Anorexia Experience, Management Strategies, and Functional Status in Chronic Kidney Disease Patients Undergoing Hemodialysis
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Abstract
Purpose: To investigate the anorexia experience, managementstrategies, and functional status in chronic kidney disease patientsundergoing hemodialysis as well as determine the relationshipbetween anorexia experience and functional status.
Design: Descriptive correlational study.
Methods: The sample included 88 chronic kidney disease patientsundergoing hemodialysis at the hemodialysis unit, the KidneyFoundation of Thailand, Priest Hospital. Data were collected byquestionnaires on demographic characteristics, the Council onNutrition Appetite Questionnaire, anorexia management strategies,and the Thai-Modified Function Living Index. Pearsons’ productmoment correlation coefficient was used to analyze the relationshipbetween anorexia experience and functional status.
Main findings: Anorexia experience of the sample was at amoderate level (X = 20, SD = 5.38, with a range from 8-40). Themost frequently used anorexia management strategy was avoidanceof smoking, and it was an effective means to relieve anorexia andthat most of the subjects learned to manage their anorexia bythemselves. In addition, the subjects’ mean score of the overallfunctional status was at a moderate level (X = 41.90, SD = 9.37, witha range from 0-66), and the results showed that the anorexiaexperience was negatively correlated with functional status (r =- .23, p = .01).
Conclusion and recommendations: Nurses should pay attentionto the anorexia experience in chronic kidney disease patientsundergoing hemodialysis and appropriately manage the symptomto promote patient’s functional status.
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