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Erschienen in: Clinical and Experimental Nephrology 5/2016

11.12.2015 | Original Article

Additional benefit of dietitian involvement in dialysis staffs-led diet education on uncontrolled hyperphosphatemia in hemodialysis patients

verfasst von: Wan-Chuan Tsai, Ju-Yeh Yang, Chia-Chin Luan, Yuh-Jiun Wang, Yu-Chuan Lai, Lie-Chuan Liu, Yu-Sen Peng

Erschienen in: Clinical and Experimental Nephrology | Ausgabe 5/2016

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Abstract

Background

Sustained adherence to dietary phosphorus (P) restriction recommendations among hemodialysis patients is questionable. The aim of this study was to evaluate the effectiveness of additional diet education delivered by a dietitian on the control of hyperphosphatemia.

Methods

We conducted an 8-month prospective observational study in hemodialysis patients who had uncontrolled hyperphosphatemia. In the first half of the study (experimental) period, the dialysis nurses and physicians provided the routine dietetic education with the control group (n = 31), while the experimental group (n = 30) received the routine dietetic education plus an additional diet education delivered by dietitians. Both groups received the routine dietetic education in the rest of the study period to test whether the improvement of serum P level was sustained. The primary outcomes were changes in serum P level.

Results

At baseline, there was no significant difference in serum P levels between groups (P = 0.27). In the experimental period, monthly serum P levels decreased significantly in both groups (P < 0.001) and the magnitudes of reduction were 1.81 ± 1.46 and 0.94 ± 1.33 mg/dL in the experimental and control groups, respectively (P = 0.02), at the end. The experimental group maintained such improvement for one more month (P = 0.02), but faded out over time.

Conclusion

Renal diet education guided either by dietitians plus dialysis staffs or dialysis staffs alone reduces serum P level and dietitian-guided diet education provides an additional benefit on controlling hyperphosphatemia in hemodialysis patients.
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Metadaten
Titel
Additional benefit of dietitian involvement in dialysis staffs-led diet education on uncontrolled hyperphosphatemia in hemodialysis patients
verfasst von
Wan-Chuan Tsai
Ju-Yeh Yang
Chia-Chin Luan
Yuh-Jiun Wang
Yu-Chuan Lai
Lie-Chuan Liu
Yu-Sen Peng
Publikationsdatum
11.12.2015
Verlag
Springer Japan
Erschienen in
Clinical and Experimental Nephrology / Ausgabe 5/2016
Print ISSN: 1342-1751
Elektronische ISSN: 1437-7799
DOI
https://doi.org/10.1007/s10157-015-1212-1

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