KMID : 0381020130460020137
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Korean Journal of Nutrition 2013 Volume.46 No. 2 p.137 ~ p.146
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Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis
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Lee Jin-Ju
Kim Ji-Myung Kim Yu-Ri
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Abstract
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The purpose of this study was to evaluate diet-related Quality of Life (QOL) and to analyze the relationship among diet-related QOL, dietary regimen practice, health-related QOL, and gastrointestinal symptoms in hemodialysis patients. Subjects were recruited from an artificial kidney center in Seoul. The self-report questionnaire consisted of socio-demographic characteristics, diet-related QOL, compliance with dietary regimen practice, health-related QOL, and gastrointestinal symptoms was distributed. Diet-related QOL includes a ¡¯Quality of Life and Related to Dietary Change Questionnaire¡¯, ¡¯Satisfaction Survey¡¯, and ¡¯Dietary Impact Survey¡¯. According to their responses, participants had experienced the greatest difficulty with ¡¯Dietary Impact¡¯. In particular, the mean score for general health was low. Association of dietary regimen practice showed a positive association with ¡¯Cost¡¯ and ¡¯Self-care¡¯ score. In addition, diet-related QOL showed positive correlation with health-related QOL, particularly in ¡¯taste¡¯. Scores for ¡¯Taste¡¯, ¡¯Convenience¡¯, and ¡¯Dietary Impact¡¯ were lower for subjects with constipation compared to those of subjects without constipation. Scores for ¡¯Taste¡¯ and ¡¯Dietary Impact¡¯ were lower in subjects with irritable bowel syndrome compared to those of subjects without the syndrome (p < 0.05). Diet-related QOL showed a positive association with health-related QOL (p < 0.05), whereas it showed a negative association with constipation (p < 0.01). In conclusion, hemodialysis patients in Korea suffer from burden of dietary regimen practice and most scores for diet-related QOL and health-related QOL from patients with gastrointestinal symptoms were low. Therefore, appropriate nutrition education considering gastrointestinal symptoms is necessary for improvement of patients¡¯ QOL during dietary regimen practice.
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KEYWORD
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diet-related QOL, hemodialysis, diet regimen practice, health-related QOL, gastrointestinal symptoms
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