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TITLE:

ANALYSIS OF INTERVENTIONS FOR IMPROVED DIET AND FLUID MANAGEMENT IN HAEMODIALYSIS PATIENTS

AUTHORS:

Dr Haleema Amjad, Dr Fatima Arif Butt, Dr Muhammad Umer

ABSTRACT:

Introduction: Haemodialysis (HD) is one of the replacement therapies for patients with end-stage renal disease (ESRD). Regular dialysis therapy ensures the removal of water from the metabolism of fluid or foods ingested by the patients between two dialysis sessions through ultrafiltration (UF). Aims and objectives: The main objective of the study is to analyze the interventions for improved diet and fluid management in hemodialysis patients. Material and methods: This descriptive study was conducted in DHQ Hospital, Sheikhupura during March 2018 to December 2018. The data was collected from 100 dialysis patients who visited the hospital regularly. Patients undergoing haemodialysis therapy for at least six months or more, aged between 18-65 years, who were literate and agreed to participate in the study were included. The data was collected through a questionnaire. This questionnaire include all the socio-demographic data of the patients. Results: The data was collected from 100 dialysis patients. Their mean age was 50.2 years and 82% were male. In the intervention group, there was no significant difference in serum levels of albumin, total protein, potassium, phosphorus, and urea between the pre-test and post-test results (p>0.05), whereas a significant difference was found in sodium levels (p<0.01). In the control group, there was no significant difference in serum levels of albumin, sodium, potassium, phosphorus and urea between the pre-test and post-test results (p>0.05), whereas a significant difference was found in total protein levels (p<0.05). Conclusion: It is concluded that knowledge level of haemodialysis patients regarding dietary and fluid restrictions was lower and their behaviors were non-compliant prior to education.

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