Abstract: SA-PO033
Effect of an Audiovisual Educational Program on Nutritional Knowledge and Adherence to Dietary Treatment in CKD Patients Undergoing Hemodialysis
Session Information
- Educational Research
November 09, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Educational Research
- 800 Educational Research
Authors
- Atilano carsi, Ximena, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, Mexico
- Veles mariscal, Estefanía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, Mexico
- Velázquez garcía, Ricardo, Universidad Mexiquense del Bicentenario, Estado de Mexico, Mexico
- Arce santander, Celene V., Lapi Unidad de Hemodiálisis, Ciudad de México, Mexico
- Miranda, Paola V., Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, Mexico
- Espinosa-Cuevas, Angeles, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, Mexico
- Correa-Rotter, Ricardo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, Mexico
Background
Multiple complications of advanced chronic kidney disease require specialized treatment and nutritional education. In Mexico, there are no formal education programs in hemodialysis (HD) units that allow improvement in the patient’s self-care. The aim of this study was to assess the effect of an audiovisual nutritional education program on the nutriological knowledge and adherence to dietary treatment in patients of two different hemodialysis units
Methods
Three videos, with dietary phosphorus, potassium and sodium topics, were created and projected during the HD sessions of all shifts during 9 weeks. Nutritional knowledge was measured with a questionnaire and adherence to diet was evaluated with a 3-day food record, before and after the educational intervention. Level of knowledge was classified according to the percentage of correct answers, being bad with <60%, regular between 60 and 79.9% and good > 80%
Results
One hundred and thirty eight patients from both units were included. Average age was 38.9 ± 14.3 years. Nutritional knowledge changed significantly after the intervention: from 30.4% to 6.6% for the bad level, from 57.2% to 30.4% for the regular level, while the level of adequate knowledge increased from 12.4% to 63%. Increase of knowledge was greater in potassium topic followed by phosphorus. After the intervention, the percentage of correct answers for sodium, potassium and phosphorus knowledge were significantly higher; 75.5 ± 17 vs 87.6 ± 9.0 (p <0.001), 57.3 ± 20.4 vs 78.3 ± 12.8 (p <0.001) and 64.4 ± 18.3 vs 81.9 ± 15.7 (p <0.001) respectively. A significant correlation was found between educational level, dialysis vintage and nutritional knowledge; r = 0.41, p <0.05 and r = 0.43, p <0.05, respectively. Regardless of the increase in nutritional knowledge, no improvement in adherence to the dietary plan was found
Conclusion
The audiovisual educational program had a positive impact on the nutritional knowledge of the patients, however nutritional education alone did not improve adherence to diet