Health Beliefs Related to Salt-Restricted Diet and Associated Factors in Turkish Patients on Hemodialysis

2017 ◽  
Vol 29 (2) ◽  
pp. 155-164
Author(s):  
Belgüzar Kara

Purpose: To examine health beliefs related to salt-restricted diet, to investigate their associations with demographic/disease-related characteristics and family support, and to determine the need for tailored interventions in Turkish patients on hemodialysis. Method: A cross-sectional study was conducted among 200 patients on hemodialysis. Data were collected through an information form, the Perceived Social Support from Family Scale and the Beliefs about Dietary Compliance Scale, including two subscales: perceived benefits and barriers. Descriptive statistics, Student’s t test, Pearson’s correlation coefficients, and linear regression analysis were used for data analysis. Results: The item mean perceived benefit score was higher than the item mean perceived barrier score. Limiting salt intake, family support, and the presence of residual urine output were associated with health beliefs. Conclusions/Implications: The likelihood of adherence to salt-restricted diet was high. A better understanding of health beliefs about salt-restricted diet and their related factors may facilitate the implementation of tailored interventions.

Hypertension ◽  
2016 ◽  
Vol 68 (suppl_1) ◽  
Author(s):  
Yasuharu Tabara ◽  
Yoshimitsu Takahashi ◽  
Takeo Nakayama ◽  
Fumihiko Matsuda

Excessive salt intake is a risk factor for hypertension. The most reliable method for estimating daily salt intake is measurement of 24-h urinary sodium excretion, while it is inconvenient. Sodium-to-potassium ratio (Na/K) of a urine sample is another index of salt loading. We previously reported that a simple measure of spot urine Na/K might be a representative of salt loading in a cross-sectional setting. Here, we conducted a longitudinal study aiming to clarify a prognostic significance of spot urine Na/K for increasing blood pressure (BP) levels. Study subjects consists of 9,769 general individuals. Among them, individuals whose baseline Na/K was available (n=9,328), who were normotensive at baseline (n=6,392), and who participated in the follow-up measurement (n=5,209) were included in this analysis (51.8±12.9 years old, male: 29.2%). Mean follow-up duration was 5.0±0.5 years. Mean Na/K at baseline was 3.1±1.7, and showed step-wise increase with BP levels (optimal: 3.0±1.6, normal: 3.3±1.8, high normal: 3.4±1.8, P<0.001). Other major factors that were significantly associated with Na/K was fasting time (r=-0.220, P<0.001), and CKD (CKD (n=694): 2.7±1.6, control: 3.2±1.7, P<0.001). Mean SBP was significantly increased during follow-up period (baseline: 116±12, follow-up: 119±15 mmHg), and 805 individuals (15.5%) were newly diagnosed as hypertension (HT). These individuals were significantly older (HT: 60.3±9.9, NT: 50.3±12.8 years), were frequently male (36.4%, 27.9%), and had higher SBP (127±9, 115±11 mmHg) at baseline (P<0.001). In contrast, baseline spot urine Na/K was slightly lower in individuals who developed HT (3.0±1.6, 3.1±1.8, P=0.013), while that measured at follow-up investigation was oppositely higher in hypertensives (3.1±1.8, 2.8±1.5, P<0.001). Multiple linear regression analysis adjusted for the covariates identified baseline Na/K (β=0.108, P<0.001) and changes in Na/K during follow-up period (β=0.222, P<0.001) as independent determinants for future SBP levels. Higher spot urine Na/K, as well as increases in the Na/K levels, was significant determinant for future BP levels. The apparently lower baseline Na/K levels in individuals who developed HT might be due to reverse causality.


2019 ◽  
Vol 33 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Jorge Arias-De la Torre ◽  
Tania Fernández-Villa ◽  
Antonio José Molina ◽  
Carmen Amezcua-Prieto ◽  
Ramona Mateos ◽  
...  

2021 ◽  
Vol 4 (2) ◽  
pp. 359-367
Author(s):  
Nana Fitriana

This study aims to determine the factors that affect dietary compliance in patients with type II diabetes mellitus, including family support, knowledge, income, and nutritional counseling. The research method used in this study is cross-sectional. This study indicates a relationship between family support, understanding, revenue, and nutritional counseling on dietary compliance in older people with type II diabetes Mellitus in 2019 in a district in Jambi. In conclusion, there is a relationship between family support, knowledge, income, and nutritional counseling on dietary compliance in older people with type II diabetes Mellitus.   Keywords: Diabetes Mellitus, Family Support, Knowledge, Nutrition Counseling


2020 ◽  
Author(s):  
Suqin Tang ◽  
Zhendong Xiang

Abstract Background: Deaths by COVID-19 have left behind nearly 12 million recent bereaved individuals worldwide and researchers have raised concerns that the circumstances of COVID-19 related deaths will lead to a rise prevalence of prolonged grief disorder (PGD) cases. However, to date, no studies have examined the prevalence of PGD among people bereaved due to COVID-19. This study aimed to estimate the prevalence of PGD and investigated demographic and loss-related factors associated with prolonged grief symptoms among Chinese individuals bereaved due to COVID-19.Methods: This was a cross-sectional online survey conducted between September 1 and October 3, 2020. A total of 422 Chinese participants (55.5% males; 32.73 [9.31] years old) who lost a close person due to COVID-19 participated in the study. Demographic and loss-related information was collected, and self-reported prolonged grief symptoms were measured by a 13-item International Prolonged Grief Disorder Scale (IPGDS: 1–65) and a 17-item Traumatic Grief Inventory Self Report (TGI-SR: 1–85). Multiple linear regression analysis was used to determine the associated factors of levels of grief symptoms.Results: Prevalence of PGD was 37.8% screened by IPGDS and 39.9% by TGI-SR. No difference was found in levels of grief symptoms between participants whose close one died more than 6 months ago and those who experienced the loss less than 6 months ago. More severe prolonged grief symptoms was associated with losing a close person by COVID-19 rather than complications (B: 5.284; 95% CI: 0.521–10.047), losing a partner (B: 6.645; 95% CI: 2.547–10.743), child (B: 6.013; 95% CI: 0.128–11.899), parent (B: 5.554; 95% CI: 1.679–9.429), grandparent (B: 4.894; 95% CI: 0.690–0.097), feeling more traumatic about the loss (B: 1.574; 95% CI: 0.413–2.735), being closer to the deceased (B: 1.610; 95% CI: 0.368–2.851), and having more conflicts with the deceased (B: 0.743; 95% CI: -0.040–1.527).Conclusions: Echoing to researchers’ concerns, prevalence of PGD is high among people bereaved due to COVID-19. Individuals with higher risk of developing PGD should be identified and bereavement support should be offered as early as possible.


Author(s):  
Xiaoxv Yin ◽  
Ketao Mu ◽  
Heping Yang ◽  
Jing Wang ◽  
Zhenyuan Chen ◽  
...  

Abstract Background Self-medication is one of the most common forms of inappropriate use of antibiotics. This study aimed to assess the prevalence of self-medication with antibiotics (SMA) in China and evaluate the related factors. Methods A cross-sectional survey was conducted in Wuhan, Hubei, China from July 1, 2019 to July 31, 2019. Participants were recruited in public places to answer a structured questionnaire. The information of participants’ social demographic characteristics, antibiotic knowledge and health beliefs were collected. Binary Logistics regression analysis was used to examine the associated factors of SMA. Results Of the 3206 participants, 10.32% reported SMA in the past 6 months. Participants who with middle or high perceived barriers to seek health care services showed a higher likelihood of SMA (P < 0.05). Participants who with middle or high perceived threats of self-medication, and who with middle or high self-efficacy to overcome obstacles showed a lower likelihood of SMA (P < 0.05). Conclusions Compared with developed countries, the prevalence of SMA in China is still higher. Measures to conduct public health education and improve the accessibility of health services are crucial to decrease the overall self-medication rate in China.


2021 ◽  
Vol 21 (3) ◽  
pp. 1385-1395
Author(s):  
Ganesh Kumar Saya ◽  
Kariyarath Cheriyath Premarajan ◽  
Gautam Roy ◽  
Sonali Sarkar ◽  
Sitanshu Sekhar Kar ◽  
...  

Background: There are paucity of studies on current fertility desire at community level. Objective: To assess current fertility desire and its associated factors among eligible couples of reproductive age group in Puducherry, India. Methods: A community-based cross-sectional study from 2016 to 2017 among 2228 currently married eligible couples assessed socio-demographic and fertility-related factors associated with fertility desire. Data were collected based on the National Family Health Survey questionnaire. Association of fertility desire was assessed by univariate and generalised linear regression analysis. Results: Out of 1979 respondents, current fertility desire within two years was 13.7% (95% CI, 12.3%-15.3%). Mean number of children (SD) currently living and preferred was 1.77(0.851) and 2.11 (0.528) respectively. After adjusting for confounders, the significant factors positively associated with fertility desire include woman's age of 18–24 (APR = 2.91), 25-29 years (APR=2.48), 30-34 (APR=2.47), 35-39(APR=2.06), high socioeconomic status (APR=2.02), those without child (APR=52.35) and those with one child (APR=35.60). Conclusion: The fertility desire is comparatively lesser than other areas. Those without or with a single child and high so- cio-economic status group had comparatively more fertility desire. Keywords: Fertility desire; eligible couples; India.


2017 ◽  
Vol 14 (2) ◽  
pp. 72
Author(s):  
Fery Lusviana Widiany

Background: Riskesdas 2013 data shows the prevalence of chronic kidney disease in Central Java and Yogyakarta 0.3%, which is higher than the average prevalence across Indonesia which is only 0.2%. The results of the author’s study previously showed that the intake of energy, protein, sodium hemodialysis patients on average are not sufficient, while the average fluid intake exceeds the dietary recommendation. There are several factors that can affect dietary compliance of the hemodialysis patients, such as knowledge, family support, attitudes, and behavior.Objective: To examine the factors that affect dietary compliance of the hemodialysis patients.Method: This is an observational study with cross-sectional design, conducted in the hemodialysis unit of Dr. Soeradji Tirtonegoro Hospital, Klaten on March - October 2016, involving 60 respondents. The dependent variable is dietary compliance, while the independent variables are knowledge, family support, attitudes, and behavior. Data were analyzed using univariate and bivariate with Chi-Square test.Results: Chi-Square test results of knowledge with dietary compliance showed the p-value = 0.027; family support with dietary compliance showed the p-value = 0.045; attitude with dietary compliance showed the p-value = 0.045; and behavior with dietary compliance showed the p-value = 0.002.Conclusion: Knowledge, family support, attitude, and behavior affect dietary compliance of the hemodialysis patients.


2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Difran Nobel Bistara ◽  
Nur Ainiyah

Diabetes mellitus (DM) is a degenerative disease that can be controlled with the four pillars of management. One of the pillars is compliance in the implementation of the diet "3J". This study aims to determine the relationship of knowledge with dietary compliance in patients with DM in Posyandu Lansia Cempaka, Tembok Dukuh, Bubutan, Surabaya. The study design is analytic correlation with approach cross sectional. Sample research is patients with DM in Posyandu Lansia Cempaka the active come Posyandu Lansia of as many as 33 patients. The independent variable is the knowledge of diet DM. The dependent variable is a dietary compliance in patients with DM. Analysis of data using correlation coefficient with somers test. The results showed that people with diabetes who have a good knowledge of most of the diet compliance in the diet is also good. The results of the analysis test Somers obtained pvalue of 0.000 means that there is a relationship between knowledge and dietary compliance in patients with DM, with level of closeness 0,154 (0,00 <| r | ≤ 0,20) with significance of closeness that is very low or very weak. Recommendations on these results in order to develop methods of collecting data through interviews and observations to gain a more realistic picture of the data. Also developed variables that affect the knowledge and compliance such as the characteristics of respondents and family support.


2018 ◽  
Vol 1 (2) ◽  
pp. 42-49
Author(s):  
Saad Ahmed Ali Jadoo ◽  
Ilker Dastan ◽  
Mustafa Ali Mustafa Al-Samarrai ◽  
Shukur Mahmood Yaseen ◽  
Perihan Torun

Background: Doctors and paramedics in countries suffering from long-acting conflicts, including Iraq, are working in severe and exceptional conditions, putting them under severe physical and psychological pressure, therefore examining burnout is important when dealing with the quality of care and working conditions. This study aimed to assess the point prevalence and to explore factors associated with emotional exhaustion (EE) among medical doctors in Iraq. Methods: Descriptive and a cross-sectional study was conducted (January to June 2014) among a randomly selected sample of medical doctors (n=576, 87.3% response rate) working in twenty large general hospitals and medical centers. In addition to EE, the self-administered questionnaire used was consisting of questions on sociodemographic, work-related characteristics, conflict-related variables, and job satisfaction. EE was measured using the emotional exhaustion subscale of the Maslach Burnout Inventory (MBI). Results: The prevalence of EE reported by 60.0% of the respondents. In multiple linear regression analysis, the emotional burnout was higher among doctors who were married, female, bearing children, being threatened, displaced internally, non-specialist doctors, working more than 40 hours per week, experienced unsafe medical practice, disagreed with the way manager handle the staff and those who reported that the doctor-patient relationship as not excellent.  Conclusion: Our findings suggest that job dissatisfaction, conflict, and violence-related factors were significantly associated with a high level of emotional exhaustion among Iraqi physicians.


2019 ◽  
Vol 7 (2) ◽  
pp. 91
Author(s):  
Rismia Agustina ◽  
Eka Setiawati ◽  
Ghina Pangestika ◽  
Nor Hayatunnisa Hayatunnisa ◽  
Rosina Apriani ◽  
...  

Introduction: Some of the main nursing problems that arise in patients with chronic kidney failure undergoing hemodialysis are problems with excess fluid volume.The aim of this study was to describe increased fluid intake in patients with chronic kidney disease undergoing hemodialysis at Ulin General Hospital of Banjarmasin.Methods: This was a descriptive cross sectional study. 80 respondents were taken using consecutive sampling. The instruments used in this study were questionnaire of demographic, knowledge, attitude, family support, involvement of health workers and Inter-Dialytic Weight Gain (IDWG) calculation sheets.Results: The results showed that the majority of respondents were women (53.8%), the education of respondents was high school (28.8%), the average age of respondents was 48.19 years old, most respondents had been undergoing hemodialysis for less than 12 months (57.5%), the frequency of hemodialysis was 2 times each week (93.8%), the level of knowledge was good (42.5%) and moderate (42.5%), the family support was good (86.3%), the attitude was positive (55%), the involvement of health workers was good (60%), and the majority of respondents had moderate IDWG criteria (47.5%).Conclusion: Almost half of patients with chronic kidney disease who were undergoing hemodialysis at Ulin General Hospital of Banjarmasin had moderate IDWG. Further study is needed to investigate related factors of excessive fluid intake in patients undergoing hemodialysis.


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