Teaching self-management skills to cystic fibrosis patients and its effect on their caloric intake.
This study was undertaken to examine whether cystic fibrosis patients who received nutrition counseling based on self-management skills had an increased caloric intake and enhanced body mass index (kg/m2) values. Thirty-seven patients, aged 4 to 29 years, were placed on a nonrestricted nutrition program for a study period of 4 years. Bandura's self-management principles were applied in counseling patients to meet their nutrition needs. The results showed significant increases in energy intake and body mass index values (p less than .001). The mean energy intake increased from 93.6 +/- 16.9% of the Recommended Dietary Allowance to 125.8 +/- 24.1% of the RDA, and mean body mass index value increased from 16.9 +/- 2.3 to 18.8 +/- 2.5. Pulmonary functions remained unchanged during the counseling period. Four to six counseling sessions were required before the mean caloric intake of the patients increased to the desired goal of 115% of the RDA. During the remainder of the study period, the mean caloric intake rose to 125% of the RDA. The results of this study suggest that cystic fibrosis patients are able to increase their caloric intake significantly with counseling.
Luder
E
E
Pediatric Pulmonary Center, Mount Sinai School of Medicine, New York 10029.
Gilbride
J A
JA
D000293:Adolescent; D000328:Adult; D001824:Body Constitution; D002648:Child; D002675:Child, Preschool; D003376:Counseling; D003550:Cystic Fibrosis / Q000503:physiopathology / Q000628:therapy; D004032:Diet; D002149:Energy Intake; D005260:Female; D006801:Humans; D008168:Lung / Q000503:physiopathology; D008297:Male; D008991:Monitoring, Physiologic; D009747:Nutritional Physiological Phenomena; D010353:Patient Education as Topic; D012648:Self Care