Kocaeli Med J. 2012; 1(3): 23-26

The Relationship Between The Level Of Nutritional Eduction And Clinical And Laboratory Findings In Hemodialysis Patients

Ayþen Elmas¹, Elmas Erbay Saral¹, Arzu Tuðrul¹, Erkan Þengül¹, Fatih Bünül^2
1Department Of Nephrology, Derince Education And Research Hospital, Kocaeli
²Department Of Internal Medicine, Derince Education And Research Hospital, Kocaeli

OBJECTIVE: The aim of this study was to assess the effect of nutritional eduction level on clinical and laboratory findings in hemodialysis patients.
METHODS: The study group consisted of 65 patients (31 female, 34 male), undergoing routine hemodialysis. The mean age was 58.01 ±14.25 years. The most common etiology of chronic kidney disease was hypertension (%45). The nutritional education level was asssessed by using a survey sheet. Furtheremore, their demographic features, laboratory findings, blood pressure, and medications were obtained from their medical records. SPSS version 17.0 was used to perform the statistical analysis. P<0.05 was accepted to be significant.
RESULTS: It has been found that the nutritional education was given to 59% of patients (n=38), but not 41% (n=27). Clinical and laboratory results were not different between the patients with and without education except for albumin and calcium level (p=0.04 and p=0,04, respectively). The education level in 80% of patients was primary school or unschooled. The family support was not present in 65% of patients. In analysis of the survey sheet, it has been established that the nutritional education level was not sufficient in patients receiving education.
CONCLUSION: We showed that our patients could not understand, remember, or follow the nutritional education given them, along with a low education level and unsufficient family support. We suggest that the nutritional education should be given to patients regularly using by effective methods and that individual differences of patients should be taken into consideration during the educational period.

Keywords: hemodialysis, nutritional education, weight gain, hyperparathyroidism

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Hemodializ Hastalarýnda Beslenme Bilgi Düzeyi ile Klinik ve Laboratuar Bulgularý Arasýndaki Ýliþki

Ayþen Elmas¹, Elmas Erbay Saral¹, Arzu Tuðrul¹, Erkan Þengül¹, Fatih Bünül^2
1Kocaeli Derince Eðitim Ve Araþtýrma Hastanesi Nefroloji Kliniði, Hemodializ Ünitesi, Kocaeli
²Kocaeli Derince Eðitim Ve Araþtýrma Hastanesi Ýç Hastalýklarý Kliniði, Kocaeli

AMAÇ: Merkezimizdeki hemodiyaliz hastalarýnýn beslenme bilgi düzeylerini deðerlendirmek ve klinik ve laboratuar bulgularýna yansýmasýný deðerlendirmek
YÖNTEMLER: Çalýþmaya kronik böbrek yetmezliði (KBY) nedeni ile sürekli olarak hemodiyalize girmekte olan 65 hasta ( 31 K, 34 E ) alýndý. Hastalarýn ortalama yaþý 58.01 ±14.25 yýl idi. KBY nin en sýk nedeni hipertansiyon (%45) olarak saptandý. Hastalarýn demografik özellikleri, kan basýncý, laboratuar bulgularý ve diyaliz seansýndaki uygulanan tedaviler dýþýnda beslenme bilgi düzeyleri 22 soruluk anket formu ile deðerlendirildi. Veriler SPSS 17.0 programýnda analiz edildi. P<0.05 istatistiksel olarak anlamlý kabul edildi.
BULGULAR: Hastalarýn %59’unun (n=38) beslenme konusunda eðitim aldýðý, %41’inin (n=27 ) almadýðý saptandý. Albümin (p=0.04) ve kalsiyum (p=0.04) düzeyleri dýþýnda iki grubun klinik ve laboratuar bulgularý arasýnda istatistiksel olarak anlamlý farklýlýk saptanmadý. Hastalarýn %80’inin eðitim düzeyinin ilkokul ve altý olduðu tespit edildi. Hastalarýn % 65’i aile desteði alamadýðýný belirti. Eðitim alan hastalarýn anket sorularýna verdikleri cevaplar incelendiðinde beslenme ile ilgili mevcut bilgi düzeylerinin yeterli olmadýðý saptandý.
SONUÇ: Hastalarýn eðitim seviyelerinin düþük ve yeterli aile desteði almadýklarý dikkate alýnarak anlatýlanlarý anlamadýklarý, unuttuklarý veya uygulamaya dönüþtüremedikleri görülmüþtür. Hemodiyaliz hastalarýnda bireysel farklýlýklar dikkate alýnarak, belirli periyotlarla ve etkili yöntemlerle eðitim tekrarlarýnýn yapýlmasý gereklidir.

Anahtar Kelimeler: hemodializ, beslenme eðitimi, kilo alýmý, hiperparatiroidizm

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