Mayers J D
Institute of Continuous Learning, State University of New York, Health Science Center at Brooklyn, NY, USA.
Nephrol Nurs J. 2000 Jun;27(3):315-9.
Dietary therapy is a critical component of the hemodialysis prescription. The purpose of this qualitative study was to investigate and describe the lived experience of dietary restrictions in English-speaking, West Indian (WI) adults on maintenance hemodialysis. A phenomenological approach using open-ended interviewing strategies was employed. The sample consisted of five patients who received their treatment in the chronic hemodialysis unit at an inner-city hospital. Following satisfaction of delimitations, each subject had a tape-recorded interview with the researcher that was immediately transcribed by a medical transcriber. Qualitative methods were used to analyze and interpret all data from which the following themes emerged: (a) diet is a major problem; (b) patients adapt by trial and error; (c) WI foods are not listed in the renal failure diets; (d) patients believe that staff lack sufficient knowledge about WI diet and foods; (e) patients believe that eating an American renal diet made them feel worse; and (f) both staff and patients need information on WI foods. The current food list available to the WI hemodialysis patient is insufficient. There is a knowledge deficit regarding WI dietary patterns and their modification for patients on hemodialysis. Further collaborative research is clearly indicated. The findings from this study will add knowledge and understanding in caring for the renal failure population as their numbers continue to increase within this ethnic group.
饮食疗法是血液透析处方的一个关键组成部分。这项定性研究的目的是调查和描述在维持性血液透析的西印度群岛（WI）成年英语使用者中饮食限制的生活体验。采用了使用开放式访谈策略的现象学方法。样本包括在市中心医院的慢性血液透析单元接受治疗的五名患者。在满足限定条件后，每位受试者与研究人员进行了一次录音访谈，访谈内容由医学转录员立即转录。采用定性方法分析和解释所有数据，从中出现了以下主题：（a）饮食是一个主要问题；（b）患者通过反复试验来适应；（c）肾衰竭饮食中未列出西印度群岛食物；（d）患者认为工作人员对西印度群岛饮食和食物的了解不足；（e）患者认为食用美国肾脏饮食会让他们感觉更糟；（f）工作人员和患者都需要有关西印度群岛食物的信息。目前提供给西印度群岛血液透析患者的食物清单是不够的。对于接受血液透析的患者，关于西印度群岛饮食模式及其调整存在知识缺陷。显然需要进一步的合作研究。随着肾衰竭人群在这一民族中的数量不断增加，这项研究的结果将增加在护理肾衰竭人群方面的知识和理解。
