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Original Article
Effects of Dietary Program based on Self-efficacy Theory on Dietary Adherence, Physical Indices and Quality of Life for Hemodialysis Patients
Kyung Soon Yun, Ja Yun Choi
Journal of Korean Academy of Nursing 2016;46(4):598-609.
DOI: https://doi.org/10.4040/jkan.2016.46.4.598
Published online: August 31, 2016

1Department of Nursing, Dongshin University, Naju, Korea.

2College of Nursing, Chonnam National University CRINS, Gwangju, Korea.

Address reprint requests to: Choi, Ja Yun. College of Nursing, Chonnam National University, 5 Hak-dong, Dong-gu, Gwangju 501-746, Korea. Tel: +82-62-530-4943, Fax: +82-62-225-3307, choijy@chonnam.ac.kr
• Received: January 18, 2016   • Revised: May 20, 2016   • Accepted: June 16, 2016

© 2016 Korean Society of Nursing Science

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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  • Purpose
    The purpose of this study was to examine effects of a dietary program based on self-efficacy theory on dietary adherence, physical status and quality of life (QoL) in hemodialysis patients.
  • Methods
    A non-equivalent control group pre-post test design was used. The intervention group received the dietary program for 8 weeks from August 4 to September 26, 2014. The control group received only usual care.
  • Results
    ANCOVA showed that dietary adherence (F=64.75, p<.001) was significantly different between the two groups. Serum albumin (F=12.13, p =.001), interdialytic weight gain (F=56.97, p<.001), calories (F=15.80, p<.001) as physical status indices were significantly different, but serum potassium (F=2.69, p=.106) and serum phosphorus (F=1.08, p=.303) showed no significant difference between the two groups. In terms of health-related QoL, the physical component scale (F=10.05, p=.002) and the mental component scale (F=16.66, p<.001) were significantly different between the two groups. In addition, in terms of diet related QoL, diet level (F=35.33, p<.001) and satisfaction level (F=15.57, p<.001) were significantly different between the two groups, but dietary impact level (F=1.23, p =.271) was not significantly different.
  • Conclusion
    Findings show that the dietary program based on self-efficacy theory is an effective nursing intervention program to improve adherence to diet, and to maintain physical status and QoL for hemodialysis patients.
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Table 1

The Dietary Self–efficacy Promotion Program

jkan-46-598-i001.jpg
Table 2

Homogeneity Test of General and Health–related Characteristics, Research Variables (N=62)

jkan-46-598-i002.jpg

*Fisher exact test; Exp.=Experimental group; Cont.=Control group; QoL=Quality of Life; PCS=Physical Component Scales; MCS=Mental Component Scales.

Table 3

Comparisons of Dietary Adherence (N=62)

jkan-46-598-i003.jpg

*ANCOVA with pretest value as covariate; Exp.=Experimental group; Cont.=Control group.

Table 4

Comparisons of Physical Status between Two Groups (N=62)

jkan-46-598-i004.jpg

*ANCOVA with pretest value as covariate; Exp.=Experimental group; Cont.=Control group.

Table 5

Comparisons of Quality of Life between Two Groups (N=62)

jkan-46-598-i005.jpg

*ANCOVA with pretest value as covariate; Exp.=Experimental group; Cont.=Control group; QoL=Quality of life; PCS=Physical Component Scales; MCS=Mental Component Scales.

Figure & Data

REFERENCES

    Citations

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      Effects of Dietary Program based on Self-efficacy Theory on Dietary Adherence, Physical Indices and Quality of Life for Hemodialysis Patients
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    Effects of Dietary Program based on Self-efficacy Theory on Dietary Adherence, Physical Indices and Quality of Life for Hemodialysis Patients
    Effects of Dietary Program based on Self-efficacy Theory on Dietary Adherence, Physical Indices and Quality of Life for Hemodialysis Patients

    The Dietary Self–efficacy Promotion Program

    Homogeneity Test of General and Health–related Characteristics, Research Variables (N=62)

    *Fisher exact test; Exp.=Experimental group; Cont.=Control group; QoL=Quality of Life; PCS=Physical Component Scales; MCS=Mental Component Scales.

    Comparisons of Dietary Adherence (N=62)

    *ANCOVA with pretest value as covariate; Exp.=Experimental group; Cont.=Control group.

    Comparisons of Physical Status between Two Groups (N=62)

    *ANCOVA with pretest value as covariate; Exp.=Experimental group; Cont.=Control group.

    Comparisons of Quality of Life between Two Groups (N=62)

    *ANCOVA with pretest value as covariate; Exp.=Experimental group; Cont.=Control group; QoL=Quality of life; PCS=Physical Component Scales; MCS=Mental Component Scales.

    Table 1 The Dietary Self–efficacy Promotion Program

    Table 2 Homogeneity Test of General and Health–related Characteristics, Research Variables (N=62)

    *Fisher exact test; Exp.=Experimental group; Cont.=Control group; QoL=Quality of Life; PCS=Physical Component Scales; MCS=Mental Component Scales.

    Table 3 Comparisons of Dietary Adherence (N=62)

    *ANCOVA with pretest value as covariate; Exp.=Experimental group; Cont.=Control group.

    Table 4 Comparisons of Physical Status between Two Groups (N=62)

    *ANCOVA with pretest value as covariate; Exp.=Experimental group; Cont.=Control group.

    Table 5 Comparisons of Quality of Life between Two Groups (N=62)

    *ANCOVA with pretest value as covariate; Exp.=Experimental group; Cont.=Control group; QoL=Quality of life; PCS=Physical Component Scales; MCS=Mental Component Scales.


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