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dc.creatorPafili Z., Maridaki M., Giannaki C., Karatzaferi C., Liakopoulos V., Eleftheriadis T., Stefanidis I., Sakkas G.en
dc.date.accessioned2023-01-31T09:41:19Z
dc.date.available2023-01-31T09:41:19Z
dc.date.issued2019
dc.identifier10.1016/j.clnesp.2019.03.005
dc.identifier.issn24054577
dc.identifier.urihttp://hdl.handle.net/11615/77425
dc.description.abstractBackground-aims: Phosphorus nutritional knowledge level of hemodialysis patients and renal nurses has been found to be low, while respective knowledge of nephrologists has not been studied yet. There are equivocal results regarding the association of phosphorus nutritional knowledge level and serum phosphorus values. The aim of this study was to assess phosphorus nutritional knowledge of hemodialysis patients, nephrologists and renal nurses and seek potential interventions to improve patients’ adherence to phosphorus and overall nutritional guidelines. Methods: This cross-sectional observational study was conducted on sixty eight hemodialysis patients, 19 renal nurses and 11 nephrologists who were recruited from 3 hemodialysis units in Greece. Phosphorus nutritional knowledge of the participants was assessed by a 25-item item questionnaire (CKDKAT–N) which included 15 questions on phosphorus and 10 questions on protein, sodium, and potassium knowledge. Results: Nephrologists had higher CKDKAT–N total (19.1 ± 3.6 vs 14.1 ± 2.8 and 13.2 ± 2.8, P < 0.01) and phosphorus knowledge scores (10.6 ± 2.7 vs 7.6 ± 2.2 and 7.3 ± 2.0, P < 0.01) compared to renal nurses and patients respectively. There were no differences in total and phosphorus knowledge scores between nurses and patients. Patients and nurses answered correctly significantly less questions regarding phosphorus compared with the rest of the questions (P < 0.01) while no such difference was found in nephrologists. Serum phosphorus was positively correlated with phosphorus knowledge score (r = 0.31, P = 0.02), and negatively correlated with patient age (r = −0.34, P < 0.05). None of the patients, 11% of the nurses and 27% of the nephrologists answered correctly all three questions regarding P, K and Na dietary recommendations (P < 0.01). Conclusions: The study confirms that hemodialysis patients have low renal nutrition knowledge while higher nutritional phosphorus knowledge does not lead to lower serum phosphorus values. Alarmingly, renal nurses have been found to have a similar level of knowledge with hemodialysis patients, something that needs to be taken into account when training the new dialysis staff. Nephrologists have superior knowledge; however they are still lacking essential nutritional knowledge that could affect patients' and nurses’ overall understanding. Continuing education on nutrition of nephrologists and renal nurses could improve nutrition care of hemodialysis patients. © 2019 European Society for Clinical Nutrition and Metabolismen
dc.language.isoenen
dc.sourceClinical Nutrition ESPENen
dc.source.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85063678205&doi=10.1016%2fj.clnesp.2019.03.005&partnerID=40&md5=8c65e038b085b85c737e398cb400dba1
dc.subjectalbuminen
dc.subjectcalciumen
dc.subjectphosphorusen
dc.subjectpotassiumen
dc.subjectproteinen
dc.subjectsodiumen
dc.subjectphosphorusen
dc.subjectpotassiumen
dc.subjectsodiumen
dc.subjectadulten
dc.subjectArticleen
dc.subjectclinical assessmenten
dc.subjectcorrelational studyen
dc.subjectcross-sectional studyen
dc.subjectdialysisen
dc.subjectfemaleen
dc.subjecthealth care personnelen
dc.subjecthemodialysis patienten
dc.subjecthumanen
dc.subjectmajor clinical studyen
dc.subjectmaleen
dc.subjectmiddle ageden
dc.subjectmulticenter studyen
dc.subjectnephrologisten
dc.subjectnurseen
dc.subjectnutritional assessmenten
dc.subjectnutritional statusen
dc.subjectobservational studyen
dc.subjectphosphate blood levelen
dc.subjectquestionnaireen
dc.subjectadolescenten
dc.subjectageden
dc.subjectanalysis of varianceen
dc.subjectattitude to healthen
dc.subjectclinical trialen
dc.subjectdieten
dc.subjectGreeceen
dc.subjecthemodialysisen
dc.subjectknowledgeen
dc.subjectpatient complianceen
dc.subjectyoung adulten
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAnalysis of Varianceen
dc.subjectCross-Sectional Studiesen
dc.subjectDieten
dc.subjectFemaleen
dc.subjectGreeceen
dc.subjectHealth Knowledge, Attitudes, Practiceen
dc.subjectHealth Personnelen
dc.subjectHumansen
dc.subjectKnowledgeen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectNursesen
dc.subjectNutritional Statusen
dc.subjectPatient Complianceen
dc.subjectPhosphorusen
dc.subjectPotassiumen
dc.subjectRenal Dialysisen
dc.subjectSodiumen
dc.subjectSurveys and Questionnairesen
dc.subjectYoung Adulten
dc.subjectElsevier Ltden
dc.titlePhosphorus nutritional knowledge among dialysis health care providers and patients: A multicenter observational studyen
dc.typejournalArticleen


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