Effect of Nursing Guideline on Dietary and Fluid Compliance among Patients Undergoing Hemodialysis

Abstract

Background: Patient compliance with the recommendations and treatments of healthcare providers is critical to the efficacy of those interventions. Unfortunately, poor patient compliance is a widespread problem in health care that carries with it substantial medical, social, and economic consequences, particularly among patients undergoing hemodialysis. Compliance to diet and fluid restrictions by adults on hemodialysis treatment is challenging. Aim: The aim of this study was to evaluate the effect of nursing guideline on dietary and fluid compliance among patients undergoing hemodialysis. Methodology: A quazi experimental design was utilized for conducting the study. A convenient sample of 60 adult patients on hemodialysis management at the Hemodialysis Department in El Manial University, Kasr Al-Aini hospital affiliated to Cairo University, Egypt,  was recruited, and randomly divided into study and control groups (30 patients each). Data were collected through six tools; Socio-demographic and medical data sheet, Biochemical indicators data sheet,  Knowledge assessment sheet, Attitudes towards dietary and fluid compliance sheet, Self-reported dietary and fluid compliance sheet and Food frequency sheet. Results: There were statistically significant improvement of knowledge; attitude and compliance regarding diet and fluid regimen in the study group after implementation of the nursing guideline when compared to the control group. Conclusion: A nursing guideline may improve the patient's knowledge regarding diet and fluid regimen as well as enhance dietary and fluid compliance among patients undergoing hemodialysis. Recommendations: It is suggested to apply this nursing guideline on the hemodialysis patients in their early course of treatment, and to replicate the study on a larger study sample in different settings to generalize the results.

Keywords:  Nursing guideline, dietary and fluid compliance, hemodialysis.