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Dietary and fluid restriction perceptions of patients undergoing haemodialysis: an exploratory study

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  • Leting Isabella Hong
  • Wenru Wang
  • Ee Yuee Chan
  • Fatimah Mohamed
  • Hui‐Chen Chen

Abstract

Aims and objectives To explore the perspectives of patients undergoing haemodialysis in Singapore on an imposed dietary and fluid restriction regime. Background Adherence to prescribed dietary and fluid restriction constructs the fundamental basis of self‐care with improved morbidity and mortality. However, most patients have struggled to adhere in this aspect. Existing studies have presented limited understanding on the facilitators and barriers of dietary and fluid adherence among haemodialysis patients. Design An exploratory qualitative study. Methods A purposive sample of 14 patients undergoing haemodialysis was recruited from a renal unit of a tertiary hospital in Singapore. Data were collected through face‐to‐face individual interviews and subsequently analysed by thematic analysis. Results Four themes emerged: (1) Pessimism, (2) Existing struggles, (3) Perceived quality of support, and (4) Immensity of self‐discipline. Conclusions The imposed dietary and fluid restriction is a constant struggle and a cause of suffering among haemodialysis patients in Singapore. Nonetheless, they are generally submissive to their fluid restrictions for the sake of survival or to meet the expectations of their loved ones. The imposed dietary restrictions are generally neglected. Relevance to clinical practice The findings from this study can provide useful information in reviewing existing educational strategies, policies and nursing care. This is especially important because most patients exhibit high reliance on healthcare professionals.

Suggested Citation

  • Leting Isabella Hong & Wenru Wang & Ee Yuee Chan & Fatimah Mohamed & Hui‐Chen Chen, 2017. "Dietary and fluid restriction perceptions of patients undergoing haemodialysis: an exploratory study," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(21-22), pages 3664-3676, November.
  • Handle: RePEc:wly:jocnur:v:26:y:2017:i:21-22:p:3664-3676
    DOI: 10.1111/jocn.13739
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    References listed on IDEAS

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    1. repec:mpr:mprres:6559 is not listed on IDEAS
    2. Committee on Strategies to Reduce Sodium Intake of which Ronette Briefel is a member., 2010. "Strategies to Reduce Sodium Intake in the United States," Mathematica Policy Research Reports b0308d32d9694d40811d1de0e, Mathematica Policy Research.
    3. Ella Walsh & Elaine Lehane, 2011. "An exploration of the relationship between adherence with dietary sodium restrictions and health beliefs regarding these restrictions in Irish patients receiving haemodialysis for end‐stage renal dise," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(3‐4), pages 331-340, February.
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    Cited by:

    1. Jun-Hao Lim & Karuthan Chinna & Pramod Khosla & Tilakavati Karupaiah & Zulfitri Azuan Mat Daud, 2020. "Understanding How Nutrition Literacy Links to Dietary Adherence in Patients Undergoing Maintenance Hemodialysis: A Theoretical Exploration using Partial Least Squares Structural Equation Modeling," IJERPH, MDPI, vol. 17(20), pages 1-21, October.
    2. Geldine Chironda & Busisiwe Rosemary Bhengu, 2019. "Motivators of adherence to integrated management among patients with chronic kidney disease: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(1), pages 63-70, March.

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