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1.
Iranian Journal of Nursing Research. 2014; 9 (2): 46-55
in Persian | IMEMR | ID: emr-200359

ABSTRACT

Introduction: Uremic syndrome is a clinical condition that is associated with physical problems are plentiful and annoyingly. Because urinary tract of chronic kidney patients is not able to exit of wastes products from the body normally, patients need shall adhere an appropriate diet. This study aimed to determine the effect of food diet training on the severity of physical problems in non-dialysis chronic kidney patients


Method: It was a quasi-experimental before-after nonequivalent comparative group study. Eighty non-dialysis chronic kidney disease patients with Glomerular Filtration Rate of 15-60 ml/min/1.73 m2 were recruited and assigned either to comparison or experimental groups [n=40]. The experimental group received food diet training package in 2 sessions of 2 hours and the control group received only usual care. Before and after 12 weeks, patients were evaluated by a Visual Analog Scale. The data were analyzed by descriptive and inferential statistics [t-test and chi square] using SPSS-PC [v.16]


Results: After 12 weeks of intervention, problems related to muscle pain [P=0.04], itching [P=0.03], drowsy and weakness [P=0.001], numbness in hands and feet [P=0.03], bone pain [P=0.03] and tingling feet in intervention group than comparison group showed statistically significant difference


Conclusion: Awareness of non-dialysis chronic kidney patients such practices in the educational related to diet reduces of severity some of physical problems in the patients. So the nurse as a member of the medical team can many complications prevent with training and these patients also present problem to a minimum

2.
JNE-Journal of Nursing Education. 2014; 2 (4): 23-32
in Persian | IMEMR | ID: emr-183594

ABSTRACT

Introduction: Change in one's life when there is chronic kidney disease need support to change behavior. Non-compliance with treatment regimens in chronic kidney disease is common, and it is more rapid disease progression and mortality in this disease. This study aimed to determine the effect of nutrition education on dietary adherence in non-dialysis CKD is done


Method: It was a quasi-experimental before-after nonequivalent comparative group study. Eighty non-dialysis chronic kidney disease patients with Glomerular Filtration Rate of 15-60 ml/min/1.73 m[2] were recruited and assigned by randomly sampling either to comparison or experimental groups [n=40]. The experimental group received food diet training package and the control group received only usual care. Before and after 12 weeks, patients were evaluated by a questionnaire made by the researcher. The data were analyzed by descriptive and inferential statistics [t-test and chi square] and repeated measure method using SPSS-PC [v.16]


Results: After 12 weeks, the mean of the experimental group [54.45] than the mean in comparison group [43.40] showed a greater increase. After intervention independent t-test and repeated measure method showed significant differences between the intervention and comparison groups [p= 0.001]


Conclusion: Chronic kidney disease awareness such practices in the educational use of diet is effective in improving adherence. So the nurse as a member of the medical team plays an important role in promoting awareness of the patients

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