Nurses’ knowledge of the nutritional management of renal failure in Erbil City, Kurdistan Region, Iraq

Authors

  • Halmat Authman Rasheed Department of Adult Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
  • Newroz Ghazi Aziz Department of Adult Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
  • Goran Aboobaker Osman Department of Adult Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
  • Yousif Mohammed Younis Department of Adult Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.

DOI:

https://doi.org/10.15218/zjms.2018.050

Keywords:

Knowledge, Renal failure, Diet, Nurse

Abstract

Background and objective: Renal failure is a worldwide public health concern due to the significant increase of patients each year. Diet and nutrition play a crucial role in symptom management, quality of life and survival of renal failure patients, as well as the prevention of disease progression. This study aimed to assess nurses’ knowledge of the nutritional management of patients with renal failure and to find out the relationship between nurses’ knowledge and their socio-demographic characteristics.

Methods: A descriptive cross-sectional research design was used from April to August 2016. A purposive sample of 51 nurses at the Dialysis Unit of Hawler Teaching Hospital and Hawler Dialysis Center, Kurdistan Region, Iraq were recruited and completed a self-reported questionnaire.

Results: Most participating nurses were male (76.5%), and the majority (52.9%) were between 26-32 years old . Most of them  were married (68.6%), had a diploma certificate (58.7%) with 37.3% having 4-7 years of working experience at the two above-noted dialysis centers. The majority of nurses (70.6%) had fair knowledge score, while 17.6% had a good knowledge score and 11.8% had a low knowledge score.

Conclusion: The majority of nurses had fair knowledge regarding nutritional management for renal failure patients.

Metrics

Metrics Loading ...

References

Cristóvão AF. Fluid and dietary restriction’s efficacy on chronic kidney disease patients in hemodialysis. Revista Brasileira de Enfermagem 2015; 68(6):1154–62.

Montazeri RS, Sharifi N. Evaluation of Nutritional Knowledge in Terms of Dietary Sources of Protein, Phosphorous, Potassium and Fluids Restriction in Hemodialysis Patients. Jentashapir J Health Res 2014: 5(4);e21878.

St Peter WL, Sozio SM, Shafi T, Ephraim PL, Luly J, McDermott A, et al. Patterns in blood pressure medication use in US incident dialysis patients over the first 6 months. BMC Nephrology 2013; 14(1):1.

Ash S, Campbell KL, Bogard J, Millichamp A. Nutrition prescription to achieve positive outcomes in chronic kidney disease: a systematic review. Nutr 2014; 6(1):416–51.

Grassmann A, Gioberge S, Moeller S, Brown G. ESRD patients in 2004: Global overview of patient numbers, treatment modalities and associated trends. Nephrol Dial Transplant 2005; 20(12):2587–93.

Cho JH, Hwang JY, Lee SE, Jang SP, Kim WY. Nutritional status and the role of diabetes mellitus in hemodialysis patients. Nutr Res Pract 2008; 2(4):301–7.

Kim H, Lim H, Choue R. A better diet quality is attributable to adequate energy intake in hemodialysis patients. Clin Nutr Res 2015; 4(1):46–55.

Fincham D, Kagee A, Moosa M. Dietary and fluid adherence among haemodialysis patients attending public sector hospitals in the Western Cape. South Afr J Clin Nutr 2008; 21(2):7–12.

Moore H, Reams SM, Wiesen K, Nolph KD, Khanna R, Laothong C. National Kidney Foundation Council on Renal Nutrition survey: Past-present clinical practices and future strategic planning. J Ren Nutr 2003; 13(3):233–40.

Jawadagi MS. “a study to assess the knowledge and practices of dietary regulations in chronic renal failure patients undergoing hemodialysis at K. L. E'S hospital and MRC, Belgaum”. Ph. D thesis. Rajiv Gandhi University of Health Sciences; 2005.

Kovesdy CP, Kopple JD, Kalantar-Zadeh K. Management of protein-energy wasting in non-dialysis-dependent chronic kidney disease: reconciling low protein intake with nutritional therapy. Am J Clin Nutr 2013; 97(6)1163–77.

Port FK, Ashby VB, Dhingra RK, Roys EC, Wolfe RA. Dialysis dose and body mass index are strongly associated with survival in hemodialysis patients. J Am Soc Nephrol 2002; 13(4):1061–6.

Steiber A, Leon JB, Secker D, McCarthy M, McCann L, Serra M, et al. Multicenter study of the validity and reliability of subjective global assessment in the hemodialysis population. J Ren Nutr 2007; 17(5):336–42.

Krenitsky J. Nutrition in renal failure: Myths and management. Pract Gastroenterol 2004; 28(9):40–59.

Selamet U, Tighiouart H, Sarnak MJ, Beck G, Levey AS, Block G. Relationship of dietary phosphate intake with risk of end-stage renal disease and mortality in chronic kidney disease stages 3–5: The modification of diet in renal disease study. Kidney Int 2016; 89(1):176–84.

Fouque D, Roth H, Pelletier S, London GM, Hannedouche T, Jean G, et al. Control of mineral metabolism and bone disease in haemodialysis patients: which optimal targets? Nephrol Dial Transplant 2013; 28(2):360–7.

Goldsmith D, Massy Z, Brandenburg V. The uses and abuses of Vitamin D compounds in chronic kidney disease–mineral bone disease (CKD–MBD). Paper presented at the Seminars in Nephrology; 2014.

Park SH, Jia T, Qureshi AR, Bárány P, Heimburger O, Larsson TE, et al. Determinants and survival implications of low bone mineral density in end-stage renal disease patients. J Nephrol 2013; 26(3):485–94.

Moore LW. Implications for nutrition practice in the mineral-bone disorder of chronic kidney disease. Nutrition in Clinical Practice 2011; 26(4):391–400.

Boaz M, Rychani L, Barami K, Houri Z, Yosef R, Siag A, et al. Nurses and nutrition: A survey of knowledge and attitudes regarding nutrition assessment and care of hospitalized elderly patients. J Conti Educ Nurs 2013; 44(8):357–64.

Cupisti A, Ferretti V, D’Alessandro C, Petrone I, Di Giorgio A, Meola M, et al. Nutritional knowledge in hemodialysis patients and nurses: focus on phosphorus. J Ren Nutr 2012; 22(6):541–6.

Yamamoto S, Yancey PG, Ikizler TA, Jerome WG, Kaseda R, Cox B, et al. Dysfunctional high-density lipoprotein in patients on chronic hemodialysis. J Am Coll Cardiol 2012; 60(23):2372–9.

Raffaitin C, Lasseur C, Chauveau P, Barthe N, Gin H, Combe C, et al. Nutritional status in patients with diabetes and chronic kidney disease: a prospective study. Am J Clin Nutr 2007; 85(1):96–101.

Bjerrum M, Tewes M, Pedersen P. Nurses’ self reported knowledge about and attitude to nutrition–before and after a training programme. Scand J Caring Sci 2012; 26(1):81–9.

DiMaria-Ghalili RA, Mirtallo JM, Tobin BW, Hark L, Van Horn L, Palmer CA. Challenges and opportunities for nutrition education and training in the health care professions: intraprofessional and interprofessional call to action. Am J Clin Nutr 2014; 99(5):S1184–93.

Wong FK, Chow SK, Chan TM. Evaluation of a nurse-led disease management programme for chronic kidney disease: A randomized controlled trial. Int J Nurs Stud 2010; 47(3):268–78.

Munuo AE, Mugendi BW, Kisanga OA, Otieno GO. Nutrition knowledge, attitudes and practices among healthcare workers in management of chronic kidney diseases in selected hospitals in Dar es Salaam, Tanzania: A cross-sectional study. BMC Nutrition 2016; 2(1):1.

Crogan NL, Evans BC. Nutrition assessment: experience is not a predictor of knowledge. Journal Contin Educ Nurs 2001; 32(5):219–22.

Yalcin N, Cihan A, Gundogdu H, Ocakci AF. Nutrition knowledge level of nurses. Health Sci J 2014; 7(1):99–108.

Downloads

Published

2018-12-31

How to Cite

Rasheed, H. A., Aziz, N. G., Osman, G. A., & Younis, Y. M. (2018). Nurses’ knowledge of the nutritional management of renal failure in Erbil City, Kurdistan Region, Iraq. Zanco Journal of Medical Sciences (Zanco J Med Sci), 22(3), 385–393. https://doi.org/10.15218/zjms.2018.050

Issue

Section

Original Articles