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ASSESSMENT OF NON-ADHERENCE TO DIETARY AND FLUID RESTRICTIONS IN HEMODIALYSIS PATIENTS
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Abstract
Purpose: to assess non-adherent to dietary and fluid restrictions in hemodialysis patients at 103 Military Hospital. Methods: The study design was a cross-sectional description with 97 patients on dialysis with a cycle of at least 3 months at the Department of Nephrology and Dialysis, 103 Military Hospital. Evaluation of non-adherence to dietary and fluid restriction: Blood Phosphorus > 7.5 mg/dl (2.42 mmol/L), pre-dialysis serum potassium > 6 mmol/L, weight gain between dialysis ≥ 5.7% dry weight. Data processing using SPSS 20.0 software. Results: The rate of non-adherence accounted for 35.1% (34/97). Factors associated with statistical significance with non-adherence to dietary and fluid restrictions included patient knowledge of dialysis treatment, depression, duration in dialysis, BMI<22. Conclusion: Non-adherence to dietary and fluid restriction in hemodialysis patients with a high rate of 35.1% is a challenge for hemodialysis units. Poor knowledge about dialysis treatment, depression, long duration in dialysis, and BMI < 22 are factors that may affect adherence to dietary and fluid restrictions.
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