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Experiences of New Zealand Haemodialysis Patients in Relation to Food and Nutrition Management: A Qualitative Study

People receiving haemodialysis have considerable and complex dietary and healthcare needs, including co-morbidities. A recent New Zealand study has shown that few patients on haemodialysis are able to meet nutritional requirements for haemodialysis. This study aims to describe the perspectives and e...

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Autores principales: McLean, Rachael M., Xie, Zhengxiu, Nelson, Vicky, Nosa, Vili, Thein, Hla, Po’e-Tofaeono, Audrey, Walker, Robert, Wyeth, Emma H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308339/
https://www.ncbi.nlm.nih.gov/pubmed/34371809
http://dx.doi.org/10.3390/nu13072299
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author McLean, Rachael M.
Xie, Zhengxiu
Nelson, Vicky
Nosa, Vili
Thein, Hla
Po’e-Tofaeono, Audrey
Walker, Robert
Wyeth, Emma H.
author_facet McLean, Rachael M.
Xie, Zhengxiu
Nelson, Vicky
Nosa, Vili
Thein, Hla
Po’e-Tofaeono, Audrey
Walker, Robert
Wyeth, Emma H.
author_sort McLean, Rachael M.
collection PubMed
description People receiving haemodialysis have considerable and complex dietary and healthcare needs, including co-morbidities. A recent New Zealand study has shown that few patients on haemodialysis are able to meet nutritional requirements for haemodialysis. This study aims to describe the perspectives and experiences of dietary management among patients on haemodialysis in New Zealand. This exploratory qualitative study used in-depth semi-structured interviews. Purposive sampling was used to recruit participants from different ethnic groups. Forty interviews were conducted, audio-recorded and transcribed verbatim. An inductive approach was taken using thematic analysis. Forty participants were interviewed. Participants spoke of major disruption to their lives as a result of their chronic kidney disease and being on haemodialysis, including loss of employment, financial challenges, loss of independence, social isolation and increased reliance on extended family. Most had received adequate dietary information, although some felt that more culturally appropriate support would have enabled a healthier diet. These findings show that further support to make the recommended dietary changes while on haemodialysis should focus on socio-cultural factors, in addition to the information already provided.
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spelling pubmed-83083392021-07-25 Experiences of New Zealand Haemodialysis Patients in Relation to Food and Nutrition Management: A Qualitative Study McLean, Rachael M. Xie, Zhengxiu Nelson, Vicky Nosa, Vili Thein, Hla Po’e-Tofaeono, Audrey Walker, Robert Wyeth, Emma H. Nutrients Article People receiving haemodialysis have considerable and complex dietary and healthcare needs, including co-morbidities. A recent New Zealand study has shown that few patients on haemodialysis are able to meet nutritional requirements for haemodialysis. This study aims to describe the perspectives and experiences of dietary management among patients on haemodialysis in New Zealand. This exploratory qualitative study used in-depth semi-structured interviews. Purposive sampling was used to recruit participants from different ethnic groups. Forty interviews were conducted, audio-recorded and transcribed verbatim. An inductive approach was taken using thematic analysis. Forty participants were interviewed. Participants spoke of major disruption to their lives as a result of their chronic kidney disease and being on haemodialysis, including loss of employment, financial challenges, loss of independence, social isolation and increased reliance on extended family. Most had received adequate dietary information, although some felt that more culturally appropriate support would have enabled a healthier diet. These findings show that further support to make the recommended dietary changes while on haemodialysis should focus on socio-cultural factors, in addition to the information already provided. MDPI 2021-07-03 /pmc/articles/PMC8308339/ /pubmed/34371809 http://dx.doi.org/10.3390/nu13072299 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
McLean, Rachael M.
Xie, Zhengxiu
Nelson, Vicky
Nosa, Vili
Thein, Hla
Po’e-Tofaeono, Audrey
Walker, Robert
Wyeth, Emma H.
Experiences of New Zealand Haemodialysis Patients in Relation to Food and Nutrition Management: A Qualitative Study
title Experiences of New Zealand Haemodialysis Patients in Relation to Food and Nutrition Management: A Qualitative Study
title_full Experiences of New Zealand Haemodialysis Patients in Relation to Food and Nutrition Management: A Qualitative Study
title_fullStr Experiences of New Zealand Haemodialysis Patients in Relation to Food and Nutrition Management: A Qualitative Study
title_full_unstemmed Experiences of New Zealand Haemodialysis Patients in Relation to Food and Nutrition Management: A Qualitative Study
title_short Experiences of New Zealand Haemodialysis Patients in Relation to Food and Nutrition Management: A Qualitative Study
title_sort experiences of new zealand haemodialysis patients in relation to food and nutrition management: a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308339/
https://www.ncbi.nlm.nih.gov/pubmed/34371809
http://dx.doi.org/10.3390/nu13072299
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