Abstract
Introduction: Patients
with Chronic Kidney Disease (CKD) needs to modify their lifestyle chiefly
focusing on diet and fluid intake as the prognosis of these patients largely
depends on adherence to the recommended nutritional regime. Non adherence to
the suggested diet and fluids regime leads to rapid worsening of the
condition.
Methods: Cross
sectional survey was conducted to determine the level of adherence to the
dietary and fluids restriction among CKD patients. Inclusion criteria’s was,
age between 18- 65 years, patients with CKD for at least 6 months and
received dietary counseling. Consecutive sampling technique was used to
select 100 patients. Data was collected with self-reported Dialysis Diet and
Fluid non adherence Questionnaire (DDFQ).
Results: Majority (73%) of the subjects was
males, 64% belongs to 40-60 years age, majority of them were unemployed. Mean
Body Mass Index (BMI) was 20.52 kg/m2, the mean duration of the
treatment is 2.15 years and mean fluid intake was 2153ml ml/day and
inter-dialytic weight gain was 1.48 kg. Regarding adherence, 20% of them had
mild deviation and 69% of them had moderate deviation from dietary
restrictions and similarly 69 % of the participants had moderate deviation,
and 22% of them had mild deviation from fluid restriction guidelines. Low
level of adherence to fluid and diet restrictions was noted in illiterate
patients which was significant P<0.05.
Conclusion: In
spite of the dietary counseling, considerable proportions of the patients
were non adherent to the diet and fluid restrictions which necessitate regular
counseling to patient and family members.