Survey on the perception of health professionals on the use of intradialytic oral nutrition in patients under hemodialysis
Rev. invest. clín
;
71(4): 255-264, Jul.-Aug. 2019. tab, graf
Article
in English
| LILACS
| ID: biblio-1289694
ABSTRACT
Abstract Background Intradialytic oral nutrition (ION) has been shown to improve many clinical outcomes, including lowering mortality, in hemodialysis (HD) patients. Despite the benefits, ION is underused in many countries. Objective The objective of our study was to determine the perception of health-care professionals (HCP) in our environment of the use of ION in patients undergoing HD. Methods Survey applied to HCP in Mexico who worked or had worked in an HD unit in their locality. Results From 272 HCP who answered the survey, 74.3% believed that the use of ION has at least one beneficial effect; of these, the most frequently mentioned were an improvement in quality of life (QoL) (54.7%) followed by an improvement in serum albumin (37.9%) and muscle anabolism (31.6%). However, 49% consider that its use involves some risks. Of the respondents, 22% reported that their HD units allowed patients to consume food or supplements during HD sessions; the main reason given to forbid the introduction of food or supplements was the clinics policy (41%). Conclusions The personnel surveyed heterogeneous opinions regarding ION, but most believe that it may improve the QoL or the nutritional status of the patients. Nevertheless, the use of ION is uncommon in our country as it is against the internal regulations of most HD units.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Nutritional Status
/
Renal Dialysis
/
Health Personnel
/
Dietary Supplements
Type of study:
Observational study
/
Prevalence study
/
Risk factors
Limits:
Adult
/
Child
/
Humans
Country/Region as subject:
Mexico
Language:
English
Journal:
Rev. invest. clín
Journal subject:
Medicine
Year:
2019
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán/MX
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