The effect of dietary education on attitudes and behaviors in hemodialysis patients: A randomized trial

IF 1.9 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Contemporary clinical trials Pub Date : 2025-07-13 DOI:10.1016/j.cct.2025.108011

Zahide Akeren , Vahide Semerci Çakmak , Servet Kalyoncuo

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引用次数: 0

Abstract

Background

Hemodialysis patients are at high risk for poor dietary status, primarily due to limited adherence to complex dietary regimens. Inadequate adherence may lead to complications and negatively adversely affect treatment outcomes. Promoting positive dietary attitudes and behavioral change is essential to improve health in this population.

Aim

This study aimed to evaluate the impact of a structured dietary education program on dietary attitudes, daily diet intake, and vital signs in hemodialysis patients.

Methods

The study was conducted between December 15, 2023, and March 27, 2024, with 34 patients (17 experimental, 17 control) receiving treatment at a public hospital in northeastern Turkey. Data were collected using the Patient Information Form, 24-Hour Diet Recall, Attitude Scale for Dietary Therapy of Hemodialysis Patients (ASDTHP), and Vital Signs Form. The experimental group received structured dietary education in two weekly 40-min sessions. Analyses were performed using BeBIS 9.0 and SPSS 25.

Results

The mean age of participants in the experimental group was 59.94 ± 11.80 years; 64.7 % were male, and 64.7 % were primary/middle school graduates. In the experimental group, significant improvements were found in the total ASDTHP score, including the cognition-influenced and diet culture-related behavioral subdimensions (p < 0.05). Additionally, post-intervention analysis showed showed statistically significant reductions in systolic blood pressure, and pulse rate and increase in potassium intake (p < 0.05).

Conclusion

Dietary education improved dietary attitudes and positively influenced certain vital signs, including blood pressure, in hemodialysis patients. However, it did not lead to statistically significant changes in other macronutrient and micronutrient intake variables.

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饮食教育对血液透析患者态度和行为的影响：一项随机试验。

背景：血液透析患者饮食状况不良的风险很高，主要是由于对复杂饮食方案的依从性有限。不充分的依从性可能导致并发症并对治疗结果产生负面影响。促进积极的饮食态度和行为改变对改善这一人群的健康至关重要。目的：本研究旨在评估结构化饮食教育计划对血液透析患者饮食态度、每日饮食摄入量和生命体征的影响。方法：研究于2023年12月15日至2024年3月27日在土耳其东北部一家公立医院接受治疗的34例患者（17例实验组，17例对照组）。采用患者信息表、24小时饮食回忆、血液透析患者饮食治疗态度量表（ASDTHP）和生命体征表收集数据。实验组接受有组织的饮食教育，每周两次，每次40分钟。采用BeBIS 9.0和SPSS 25进行统计学分析。结果：实验组参与者平均年龄59.94 ± 11.80 岁；64.7 %为男性，64.7 %为中小学毕业生。实验组的ASDTHP总分显著改善，包括认知影响和饮食文化相关的行为维度（p ）。结论：饮食教育改善了血液透析患者的饮食态度，并对血压等某些生命体征产生积极影响。然而，它没有导致其他宏量营养素和微量营养素摄入变量的统计学显著变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contemporary clinical trials 医学-药学

CiteScore

3.70

自引率

4.50%

发文量

281

审稿时长

44 days

期刊介绍： Contemporary Clinical Trials is an international peer reviewed journal that publishes manuscripts pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from disciplines including medicine, biostatistics, epidemiology, computer science, management science, behavioural science, pharmaceutical science, and bioethics. Full-length papers and short communications not exceeding 1,500 words, as well as systemic reviews of clinical trials and methodologies will be published. Perspectives/commentaries on current issues and the impact of clinical trials on the practice of medicine and health policy are also welcome.