The effectiveness of dietary education intervention on the nutritional control of patients with chronic kidney disease

Article type
Authors
Tsai W1, Chang P1, Sung W1, Yang L1, Lee S
1Taipei Municipal Guandu Hospital, Taipei, Taiwan
Abstract
Background:
Diet control is vital for chronic kidney disease (CKD) patients, impacting disease progression and healthcare costs. Given the complexity of diet control in CKD patients, exploring effective interventions is essential.

Objectives:
This study aims to assess the impact of dietary intervention on the nutritional status of CKD patients, evaluating key indicators such as serum albumin, hemoglobin, calcium, phosphate, BUN, and creatinine.

Methods:
The literature review employed the EBM PICO method, addressing the question, "Can dietary intervention improve CKD patients' nutritional status?" Keywords included patient-related terms, intervention terms, and outcome terms. Databases like PubMed, Cochrane, Medline, ProQuest, and Airiti Library were searched using Boolean logic. Inclusion criteria involved human subjects, RCTs, and Systematic Reviews published in Chinese or English between 2017 and the present.

Results:
After screening, three systematic reviews and three RCTs were included. Systematic reviews, appraised for quality, indicated positive outcomes for dietary interventions. RCTs showed significant increases in nutritional status, hemoglobin, and albumin, supporting the positive impact of dietary intervention.

Conclusions:
Based on six studies, dietary intervention significantly improved nutritional status, blood pressure, and dialysis compliance in CKD patients. Various methods, such as individualized consultation with telephone tracking or text message reminders, were effective. Recommendations include a cross-team approach, group health education, and incorporating theoretical models for effective dietary measures. Continuous tracking and guidance are essential for successful diet control in CKD patients, emphasizing a one-to-one approach with regular telephone tracking and online platforms for maintaining healthy eating habits.

Recommendations:
The study suggests implementing individualized dietary consultations with telephone tracking and methods like text message reminders. Additionally, a cross-team approach, group health education, and introducing theories like empowerment and cognitive therapy are recommended. Continuous tracking and guidance are emphasized, advocating for a one-to-one approach and regular telephone tracking to ensure effective dietary intervention for kidney patients.