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  1. Article ; Online: Dietary Patterns, Dietary Adequacy and Nutrient Intake in Adults Commencing Peritoneal Dialysis: Outcomes from a Longitudinal Cohort Study.

    Lambert, Kelly / Ryan, Michele / Flanagan, Jade / Broinowski, Georgie / Nicdao, Maryann / Stanford, Jordan / Chau, Katrina

    Nutrients

    2024  Volume 16, Issue 5

    Abstract: 1) Background: Optimal dietary intake is integral to good health in people receiving peritoneal dialysis (PD). We investigated how dietary patterns, dietary adequacy and nutrient intake may change over time in people commencing PD. (2) Methods: ... ...

    Abstract (1) Background: Optimal dietary intake is integral to good health in people receiving peritoneal dialysis (PD). We investigated how dietary patterns, dietary adequacy and nutrient intake may change over time in people commencing PD. (2) Methods: Participants were attending the PD training unit for the commencement of peritoneal dialysis, aged ≥18 years and willing to complete food records. Misreporters were excluded from the analysis. Dietary intake was compared at PD commencement and at 12 months. Intake was also compared to reference standards. Dietary patterns were derived using principal component analysis. (3) Results: There were no significant changes between baseline and 12 months for grains, fruit, vegetables and meat. Dairy and added sugar intake was significantly lower (
    MeSH term(s) Adult ; Humans ; Adolescent ; Longitudinal Studies ; Dietary Patterns ; Quality of Life ; Diet ; Energy Intake ; Eating ; Cohort Studies ; Peritoneal Dialysis ; Feeding Behavior
    Language English
    Publishing date 2024-02-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu16050663
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Patient experiences of training and transition to home haemodialysis: A mixed-methods study.

    Hanson, Camilla S / Chapman, Jeremy R / Craig, Jonathan C / Harris, David C / Kairaitis, Lukas K / Nicdao, Maryann / Mikaheal, Mary / Tong, Allison

    Nephrology (Carlton, Vic.)

    2017  Volume 22, Issue 8, Page(s) 631–641

    Abstract: Aim: This study aims to describe patients' perspectives on the transition to home haemodialysis.: Methods: Up to three sequential semi-structured interviews were conducted with 20 patients during the transition to home haemodialysis at an Australian ... ...

    Abstract Aim: This study aims to describe patients' perspectives on the transition to home haemodialysis.
    Methods: Up to three sequential semi-structured interviews were conducted with 20 patients during the transition to home haemodialysis at an Australian renal unit. Transcripts were analysed thematically. Participants completed a satisfaction questionnaire after commencing home haemodialysis.
    Results: We identified six themes: persevering despite trepidations (diminishing intimidation of machinery, acquiescing to fatal risks, reconciling fears of cannulation, dispelling concerns of neglect and tolerating necessary concessions); optimizing the learning pathway (practising problem solving, learning from mistakes, grasping technical complexity, minimizing cognitive overload and progressing at own pace); developing confidence (believing in own abilities, adapting to independence, depending on caregiver partnership and faith in crisis support); interrupted transition momentum (lacking individual attention, language barriers, installation delays, interfering illness and complications and acclimatizing to new conditions); noticing immediate gains (reclaiming lifestyle normality, satisfying self-sufficiency, personalizing treatment regime and thriving in a positive environment); and depleting resources and energy (exhaustion with gruelling routine, confronting medicalization of the home, draining financial reserves and imposing family burden). Fewer than 30% of respondents indicated low satisfaction with staff availability domains, staff interpersonal domains or technical domains.
    Conclusion: Home haemodialysis training fosters confidence in patients; however, many patients experience stress because of medical isolation, treatment responsibilities, family impositions and financial difficulties. Addressing patient's on-going psychosocial concerns may alleviate burdens on patients and their families during the transition to home haemodialysis.
    Language English
    Publishing date 2017-08
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1303661-0
    ISSN 1440-1797 ; 1320-5358
    ISSN (online) 1440-1797
    ISSN 1320-5358
    DOI 10.1111/nep.12827
    Database MEDical Literature Analysis and Retrieval System OnLINE

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