John Liya
Nurs J India. 2015 Nov;106(6):282-283.
Sixty-five patients (78% males and 22% females) undergoing haemodialysis in the selected tertiary level hospital who had been given a diet sheet in the past- were selected purposively. An interview schedule developed, validated and piloted was used to measure adherence to diet and fluid. In addition retrospective biochemical parameters (se- rum potassium, phosphorous, albumin) and interdialytic weight gain retrieved from medical records were used as a measure of adherence. Overall 52 (80%) of the people were having good adherence and 13 (20%) of them were having poor/fair adherence to dietary regimen and adherence to dietary constituents (P, Na, K) was higher (>70%) than that of fluids and protein (<70%) as assessed by the interview schedule whereas some of them had unacceptable serum potassium 49.23% (n=32), serum phosphorous 43.07% (n=28), serum albumin 66.15% (n=43) and IDWG 43.07% (n=28) . No significant associations were determined between biochemical outcome and adherence and also with baseline variables and adherence except gender.
在选定的三级医院中，有65名接受血液透析的患者（78%为男性，22%为女性）被有目的地挑选出来，这些患者过去都曾收到过一份饮食清单。采用一份经过开发、验证和预试验的访谈提纲来衡量饮食和液体摄入量的依从性。此外，从医疗记录中获取的回顾性生化参数（血清钾、磷、白蛋白）和透析间期体重增加情况被用作依从性的衡量指标。总体而言，52人（80%）依从性良好，13人（20%）对饮食方案的依从性较差/一般，根据访谈提纲评估，对饮食成分（磷、钠、钾）的依从性高于（>70%）对液体和蛋白质的依从性（<70%），然而他们中的一些人血清钾（49.23%，n = 32）、血清磷（43.07%，n = 28）、血清白蛋白（66.15%，n = 43）和透析间期体重增加（43.07%，n = 28）处于不可接受水平。除性别外，未确定生化结果与依从性之间以及基线变量与依从性之间存在显著关联。
