Effects of a Hemodialysis Diet Education Program on Hemodialysis Patients


The burden of chronic disease on health care services worldwide is growing and the increased development of educational interventions which help patients to better manage their conditions is evident internationally. It has been recognized that poor adherence to treatments and guidelines can be a serious risk to the health and wellbeing of patients. Adherence to fluid restrictions, dietary and medication guidelines as well as attendance at prescribed hemodialysis sessions are essential for adequate management of chronic kidney disease. The aim of this study was to identify the effects of a repeated hemodialysis diet education program on the diet of hemodialysis patients. This eight-week quasi-experimental design study involved adult patients who were undergoing chronic hemodialysis treatment for at least three months at the Nephrology Unit of Permata Bekasi Hospital. Adolescent participants were registered in each group, so that a total of 20 participants were registered. The experimental group received diet education four times. Data were analyzed by t-test. There was a statistically significant difference between the groups in dietary knowledge at the time of assessment, and there was also a difference in the mean intradialysis weight gain in the intervention and control groups. Repeated health education had an effect on the fluid diet of hemodialysis patients with a p-value < 0.05. Due to the resulting improvement in dietary knowledge and self-care adherence, the repeated education program implemented in this study could be used to prevent complications in patients undergoing hemodialysis.

Keywords: hemodialysis, diet, knowledge, compliance

[1] USRDS. 2017 Annual data report. 2017. Available from: https://adr.usrds.org

[2] Indonesia Renal Registry. 11th report of Indonesia renal registry. 2018. Available from: https://www.indonesianrenalregistry.org/data/IRR 2018.pdf

[3] Sangsuk K. Effects of a repeated hemodialysis diet education program for older adults.

[4] Fauzi A, Triaswati R. The effect of intradialytic stretching training on restless legs syndrome and sleep quality in hemodialysis patients. Korean Journal of Adult Nursing. 2021;33:37–43.

[5] Ford JC, Pope JF, Hunt AE, et al. The effect of diet education on the laboratory values and knowledge of hemodialysis patients with hyperphosphatemiaJournal of Renal Nutrition. 2004;14:36–44.

[6] Kim Y-J, Yoo Y-S. Effects of individualized education on knowledge, compliance, and physiologic parameters in hemodialysis patients. Korean Journal of Adult Nursing. 2006;18:367–376.

[7] Umayah E. The relationship between education level, knowledge and family support with compliance with fluid intake restrictions in chronic kidney failure patients undergoing outpatient hemodialysis at Sukoharjo Hospital.

[8] Suk YM, Park JW, Jeon MJ, et al. Effect of periodic video education on knowledge about hemodialysis, patient role behavior and the physiologic index in patients with hemodialysis. Journal of Korean Biological Nursing Science. 2013;15:122–132.

[9] Yeun Y-R. Systematic review of research on adherence among hemodialysis patients in Korea. Journal of the Korea Academia-Industrial cooperation Society. 2012;13:5993–6000.