THE ASSOCIATION OF DIETARY BEHAVIORS WITH MENTAL HEALTH AND CLINICAL CLINICAL ASPECTSAMONG PATIENTS DURING HEMODIALYSIS AT AN-NAJAH NATIONAL UNIVERSITY HOSPITAL
No Thumbnail Available
Date
2025-02-25
Authors
Arman, Mimas
Journal Title
Journal ISSN
Volume Title
Publisher
An-Najah National University
Abstract
Background: Intradialytic hypotension (IDH) is a frequent consequence of (HD) that has been associated with elevated symptom burden, increased access failure, cardiovascular events, and increased mortality). Eating during dialysis (EDD) treatment has traditionally been associated with an increased risk of IHD, but new research suggests a shift in clinical practice, with more clinicians believing that intradialysis meals and supplements may be a way to increase caloric intake and improve nutritional status (NS) in HD patients The main objective is to study the association between eating practice and nutrition status (NS), clinical outcome (CO): IHD, adequate dialysis (AD) and mental health (MH) in adults with HD at An-Najah National University Hospital.
Methods: This study used an observational and cross-sectional design. Data collection started in July 2024 and finished in October 2024. The study included 155 adult hemodialysis patients from An-Najah University Hospital. Data were collected by face-to-face interviews, which included: first, socio-demographic data; second, medical history; third, dialysis-related information; fourth, nutritional status using ABCD, which includes body measurements, body mass index, biochemical tests, and clinical nutrition (MIS and dietary record for dialysis and non-dialysis days, which helps to know the number of food groups and food types, as well as the amount of energy and protein consumed during the day); fifth, dietary intake practices; and finally, mental health utilizing the GHQ-12 questionnaire.
The patient was observed for three sessions, including data collected on food intake (yes or no), symptom presence (yes or no), and minimum mean arterial pressure (MAP).
In addition, policies and recommendations for the specialist, staff, and hospital were recorded.
Results: The study included 155 HD patients, of whom 66.5% were male and 79.4% EDD. The face-to-face interviews data showed that there was no association between EDD and NS or MH status. The observational data showed there was no association between EDD and symptoms, or a decrease in blood pressure, and AD .
Conclusions: In conclusion, based on face-to-face interviews , there was no association between dialysis patients' eating habits and the NS or MH. Observational data additionally showed that there was no association between EDD with AD and symptoms or a decrease in blood pressure during the dialysis.