scholarly journals Assessment of Nutritional Status of Chronic Renal Failure Patients on Hemodialysis in Damanhour National Medical Institute in El-Beheira Governorate, Egypt

Author(s):  
Kholoud Adel Khalil ◽  
Shimaa M. Saied ◽  
Salwa Abd El-Mageed Atlam ◽  
Gamalat Mohamed Ali El-Saleet

Background: Nutritional problems are of the most important risk factors of increasing mortality rates in chronic renal failure patients on hemodialysis and morbidity occurring from malnutrition significantly severely affects their quality of life. Aim: To assess the nutritional status of chronic renal failure patients on hemodialysis (HD) attending HD unit in Damanhur National Medical Institute. Methods: A cross-sectional study was carried out in the hemodialysis unit on 174 patients. Data collection was done via a specially designed questionnaire containing; socio-demographic and clinical data, anthropometric measurements, biochemical measurements, 24-hour recall list and questions for assessment of nutritional knowledge. Malnutrition inflammation score (MIS) was used for assessment of the nutritional status. Results: 65.5% of the patients were mildly malnourished, 24.7% were moderately malnourished and only 9.8% were normal and the level of malnutrition was significantly affected by duration of renal disease and hemodialysis duration. 44.3 % of patients had poor nutritional knowledge level, and only 4% had good nutritional knowledge and the nutritional knowledge level had a significant association with level of malnutrition. 96% did not attend any nutritional health education sessions, but they were willing to attend these sessions. Conclusions: Malnutrition was highly prevalent among the studied patients. There was a statistically significant relationship between levels of malnutrition (MN) and the level of nutritional knowledge of hemodialysis patients.

2019 ◽  
Author(s):  
Mohammed Bukari ◽  
Muzamil Mohammed Abubakari ◽  
Mohammed Majeed ◽  
Abdul-Razak Abizari ◽  
Anthony Wemakor ◽  
...  

Abstract This study sought to assess maternal growth monitoring knowledge and its effect on stunting, wasting and underweight among children 0-18 months in the Tamale Metropolis. An analytical cross-sectional study design, involving 340 mother-child pairs randomly selected from 4 health facilities in the Tamale Metropolis, was used. A structured questionnaire was used to collect information on socio-demographic characteristics and maternal growth monitoring knowledge. Weight and length of children were taken to assess nutritional status (stunting, underweight and wasting). Chi-square/Fisher’s exact test was used to determine the association between maternal growth monitoring knowledge level and child nutritional status.This study sought to assess maternal growth monitoring knowledge and its effect on stunting, wasting and underweight among children 0-18 months in the Tamale Metropolis. An analytical cross-sectional study design, involving 340 mother-child pairs randomly selected from 4 health facilities in the Tamale Metropolis, was used. A structured questionnaire was used to collect information on socio-demographic characteristics and maternal growth monitoring knowledge. Weight and length of children were taken to assess nutritional status (stunting, underweight and wasting). Chi-square/Fisher’s exact test was used to determine the association between maternal growth monitoring knowledge level and child nutritional status.


Chronic Renal Failure (CRF) is a disease caused due to kidney damage or deterioration glomerulus filtrate rate (GFR/GFR/Glomerular Filtration Rate) <60 ml/min /1.73 m2 for ≥ 3 months. One of the complications that often appears in CRF is anemia or decrease of hemoglobin level in the blood that is related to the relationship intake of nutrients (protein, vitamin C, folic acid and iron). The purpose of this study was to determine the relationship Intake of nutrients (protein, vitamin C, folic acid and iron) on Hb levels of chronic renal failure patients undergoing hemodialysis in RSI Siti Khadijah Palembang. This type of research is an observational analytic with a cross-sectional study design. Population in this study were all outpatients with chronic renal failure undergoing hemodialysis in RSI Siti Khadijah Palembang with total research subjects were 50 subjects, taken using purposive sampling and analyzed using chi-square test. The result showed that there are 52% of patients with chronic renal failure are male more than female. The aged 50-64 years old is 44% and 30-49 years old are 32%. The percentage of outpatients who had an adequate intake of protein, vitamin C, folic acid and iron were 28%, 10%, 0%, and 18% respectively, meanwhile, most of the patients had low hemoglobin levels which were 94%. There was not a significant association between intake of nutrients (protein, vitamin C, folic acid and iron) on Hb levels of chronic renal failure patients undergoing hemodialysis in RSI Siti Khadijah Palembang. Based on these results, should be noted again nutrient intake (protein, vitamin C, folic acid and iron) outpatient before and after undergoing hemodialysis to support the optimal outcome of hemodialysis therapy.


Author(s):  
Elham Shahraki ◽  
Mansoor Shakiba ◽  
Seyedeh Yasaman Ghasemi-Aliabadi

Background: Chronic renal failure is a disabling condition with multiple complication such as depression and anxiety; they are common in hemodialysis patients and have negatively effect on quality of life. In this study we investigate the prevalence of depression and anxiety in Zahedan hemodialysis patients. Methods: A total 200 patients undergoing regular hemodialysis for more than six months included in this descriptive cross-sectional study. After consent The Hamilton Rating Scale for Depression and anxiety (HAM-D7) in a version translated into and adapted to Persian, were used. Results: The patients median age was (43.06 ± 16.11) years and 38.5% was male. Mild depression was observed in (15) 7.5%, moderate in (81) 40.5% and sever depression in (104) 52% of patients. In this study 19.5% (39) of patients has moderate anxiety and 80.5% (161) patients with sever anxiety. A significant correlation was found between duration of dialysis, older age and depression. But there wasn’t any relationship between age and duration of dialysis with anxiety. Anxiety and depression found without any significant differences in both males and females. Conclusion: We found high level of depression an anxiety in Zahedan hemodialysis patients.


2021 ◽  
Vol 6 (1) ◽  
pp. 23
Author(s):  
Zakia Umami ◽  
Andi Muh Asrul ◽  
Amalina Ratih Puspa

<p><strong>School-age children are a population who are at risk of health. According to the Riskesdas 2018, data for school-age children (5-12 years), the prevalence of underweight was 6,8%, obese 9,2%, and stunting was 16,9%. The purpose of this study was to analyze nutritional knowledge, nutritional status, and consumption patterns of students in SD Islam Al Azhar 1. The design of this study was a cross-sectional study conducted at Al Azhar 1 Islamic Elementary School, Jakarta from March to September 2019. Some students who were involved as respondents in this study were 55 people purposive sampling technique. The results showed that children with obesity were 43.3%, normal was 32.7%, overweight was 20%, and underweight was 3.6%. The number of children with good nutrition knowledge was 33 people (60%), adequate nutrition knowledge was 20 people (36,4%), and poor nutrition knowledge was 2 people (3,6%). Average vegetable consumption was 34.57 grams and is classified as less. While the average fruit consumption was 91.88 grams and is classified as adequate. Chi-Square test results showed no correlation between nutritional status with nutritional knowledge and no correlation between nutritional status with consumption of vegetable and fruit.</strong></p><p><strong><em>Keyword –</em></strong> <em>Child, Nutritional Knowledge, Consumption Pattern, </em><em>Nutritional status</em></p>


2018 ◽  
Vol 2 (2) ◽  
pp. 253
Author(s):  
Diyah Candra Anita

Introduction. Malnutrition is a common problem in patients with chronic renal failure (CRF) with Diabetes Mellitus and Non-Diabetes Mellitus. Assessments of nutritional status in CRF patients are required to measure some important parameters including serum albumin and hemoglobin. This study aimed to fi gure out the differences of nutritional status between CRF patients with diabetes mellitus and without diabetes mellitus in the inpatient unit of PKU Muhammadiyah Hospital Yogyakarta, by examining the levels of albumin and hemoglobin serum. Methods. This study applied cross sectional method of which measuring instruments were patients’ medical records of laboratory tests. This research used accidental sampling method involving 30 patients as samples. Result. The results of independent t-test showed that there was no signifi cant differences between the levels of albumin (p = 0.917) and hemoglobin (p = 0.168) between the group of non DM CRF patients and CRF patients with  M. Discussion. Therefore, further research should be performed by using a larger sample size as well as considering patients’ historical background of hemodialysis treatment.Keywords: Diabetes Mellitus (DM), Chronic Renal Failure (CRF), albumin, hemoglobin


Author(s):  
Jaiminkumar Naginbhai Parmar ◽  
Madhu Panjwani ◽  
Bhaveshbhai Rameshbhai Bariya

Introduction: Secondary hyperparathyroidism is a known and early complication of Chronic Renal Failure (CRF) patients. Renal hyperparathyroidism leads to a host of bone and cardiovascular problems that ultimately can cause fractures, decreased quality of life, and an increased risk of death. Aim: To determine the hospital-prevalence of secondary hyperparathyroidism in CRF patient and establish the correlation between Serum Parathyroid Hormone (PTH) level, Serum calcium and Serum phosphorus level. Materials and Methods: It was a cross-sectional study conducted on 50 patients with CRF at Government Hospital of Bhavnagar, Gujarat. Detailed medical history and blood investigations were done as a tool for data collection. The study variables were described by using statistical parameters like proportion, mean and standard deviation. Correlation coefficient was used for analysing relationship between Serum PTH, calcium and phosphorus. Results: Mean age of the patients was 42.57 (SD 15.19) years with almost equal representation of both genders. Hypertension was the most common aetiological morbidity (62%) among the study participants followed by diabetes (20%). The hospital prevalence of secondary hyperparathyroidism was 86% in Chronic Kidney Disease (CKD). Serum PTH negatively correlated with serum calcium and positively correlated with serum phosphorus with correlation coefficient value of -0.32 and 0.15, respectively. Conclusion: Parathyroid abnormalities and disorders of mineral metabolism are common among patients with CKD. Parathyroid abnormalities detected early may prevent future long term extra-renal complications.


2021 ◽  
Vol 3 (1) ◽  
pp. 361-370
Author(s):  
Huda Shaaban Hassan AHMED ◽  

Chronic Renal Failure(CRF) is the end-stage of chronic kidney disease. Optimism may play a very important role in helping patients adapt better to their life. This study aims to explore the role of optimism as a moderator variable of the relationship between social support and happiness in a sample of patients with(CRF) in Upper Egypt. Methods: This cross-sectional study, 188 participants (94 patients with CRF, and 94 healthy persons)completed questionnaires assessing optimism , social support, and happiness. Results: The demographic characteristics showed that the sample of patients with CRF(n=94) male(55.3%) females(44.7%) and the ages of the patients ranged between 20 and 76 year. There were positive correlation levels between optimism and happiness(r= .736, p<0.01). Social support correlated with happiness(r= −.393, p<0.01) and optimism scores(r=− .415, p=< 0.01). Optimism was found to be a partial mediator variable, the total effect of social support on happiness (Sobel=3.974, p=0.003). In addition to our results revealed differences that were statistically significant between patients with CRF and healthy persons in optimism(p value=0.001) and happiness(p value=0.05) towards healthy persons but without differences in social support between them. Optimism can act as a mediator variable in the relationship between social support and happiness in patients of CRF. Improving optimism may help in coping with a patient's burden and better happiness. Also, the study confirmed that healthy persons had higher optimism and happiness more than patients with CRF but without differences between them as regards social support.


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