Author(s):
Abdellaziz Mohammed Al-Qussain, Dixon Thomas, Rajaram Jagdale
Email(s):
dr.dixon@gmu.ac.ae , dixon.thomas@gmail.com
DOI:
10.52711/0974-360X.2024.00747 
Address:
Abdellaziz Mohammed Al-Qussain1, Dixon Thomas1, Rajaram Jagdale2,3
1College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates.
2College of Medicine, Gulf Medical University, Ajman, United Arab Emirates.
3Department of Nephrology, Thumbay University Hospital, Ajman, United Arab Emirates.
*Corresponding Author
Published In:
Volume - 17,
Issue - 10,
Year - 2024
ABSTRACT:
Background: Patients with End-Stage Kidney Disease (ESKD) have complex medication regimens and specific food recommendations. Dietary restrictions and medication burden places dialysis patients at risk for drug-disease, food-disease, drug-food and drug-drug interactions and more. Ideal nutritional practices are challenging in maintenance hemodialysis (HD) patients, yet it has been found to be crucial in obtaining positive clinical and health outcomes. This study was to evaluate the impact of counseling by a clinical pharmacy researcher on ideal dietary practices and assess the food-drug and drug-drug interactions within this patient population. Methods: The study was a pre-post intervention design that included patients undergoing maintenance hemodialysis in a United Arab Emirates tertiary-level care hospital. The study adopted a population-based approach and involved counseling conducted by a clinical pharmacy researcher with the help of nutritionist in the study site. Data was processed using SPSS version 26 for descriptive analysis. Results: Data of 47 participants were analyzed. A significant improvement in ideal dietary practices were reported by the study participants after counseling compared to their practices before counseling (P 0.001). Food-drug interactions were significantly higher than drug-drug interactions and a significant association between food-drug interactions and malnutrition symptoms were found (P 0.001). Conclusion: Nutritional counseling to maintenance HD patients by a pharmacy professional improved patient reported ideal nutritional/dietary behaviors. This illustrates the importance of clinical pharmacy reinforcement to nutritionist services for patient care. Pharmacy professionals can integrate drug counseling with nutritional counseling in addition to nutritionist counseling.
Cite this article:
Abdellaziz Mohammed Al-Qussain, Dixon Thomas, Rajaram Jagdale. A Prospective study on Impact of Nutritional Counseling for Maintenance Hemodialysis patients. Research Journal of Pharmacy and Technology. 2024; 17(10):4856-0. doi: 10.52711/0974-360X.2024.00747
Cite(Electronic):
Abdellaziz Mohammed Al-Qussain, Dixon Thomas, Rajaram Jagdale. A Prospective study on Impact of Nutritional Counseling for Maintenance Hemodialysis patients. Research Journal of Pharmacy and Technology. 2024; 17(10):4856-0. doi: 10.52711/0974-360X.2024.00747 Available on: https://www.rjptonline.org/AbstractView.aspx?PID=2024-17-10-32
REFERENCES:
1. Murton M, Goff-Leggett D, Bobrowska A, Garcia Sanchez JJ, James G, Wittbrodt E, Nolan S, Sörstadius E, Pecoits-Filho R, Tuttle K. Burden of chronic kidney disease by KDIGO categories of glomerular filtration rate and albuminuria: a systematic review. Advances in Therapy. 2021; Jan; 38: 180-200. doi: 10.1007/s12325-020-01568-8.
2. Ayav C, Beuscart JB, Briançon S, Duhamel A, Frimat L, Kessler M. Competing risk of death and end-stage renal disease in incident chronic kidney disease (stages 3 to 5): the EPIRAN community-based study. BMC Nephrology. 2016; Dec; 17: 1-3. doi: 10.1186/s12882-016-0379-3
3. Cunillera-Puértolas O, Vizcaya D, Cerain-Herrero MJ, Gil-Terrón N, Cobo-Guerrero S, Salvador-González B. Cardiovascular events and mortality in chronic kidney disease in primary care patients with previous type 2 diabetes and/or hypertension. A population-based epidemiological study (KIDNEES). BMC Nephrology. 2022; Nov 23; 23(1): 376. doi: 10.1186/s12882-022-02966-6.
4. Afghahi H, Nasic S, Rydell H, Svensson J, Peters B. The association between long-term glycemic control and all-cause mortality is different among older versus younger patients with diabetes mellitus and maintenance hemodialysis treatment. Diabetes Research and Clinical Practice. 2022; Sep 1; 191: 110033. doi: 10.1016/j.diabres.2022.110033.
5. Dyer SA, Nguyen V, Rafie S, Awdishu L. Impact of medication reconciliation by a dialysis pharmacist. Kidney360. 2022; May 26; 3(5): 922-5. doi: 10.34067/KID.0007182021.
6. Snoswell CL, Cossart AR, Chevalier B, Barras M. Benefits, challenges and contributors to the introduction of new hospital-based outpatient clinic pharmacist positions. Exploratory Research in Clinical and Social Pharmacy. 2022; Mar 1; 5: 100119. doi: 10.1016/j.rcsop.2022.100119.
7. Cardone KE, Maxson R, Cho KH, Davis JM, El Nekidy WS, Kane-Gill SL, McNamara A, Wazny L, Wong L, Battistella M. Pharmacy practice standards for outpatient nephrology settings. Kidney Medicine. 2022; Aug 1; 4(8): 100509. doi: 10.1016/j.xkme.2022.100509.
8. Ravi P, Pfaff K, Ralph J, Cruz E, Bellaire M, Fontanin G. Nurse-pharmacist collaborations for promoting medication safety among community-dwelling adults: A scoping review. International Journal of Nursing Studies Advances. 2022; Dec 1; 4: 100079. https://doi.org/10.1016/j.ijnsa.2022.100079
9. Hegazy IS, El Raghy HA, Abdel Aziz SB, Elhabashi EM. Study of the effect of dietary counselling on the improvement of end-stage renal disease patients. EMHJ-Eastern Mediterranean Health Journal. 2013; 19 (1); 45-51.
10. Dwyer JP, Kelepouris E. New directions in phosphorus management in dialysis. Journal of Renal Nutrition. 2023; Jan 1; 33(1): 12-6. doi: 10.1053/j.jrn.2022.04.006.
11. Lee MJ, Doh FM, Kim CH, Koo HM, Oh HJ, Park JT, Han SH, Yoo TH, Kim YL, Kim YS, Yang CW. Interdialytic weight gain and cardiovascular outcome in incident hemodialysis patients. American Journal of Nephrology. 2014; May 10; 39(5): 427-35. doi: 10.1159/000362743.
12. Visiedo L, Rey L, Rivas F, López F, Tortajada B, Giménez R, Abilés J. The impact of nutritional status on health-related quality of life in hemodialysis patients. Scientific Reports. 2022 Feb 22; 12(1): 3029. doi: 10.1038/s41598-022-07055-0.
13. D’Alessandro C, Benedetti A, Di Paolo A, Giannese D, Cupisti A. Interactions between food and drugs, and nutritional status in renal patients: a narrative review. Nutrients. 2022; Jan 4; 14(1): 212. doi: 10.3390/nu14010212.
14. Adhikari UR, Taraphder A, Hazra A, Das T. Is there an association between medication knowledge and medication compliance in renal transplant recipients?. Asian Journal of Nursing Education and Research. 2016; 6(1): 32-6. doi: 10.5958/2349-2996.2016.00007.0
15. Mary SA, Jaikumar M. Effectiveness of Structured Teaching Programme Regarding Risk Factors and Prevention of Renal Failure Among Adults in Selected Hospitals at Bangalore, Karnataka. Asian Journal of Nursing Education and Research. 2018; 8(1):149-51.doi: 10.5958/2349-2996.2018.00031.9
16. Patidar K, Patidar K. A Study to Assess the Effectiveness of Planned Teaching Programme on Knowledge regarding Dietary Awareness to reduce the risk of Renal Stones among the People of Mehsana City. Asian Journal of Nursing Education and Research. 2019;9(3):379-82.doi: 10.5958/2349-2996.2019.00081.8
17. Pandey N. A Study to assess the Knowledge and Attitude regarding risk factors and prevention of Renal calculi among patients admitted in the selected kidney Hospitals of Gujarat state with a view to Develop an Information Booklet. Asian Journal of Nursing Education and Research. 2019; 9(3): 445-8. doi: 10.5958/2349-2996.2019.00093.4
18. Aggarwal S, Kaur JP, Devi CG. A Study to assess the level of stress among significant family members of patients with end stage Renal Failure undergoing Hemodialysis in selected hospitals of Punjab. International Journal of Advances in Nursing Management. 2018; 6(3): 171-4. doi: 10.5958/2454-2652.2018.00039.2
19. Hapipa HU, Bhuvaneswari S. Effectiveness of self-Instructional module on knowledge regarding post dialysis home care among care givers of chronic renal failure patients undergoing Haemodialysis in Karthik Hospital at Sivagangai. International Journal of Advances in Nursing Management. 2020; 8(3): 191-3. doi: 10.5958/2454-2652.2020.00045.1
20. Duzalan ÖB, Cosar AA, Sarikaya S. Hemodialysis Patients' experiences of diet and fluid restriction: A qualitative study. Progress in Nutrition. 2021; 23: e2021254. doi 10.23751/pn.v23iS2.11985
21. Rahman T, Ahmed S, Kabir MR, Akhtaruzzaman M, Mitali EJ, Rashid HU, Daud ZM, Khor BH, Kaur D, Khosla P. Provision of renal-specific nutrition knowledge for changing dietary practice in Bangladeshi hemodialysis patients. PEC Innovation. 2022; 1: 100028. doi: 10.1016/j.pecinn.2022.100028.
22. Joshi S, Kalantar-Zadeh K, Chauveau P, Carrero JJ. Risks and Benefits of Different Dietary Patterns in CKD. Am J Kidney Dis. 2023; 81(3): 352-360. doi: 10.1053/j.ajkd.2022.08.013.
23. D'Alessandro C, Benedetti A, Di Paolo A, Giannese D, Cupisti A. Interactions between Food and Drugs, and Nutritional Status in Renal Patients: A Narrative Review. Nutrients. 2022; 14(1): 212. doi: 10.3390/nu14010212.
24. Srinivassan K. A descriptive study to assess the knowledge on dietary management among chronic renal failure patients undergoing hemodialysis at selected hospital, Kanchipuram. International Journal of Nursing Education and Research. 2014; 2(3): 241-4.
25. Jesna JK, Resmi SP, Gnanadurai A, Anand MK. Effect of Video assisted teaching on knowledge and practice for prevention of Hypertensive renal diseases among patients with hypertension. International Journal of Advances in Nursing Management. 2021; 9(2): 216-21. doi: 10.5958/2454-2652.2021.00049.4
26. John L. A Study to assess the Renal Dietary Adherence among Patients undergoing Hemodialysis in selected Hospital, Bangalore with a view to develop Informational Pamphlet. International Journal of Nursing Education and Research. 2017; 5(4): 356-8. doi: 10.5958/2454-2660.2017.00074.6
27. Al-Baghdadi DD, Rajha A. Quality of life for hemodialysis patients with chronic renal failure. Research Journal of Pharmacy and Technology. 2018; 11(6): 2398-403. doi: 10.5958/0974-360X.2018.00443.2
28. Hammar T, Hamqvist S, Zetterholm M, Jokela P, Ferati M. Current Knowledge about Providing Drug-Drug Interaction Services for Patients-A Scoping Review. Pharmacy (Basel). 2021; 9(2): 69. doi: 10.3390/pharmacy9020069
29. Olumuyiwa JF, Akinwumi AA, Ademola OA, Oluwole BA, Ibiene EO. Prevalence and pattern of potential drug-drug interactions among chronic kidney disease patients in southwestern Nigeria. Niger Postgrad Med J. 2017; 24(2): 88-92. doi: 10.4103/npmj.npmj_64_17.
30. Fasipe OJ, Akhideno PE, Nwaiwu O, Adelosoye AA. Assessment of prescribed medications and pattern of distribution for potential drug-drug interactions among chronic kidney disease patients attending the Nephrology Clinic of Lagos University Teaching Hospital in Sub-Saharan West Africa. Clin Pharmacol. 2017; 9: 125-132. doi: 10.2147/CPAA.S147835.
31. Slee A, Reid J. Disease-related malnutrition in chronic kidney disease. Curr Opin Clin Nutr Metab Care. 2022; 25(3): 136-141. doi: 10.1097/MCO.0000000000000830.
32. Palmer SC, Maggo JK, Campbell KL, Craig JC, Johnson DW, Sutanto B, Ruospo M, Tong A, Strippoli GF. Dietary interventions for adults with chronic kidney disease. Cochrane Database Syst Rev. 2017; 4(4): CD011998. doi: 10.1002/14651858.CD011998.pub2.