The effect of nutritional care program in patients end stage renal disease received hemodialysis at hemodialysis department Mahasarakham Hospital
Keywords:
End stage renal disease, regular hemodialysis, nutritional status, NAF, nPCR, albuminAbstract
Background: End-stage renal disease (ESRD) patients receiving regular hemodialysis experience protein breakdown and the loss of amino acids, minerals, and various vitamins in the dialysate, putting them at risk of malnutrition. This condition is associated with morbidity, reduced quality of life, and higher mortality rates.
Objective: To study the effects of a nutritional care program in end-stage renal disease patients receiving regular hemodialysis at the Hemodialysis Unit of Mahasarakham Hospital.
Method: A quasi-experimental study using a one-group pretest-posttest design conducted from 6th February to 8th May 2023 in end-stage renal disease patients undergoing regular hemodialysis at the Hemodialysis Unit of Mahasarakham Hospital. The study involved 44 participants who received care according to a nutrition care program for 12 weeks. Data analysis was performed using descriptive statistics, including frequencies, percentages, mean and standard deviation. T-tests was employed to compare the effects of the nutritional care program before and after implementation.
Results: The total sample consisted of 44 participants, with 59% being male and 41% female. The average age was 63.52 ± 12.12 years, and the mean duration of regular hemodialysis was 4.64 ± 4.71 years. The average Nutritional Assessment Form (NAF) score was 6.36 ± 2.63. After participating in the nutritional care program, there was a significant improvement in knowledge and self-perceived ability to manage nutritional status. Nutritional assessment results showed that the mean values of nPCR and albumin increased significantly from 1.12 ± 0.34 g/kg/day, 3.74 ± 0.37 mg/dL to 1.27 ± 0.26 g/kg/day, 3.89 ± 0.25 mg/dL (p=0.001, p<0.001) respectively, while there were no statistically significant differences in Dry weight, BMI, serum potassium, serum phosphorus, and serum calcium before and after the nutritional care program. However, these parameters showed a trend toward improvement.
Conclusion: The nutritional care program in this study is suitable for managing end-stage renal disease patients undergoing regular hemodialysis. The program led to improved knowledge, self-perceived nutritional management abilities, and some positive changes in nutritional assessment results. Continuous evaluation of patients is recommended for ongoing monitoring.
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