Dietary management of CKD patients proved important to postpone dialysis. Long-term compliance to protein-restricted diets was discussed. Psychological aspects involved in certain dietary behaviour have never been studied.
The interest in dietary management resurged, since the high prevalence of revealed a major impact not only on morbidity, mortality, social activities and patients' quality of life, but also on health budget. Although protein-restricted diets are used for more than a century in patients with advanced Chronic Kidney Disease (CKD), their efficacy and safety is still debatable. Enough evidence has being accumulated on their role in postponing dialysis initiation in compliant patients. Consequently, the long-term compliance to the diet is discussed. Psychological aspects of compliant patients are certainly involved. Identification of certain psychological predictors of dietary compliance could help to select the patients who are more likely to be compliant and therefore to benefit from such an intervention. Moreover, short-term or long-term psychological intervention addressing these factors could increase patient long-term compliance. Accordingly, we are aiming to evaluate psychological characteristics of Chronic Kidney Disease patients in relation with their compliance to protein-restricted regimens.
Study Type
OBSERVATIONAL
Enrollment
120
Spitalul Clinic de Nefrologie "Dr Carol Davila"
Bucharest, Romania
RECRUITINGCompliance to the protein-restricted diet
The compliance to the diet is appreciated to be good if both the achieved protein intake and the achieved energy is in the range of ±10% of the recommended values.
Time frame: 12 months
Parameters related to renal function (The decline in glomerular filtration rate (GFR) GFR decline
The decline in glomerular filtration rate (GFR)
Time frame: 12 months
Psychological parameter - self-efficacy score
Self-efficacy score derives from the self-efficacy scale.
Time frame: 12 months
Nitrogen balance (Serum urea level)
Serum urea level
Time frame: 12 months
Metabolic acidosis (Serum bicarbonate level)
Serum bicarbonate level
Time frame: 12 months
Calcium-phosphorus metabolism abnormalities (Serum calcium)
Serum calcium
Time frame: 12 months
Calcium-phosphorus metabolism abnormalities (Serum phosphates level)
Serum phosphates level
Time frame: 12 months
Psychological parameter - illness perception (Sub-scores derived from illness perception questionnaire)
Sub-scores derived from illness perception questionnaire: the higher this score, the worse is patient's perception on the disease.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 12 months
Mental status - vitality index
Vitality score derived from mental component of SF-36
Time frame: 12 months
Psychological parameter -mental score
The mental score looks at depression. Psychological difficulties interfere with the initiation of compliance behaviours.
Time frame: 12 months