Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, 18 Frederick St, Dunedin 9016, New Zealand.
Ngāi Tahu Māori Health Research Unit, Dunedin School of Medicine, University of Otago, 18 Frederick St, Dunedin 9016, New Zealand.
Nutrients. 2021 Jul 3;13(7):2299. doi: 10.3390/nu13072299.
People receiving haemodialysis have considerable and complex dietary and healthcare needs, including co-morbidities. A recent New Zealand study has shown that few patients on haemodialysis are able to meet nutritional requirements for haemodialysis. This study aims to describe the perspectives and experiences of dietary management among patients on haemodialysis in New Zealand. This exploratory qualitative study used in-depth semi-structured interviews. Purposive sampling was used to recruit participants from different ethnic groups. Forty interviews were conducted, audio-recorded and transcribed verbatim. An inductive approach was taken using thematic analysis. Forty participants were interviewed. Participants spoke of major disruption to their lives as a result of their chronic kidney disease and being on haemodialysis, including loss of employment, financial challenges, loss of independence, social isolation and increased reliance on extended family. Most had received adequate dietary information, although some felt that more culturally appropriate support would have enabled a healthier diet. These findings show that further support to make the recommended dietary changes while on haemodialysis should focus on socio-cultural factors, in addition to the information already provided.
接受血液透析的患者有相当复杂的饮食和医疗需求，包括合并症。最近一项新西兰的研究表明，很少有血液透析患者能够满足血液透析的营养需求。本研究旨在描述新西兰血液透析患者的饮食管理观点和经验。本探索性定性研究使用了深入的半结构化访谈。采用目的性抽样从不同族裔群体中招募参与者。共进行了 40 次访谈，录音并逐字转录。采用主题分析的归纳方法。共采访了 40 名参与者。参与者表示，由于慢性肾脏病和血液透析，他们的生活受到了严重干扰，包括失业、经济困难、丧失独立性、社会孤立和更多地依赖大家庭。大多数人都接受了足够的饮食信息，尽管有些人认为更符合文化的支持将有助于更健康的饮食。这些发现表明，在血液透析时，进一步支持做出推荐的饮食改变应该除了已经提供的信息外，还应侧重于社会文化因素。
