Effect of Nutritional Guidance on Parents' Awareness and Nutritional Status of Children Undergoing Hemodialysis

M. Fayed, Neanaa; T. Elbahnasawy, Hanan; A. Seliem, Lobna; A. Abd Elrazek, Fatma

doi:10.21608/ejhc.2021.256664

Effect of Nutritional Guidance on Parents' Awareness and Nutritional Status of Children Undergoing Hemodialysis

Document Type : Original Article

Authors

¹ Assistant professor, Pediatric Nursing, Faculty of Nursing, Menoufia University.

² Professor, Pediatric Nursing, Faculty of Nursing, Menoufia University

³ BSC. of Nursing Sciences3 Faculty of Nursing - Menoufia University

10.21608/ejhc.2021.256664

Abstract

Background: Chronic kidney disease is a progressive deterioration of kidney
functions which associated with metabolism, fluids and electrolytes disturbances. In
addition, impairment of growth and development. Purpose: it was to examine the effect of
nutritional guidance on parents’ awareness and nutritional status of children undergoing
hemodialysis. A Quasi-experimental design was utilized. Setting: Pediatric Hemodialysis
Unit, EL-Menoufia University Hospital in Shebein El-kom city. Sample: purposive
sample of 30 children and their parents were included in the study. Instruments for data
collection:three instruments were used, instrument one; A structured interview
questionnaire developed by the investigators to collect data regarding the study consists of
2 parts: 1st part: socio demographic data of children, 2nd part: Parents' knowledge toward
chronic kidney disease; instrument two was anthropometric measures and 24 hours dietary
recall; instrument three was a structured interview questionnaire to assess parents
awareness about nutritional requirements of their children. The results of this study
showed that, more than half of children were under weight, around two thirds of children
achieved normal weight on follow up test. The study concluded that implementation of
nutritional guidance improved parents’ awareness about adequate nutrition for their
children and improved nutritional status of children undergoing hemodialysis on post and
follow up tests than on pretest. Therefore, it was recommended that regular nutritional
assessment of children should be maintained throughout their hemodialysis period and
nurses should provide nutritional education for their mothers.

Keywords