title: Adherence to diet and fluid restriction of individuals on hemodialysis treatment and affecting factors in Turkey.
abstract: OBJECTIVE
  This study was conducted to determine adherence to diet and fluid restriction in hemodialysis-treated individuals and the affecting factors in Turkey.
  
  
  METHODS
  This descriptive study was conducted between 15 October 2010 and 15 January 2011 in subjects who voluntarily agreed to participate in the study from three dialysis centers in a city located in the Central Anatolia Region of Turkey. One hundred and twenty-one individuals treated with hemodialysis made up the study sample. The data were collected using a questionnaire consisting of 41 questions and the Dialysis Diet and Fluid Non-adherence Questionnaire. The data were evaluated with percentage, median, Mann-Whitney U-test, Kruskal-Wallis test, Student's t-test in independent samples and Spearman's rank correlation coefficient.
  
  
  RESULTS
  The authors found that 98.3% of the individuals experienced non-adherence to diet and 95.0% with fluid restriction. The authors found a weak and negative relationship between calcium levels and non-adherence to fluid restriction, a weak relationship between phosphorus levels and diet non-adherence frequency and degree and the fluid non-adherence frequency scores, and a moderate positive relationship between phosphorus levels and fluid restriction non-adherence degree scores (P < 0.05).
  
  
  CONCLUSIONS
  Based on these results, regular training and information regarding diet and fluid restriction must be provided to individuals aged 21-35 years with no one in the family to help with their care, those who consumed salted food, or had interdialytic weight gain of 4.5 kg or more.
authors.affiliation: Department of Medical Nursing, School of Health, Bozok University, Yozgat, Turkey.
authors.forename: Dilek
authors.initials: D
authors.lastname: Efe
authors.forename: Semra
authors.initials: S
authors.lastname: Kocaöz
mesh_terms: D000328:Adult; D000368:Aged; D004032:Diet; D004327:Drinking Behavior; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D006435:Renal Dialysis; D011795:Surveys and Questionnaires; D014421:Turkey; D055815:Young Adult
keywords: adherence; diet; fluid restriction; hemodialysis; nursing