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Survey on the perception of health professionals on the use of intradialytic oral nutrition in patients under hemodialysis
Ramos-Acevedo, Samuel; González-Ortiz, Ailema J.; Correa-Rotter, Ricardo; Serralde-Zuñiga, Aurora E.; Miranda-Alatriste, Paola; Atilano-Carsi, Ximena; Dominguez-Zambrano, Etna; Espinosa-Cuevas, Ángeles.
  • Ramos-Acevedo, Samuel; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Department of Nephrology and Mineral Metabolism. Mexico City. MX
  • González-Ortiz, Ailema J.; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Department of Nephrology and Mineral Metabolism. Mexico City. MX
  • Correa-Rotter, Ricardo; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Department of Nephrology and Mineral Metabolism. Mexico City. MX
  • Serralde-Zuñiga, Aurora E.; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Clinical Nutrition Service. Mexico City. MX
  • Miranda-Alatriste, Paola; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Department of Nephrology and Mineral Metabolism. Mexico City. MX
  • Atilano-Carsi, Ximena; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Department of Nephrology and Mineral Metabolism. Mexico City. MX
  • Dominguez-Zambrano, Etna; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Department of Nephrology and Mineral Metabolism. Mexico City. MX
  • Espinosa-Cuevas, Ángeles; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Department of Nephrology and Mineral Metabolism. Mexico City. MX
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 clinic’s 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.
Subject(s)


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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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