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EFFECT OF HYDRATION ON METABOLIC AND PSYCHOLOGICAL OUTCOMES IN HEMODIALYSIS PATIENTS
*Esra Köseler Beyaz, Perim Fatma Türker, Mendane Saka and Gül Kızıltan
Introduction: Chronic kidney failure is one of the chronic diseases for which medical nutrition therapy is very important. Objectives: This study aims to analyze the relationship between hydration status and metabolic and psychosocial factors in hemodialysis patients. Methods: The study was planned with 282 patients on hemodialysis. Biochemical and anthropometric parameters were analyzed. A form was formed regarding socio-demographic characteristics like age, gender, anthropometric measurements, diet, and source of information about fluid restriction and dietary advice. IBM SPSS 22.0 version (IBM Corp., Armonk, NY, USA) software program for Windows was used to analyze statistically the data obtained from the research. Results: The degree and frequency of non-adherence are correlated negatively with age and interdialytic weight gain; the degree and frequency of fluid non-adherence are correlated positively with the right hand grip and diet fluid consumption, the frequency of diet and fluids non-adherence are correlated positively with the duration of hemodialysis and the degree of diet non-adherence are correlated negatively with The Center for Epidemiologic Studies Depression Scale score (p<0.05). The degree and frequency of non-adherence are correlated positively with creatinine; the degree and frequency of fluid non-adherence are correlated negatively with HDL cholesterol; the degree of fluid non-adherence is correlated negatively with total cholesterol (p<0.05). Conclusion: The diet therapy applied per the necessity of the disease causes a decrease in the patient's mortality and morbidity and an increase in the quality of life.[Full Text Article]