INFLUENCE OF LOW-SODIUM DIET MANAGEMENT ON THIRST RESPONSE IN END STAGE RENAL DISEASE PATIENTS WITH HEMODIALYSIS

Lisbet Gurning, Jenny Marlindawani Purba, Cholina Trisa Siregar


DOI: https://doi.org/10.33546/bnj.319

Abstract


Background: Patients with hemodialysis often have difficulty in controlling their fluid intake although the obedience to follow fluid and dietary restriction is the key of hemodialysis success management.

Objective: The aim of this study was to examine the effect of low-sodium diet management on thirst response in end stage renal disease patients with hemodialysis.

Methods:  This was a quasi-experimental study with pre-posttest with control group design. Using consecutive sampling 88 respondents were selected, which 44 assigned in each group. Thirst distress scale and visual analog scale questionnaire were used for data collection. Wilcoxon and Mann Whitney test were used for statistical analysis.

Results: Of the total of respondents, thirty-seven respondents experienced a decrease in thirst distress scale with p= 0.000 (p <0.05); and 30 respondents experienced a decrease in visual analog scale with p=0.000 after given low sodium diet management. There was difference of thirst distress scale score (p=0.008) and visual analog scale of thirst score (p=0.048) between intervention and control group. The importance of continuous of diet education with counseling and home visit can increase self-management behaviors.

Conclusion. Low sodium diet management could reduce the thirst response in end stage renal disease patients with hemodialysis.


Keywords


hemodialysis; low sodium diet; thirst

Full Text:

PDF

References


Al-yassiri, A. M. H. (2014). Prevalence of xerostomia in patients with chronic hemodialysis in Babil City. Karbala Journal of Medicine, 7(1), 1822-1828.

Bossola, M., & Tazza, L. (2012). Xerostomia in patients on chronic hemodialysis. Nature Reviews Nephrology, 8(3), 176.

Bruzda-Zwiech, A., Szczepańska, J., & Zwiech, R. (2014). Sodium gradient, xerostomia, thirst and inter-dialytic excessive weight gain: A possible relationship with hyposalivation in patients on maintenance hemodialysis. International Urology and Nephrology, 46(7), 1411-1417.

Chironda, G., & Bhengu, B. (2016). Contributing Factors to non-adherence among Chronic Kidney Disease (CKD) Patients: A systematic review of literature. Medical & Clinical Reviews, 2(4).

Cleemput, I., & De Laet, C. (2013). Analysis of the costs of dialysis and the effects of an incentive mechanism for low-cost dialysis modalities. Health Policy, 110(2), 172-179.

Dorgalaleh, A., Mahmudi, M., Tabibian, S., Khatib, Z. K., Tamaddon, G. H., Moghaddam, E. S., . . . Moradi, E. (2013). Anemia and thrombocytopenia in acute and chronic renal failure. International Journal of Hematology-Oncology and Stem Cell Research, 7(4), 34.

Ebrahimi, H., Sadeghi, M., Amanpour, F., & Dadgari, A. (2016). Influence of nutritional education on hemodialysis patients' knowledge and quality of life. Saudi Journal of Kidney Diseases and Transplantation, 27(2), 250.

IRR. (2014). Report of Indonesian renal registry. Jakarta: Perkumpulan Nefrologi Indonesia (Pernefri).

Kara, B. (2013). Validity and reliability of the Turkish version of the thirst distress scale in patients on hemodialysis. Asian Nursing Research, 7(4), 212-218.

Leshem, M. (2015). Does salt increase thirst? Appetite, 85, 70-75.

Li, H., Jiang, Y.-f., & Lin, C.-C. (2014). Factors associated with self-management by people undergoing hemodialysis: A descriptive study. International Journal of Nursing Studies, 51(2), 208-216.

Mc Causland, F. R., Waikar, S. S., & Brunelli, S. M. (2012). The relevance of dietary sodium in hemodialysis. Nephrology Dialysis Transplan-tation, 28(4), 797-802.

McMahon, E. J., Bauer, J. D., Hawley, C. M., Isbel, N. M., Stowasser, M., Johnson, D. W., . . . Campbell, K. L. (2012). The effect of lowering salt intake on ambulatory blood pressure to reduce cardiovascular risk in chronic kidney disease (LowSALT CKD study): Protocol of a randomized trial. BMC Nephrology, 13(1), 137.

Nerbass, F. B., Morais, J. G., Santos, R. G. d., Kruger, T. S., Sczip, A. C., & Luz Filho, H. A. d. (2013). Factors associated to salt intake in chronic hemodialysis patients. Jornal Brasileiro de Nefrologia, 35(2), 87-92.

Sacrias, G. G., Rathinasamy, E. L., Elavally, S., & Arjunan, P. (2016). Effect of nursing interventions on thirst and interdialytic weight gain of patients with chronic kidney disease subjected to hemodialysis. Brunei Darussalam Journal of Health, 6(1), 13-19.

Stachenfeld, N. S. (2008). Acute effects of sodium ingestion on thirst and cardiovascular function. Current Sports Medicine Reports, 7(4 Suppl), S7.

Welch, J. L., & Molzahn, A. E. (2002). Development of the thirst distress scale/commentary and response. Nephrology Nursing Journal, 29(4), 337.

Wetmore, J. B., & Collins, A. J. (2016). Global challenges posed by the growth of end-stage renal disease. Renal Replacement Therapy, 2(1), 15.

Yusop, N. B. M., Mun, C. Y., Shariff, Z. M., & Huat, C. B. (2013). Factors associated with quality of life among hemodialysis patients in Malaysia. PLoS ONE, 8(12), e84152.

Zehm, A., Mullin, J., & Zhang, H. (2016). Thirst in palliative care. Journal of Palliative Medicine, 19(9), 1009-1010.


Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 Lisbet Gurning, Jenny Marlindawani Purba, Cholina Trisa Siregar

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.