The effect of non-compliance with diet and liquid restriction on fatigue in dialysis patients.
Ridvan Bayram, Serkan Budak, Hicran YIldIz
PMID 38808906WHAT IT FOUND
In 42 dialysis patients, fatigue severity was not associated with days or degree of non-compliance with diet or fluid restriction.
Adherence alone should not be assumed to explain fatigue.
Key findings
01No significant correlation was found between fatigue severity and the number of days or degree of non-compliance with diet and fluid restriction.
02The mean fatigue severity score was 24.78 ± 14.04, and 88.1% of patients presented with fatigue.
03Patients reported mean diet non-compliance days of 3.69 ± 4.85 and fluid restriction non-compliance days of 2.71 ± 5.02 in the last two weeks.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The authors state the results cannot be generalised to all haemodialysis patients because the study was single centre and the sample size was small. Participants were limited to dialysis patients aged 18 to 65 years with diabetes and/or hypertension, and patients with other chronic diseases were excluded. Non-compliance was measured by self-report questionnaires administered before a dialysis session. The study was a descriptive cross-sectional survey, so it reported associations at one time point.
The easy way to misread this
Do not conclude that diet and fluid non-compliance are irrelevant to fatigue. This was a small cross-sectional survey of 42 patients at one centre, and it found no significant association rather than showing that non-compliance cannot affect fatigue.