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Dietary knowledge-attitude-practice status in hemodialysis patients: a latent profile analysis.
Chen, Zhiqian; Xu, Na; Chen, Xinxin; Zhang, Xiaoyu; Yin, Shuqing; Xiao, Guanghui; Luo, Li; Liu, Qun; Su, Chunyan.
Afiliação
  • Chen Z; Department of Nursing, Peking University Third Hospital, Beijing, China.
  • Xu N; Department of Nephrology, Peking University Third Hospital Yanqing Hospital, Beijing, China.
  • Chen X; Department of Nursing, Peking University Third Hospital, Beijing, China.
  • Zhang X; Department of Nephrology, Peking University Third Hospital, Beijing, China.
  • Yin S; Department of Nursing, Peking University Third Hospital, Beijing, China.
  • Xiao G; Department of Nephrology, Peking University Third Hospital, Beijing, China.
  • Luo L; Department of Nephrology, Fengtai Hospital of Integrated Traditional Chinese and Western Medicine, Beijing, China.
  • Liu Q; Department of Nephrology, Beijing Haidian Hospital, Beijing, China.
  • Su C; Department of Nephrology, Peking University International Hospital, Beijing, China.
BMC Public Health ; 24(1): 836, 2024 Mar 18.
Article em En | MEDLINE | ID: mdl-38500120
ABSTRACT

BACKGROUND:

Hemodialysis patients require a reasonable dietary intake to manage their disease progression effectively. However, there is limited research on these patients' overall dietary knowledge, attitude, and practice (KAP) status. This study aimed to investigate the dietary KAP status and latent profiles in hemodialysis patients and identify sociodemographic and disease-related factors associated with these profiles and dietary practice.

METHODS:

A multicenter cross-sectional study involving 425 hemodialysis patients was conducted. A dietary KAP questionnaire in hemodialysis patients was used to evaluate the dietary KAP of the patients. A structural equation model was employed to analyze the correlations between dietary knowledge, attitude, and practice. Multiple linear regression analysis was used to identify factors associated with dietary practice scores. Latent profile analysis was conducted to determine the latent profiles of dietary KAP, and binary logistic regression was used to explore the sociodemographic and disease-related characteristics associated with each KAP profile in hemodialysis patients.

RESULTS:

The normalized average scores for dietary knowledge, attitude, and practice in hemodialysis patients were 0.58, 0.82, and 0.58, respectively. The structural equation model revealed significant positive correlations between dietary knowledge and attitude, and attitude and practice. Attitude played an indirect effect between knowledge and practice. Gender, cerebrovascular disease, and dietary attitude scores were identified as independent influencing factors for dietary practice scores. Two dietary KAP profiles were developed a profile with general knowledge and attitude but low practice (40.2%) and a profile with general knowledge and attitude and high practice (59.8%). Binary logistic regression analysis indicated gender and monthly income per household significantly predicted membership in each KAP profile.

CONCLUSIONS:

The dietary practice of hemodialysis patients requires improvement. It is necessary to develop more individualized dietary interventions for these patients. Further exploration is needed to understand the motivation of patients to change their dietary behavior.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Dieta Limite: Humans Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Dieta Limite: Humans Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China