@article{Lamichhane (Dulal)_Thapa Thakurathi_Dulal_Karki_Raut_2018, title={Dietary Practice among the Patients with End Stage Renal Disease undergoing Maintenance Haemodialysis}, volume={56}, url={http://www.jnma.com.np/jnma/index.php/jnma/article/view/3723}, DOI={10.31729/jnma.3723}, abstractNote={<p class="p2"><span class="s2"><strong>Introduction: </strong></span>Several studies on the nutritional status of chronic kidney disease patients living on haemodialysis revealed high prevalence of malnutrition (18-94%). A hospital-based study in Nepal revealed 66.7% mild to moderately malnourished and National Kidney Center reported common protein-energy malnutrition problem among haemodialysis patients. As almost all patients undergoing maintenance haemodialysis looked malnourished, this study was carried out to explore prevailing dietary knowledge and practice of the patients.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>A descriptive cross-sectional survey of 471 patients undergoing haemodialysis from June 2015 to July in 2015 was carried out. After stratification through a systematic random sampling method, 40 (67%) patients from National Kidney Center and 20 (33%) from Bir Hospital were selected, interviewed face to face by using structured questionnaire. Ethical and institutional approval and patients’ consent were obtained.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>The level of knowledge score found to be medium and practice score was even low. Seventy percent knew about renal diet but only 36 (60%) believed in it. After having kidney disease 42 (70%) had changed their dietary practice. Surprisingly, 38 (63.3%) said they ate the food what the other member in their family ate.</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>Considerable limited knowledge (medium) and practices (low) scores were found. Had they have taken adequate dietician’s support, they might have taken right kind and right amounts of foods and benefitted in controlling potassium, phosphate and protein at the recommended level. Plant-based diet could assist in end stage renal disease in a number of ways: an edge of protection against diet cost, reduce inter-related co-morbidities or complications (hypertension and diabetes).</p>}, number={213}, journal={Journal of Nepal Medical Association}, author={Lamichhane (Dulal), Sangita and Thapa Thakurathi, Manasa and Dulal, Ram Krishna and Karki, Shreejana and Raut, Krishna Bahadur}, year={2018}, month={Oct.}, pages={830–836} }