 22, no. 1-2, 2013, pp. 127-36.
Khalil AA, Darawad M, Al Gamal E, et al. Predictors of dietary and fluid non-adherence in Jordanian patients with end-stage renal disease receiving haemodialysis: a cross-sectional study. J Clin Nurs. 2013;22(1-2):127-36.
Khalil, A. A., Darawad, M., Al Gamal, E., Hamdan-Mansour, A. M., & Abed, M. A. (2013). Predictors of dietary and fluid non-adherence in Jordanian patients with end-stage renal disease receiving haemodialysis: a cross-sectional study. Journal of Clinical Nursing, 22(1-2), 127-36. https://doi.org/10.1111/j.1365-2702.2012.04117.x
Khalil AA, et al. Predictors of Dietary and Fluid Non-adherence in Jordanian Patients With End-stage Renal Disease Receiving Haemodialysis: a Cross-sectional Study. J Clin Nurs. 2013;22(1-2):127-36. PubMed PMID: 22686337.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors of dietary and fluid non-adherence in Jordanian patients with end-stage renal disease receiving haemodialysis: a cross-sectional study. AU - Khalil,Amani A, AU - Darawad,Muhammad, AU - Al Gamal,Eklas, AU - Hamdan-Mansour,Ayman M, AU - Abed,Mona A, Y1 - 2012/06/12/ PY - 2012/6/13/entrez PY - 2012/6/13/pubmed PY - 2013/11/14/medline SP - 127 EP - 36 JF - Journal of clinical nursing JO - J Clin Nurs VL - 22 IS - 1-2 N2 - AIMS AND OBJECTIVES: The purpose of this study is to provide insight into the relationship between dietary and fluid non-adherence, depressive symptoms, quality of life, perceived barriers and benefits of exercise, and perceived social support among Jordanian patients with end-stage renal disease receiving haemodialysis using Pender's health promotion model. BACKGROUND: Non-adherence to dietary and fluid restrictions is a leading cause of treatment failure and poor outcomes in end-stage renal disease. Yet, factors that interfere with the patients' ability to follow their dietary restrictions are unknown. DESIGN: A descriptive, correlational, cross-sectional design was used. METHODS: Jordanian patients (n = 190) with end-stage renal disease receiving haemodialysis from three main Jordanian cities were included. The dialysis diet and fluid nonadherence questionnaire, Beck Depression Inventory-II, Quality Of Life Index, Dialysis Patient-Perceived Exercise Benefits and Barriers Scale, and the Multidimensional Perceived Social Support were employed to measure the key variables. RESULTS: Patients were more likely men with mean age of 48·2 ± 14·9. Only 27% of the patients showed full commitment to diet guidelines and 23% to fluid guidelines during the last 14 days. Depression (M = 18·8 ± 11·4) had significant negative association with quality of life (importance and satisfaction) (r = -0·60, r = -0·32, p = 0·001, respectively). Multiple hierarchal regressions revealed a predictive model of only two variables: age (B = -0·22, p = 0·05) and residual renal function (B = -0·23, p = 0·012) for dietary non-adherence. CONCLUSIONS: Non-adherence to diet and fluid guidelines association with individual characteristics, health perception and psychosocial variables should be investigated in a longitudinal design. Relationship of non-adherence with culture-related factors should deeply be assessed among Jordanian patients with end-stage renal disease receiving haemodialysis. RELEVANCE TO CLINICAL PRACTICE: Identification of the factors that may worsen dietary and fluid non-adherence may lead to improved therapeutic interventions within the mainstream of medical practice for Jordanian patients with end-stage renal disease receiving haemodialysis. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/22686337/Predictors_of_dietary_and_fluid_non_adherence_in_Jordanian_patients_with_end_stage_renal_disease_receiving_haemodialysis:_a_cross_sectional_study_ L2 - https://doi.org/10.1111/j.1365-2702.2012.04117.x DB - PRIME DP - Unbound Medicine ER -