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首页> 外文期刊>Journal of renal nutrition: the official journal of the Council on Renal Nutrition of the National Kidney Foundation >Identification of the factors associated with compliance to therapeutic diets in older adults with end stage renal disease.
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Identification of the factors associated with compliance to therapeutic diets in older adults with end stage renal disease.

机译：鉴定与患有最终阶段肾病的老年人依从性依从性饮食相关的因素。

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OBJECTIVE: To identify theory based factors pertinent to compliance with therapeutic diets. DESIGN: A paper and pencil survey was read to volunteer hemodialysis patients in outpatient dialysis clinics. SUBJECTS: A convenience sample of 276 hemodialysis patients aged 50 years and older who agreed to be interviewed during treatment. STATISTICAL ANALYSIS: Descriptive statistics were used to report responses to all survey questions. The Fisher exact test was used to test associations between the dependent variable, dietary compliance, and independent variables, which included knowledge, perceived severity of illness, attitudes toward compliance, environmental factors, perceived barriers, self-efficacy, and perceived health benefits. Principal Components Analysis determined final scale items. Logistic regression was used to develop a model of independent variables profiling the compliant patient. RESULTS: Subjects were more likely to be compliant if they indicated favorable attitudes toward compliance (P =.0076), a supportive environment (P =.0107), and knowledge about their diet (P =.0014). A logistic regression model of compliance indicated that subjects who followed their special diets were more likely to have higher knowledge (odds ratio [OR] = 1.092, 95% CI = 1.006, 1.186), perceived fewer barriers (OR = 1.094, 95% CI = 0.841, 1.226), being white race (OR = 0.710, 95% CI = 0.399, 1.263), and having gout (OR = 9.349, 95% CI = 1.139, 76.714). APPLICATION: Health professionals should apply these findings in providing dietary education focused on improving not just knowledge, but attitudes and family support. Nutrition education and health promotion applications geared to non-white populations could be particularly important as tools to improve dietary compliance. Copyright 2001 by the National Kidney Foundation, Inc.
机译：目的：鉴定与遵守治疗饮食的理论因素。设计：在门诊透析诊所读取志愿者血液透析患者纸和铅笔调查。受试者：50岁及以上的276名血液透析患者的便利性样本，同意在治疗期间接受采访。统计分析：使用描述性统计数据用于向所有调查问题报告回应。 Fisher精确测试用于测试依赖变量，膳食合规性和独立变量之间的关联，其中包括知识，感知疾病严重程度，致力于遵从性，环境因素，感知障碍，自我效力和感知健康益处。主成分分析确定了最终比例项目。 Logistic回归用于开发分析符合患者的独立变量的模型。结果：如果他们表明对遵守的良好态度（p = .0076），支持性环境（p = .0107）和关于他们的饮食的知识合规性的逻辑回归模型表明，遵循其特殊饮食的受试者更容易具有更高的知识（差距[或] = 1.092,95％CI = 1.006,1.186），感知较少的障碍（或= 1.094,95％CI） = 0.841,1.226），是白拍（或= 0.710,95％CI = 0.399,1.263），具有痛风（或= 9.349,95％CI = 1.139,76.714）。申请：卫生专业人员应在提供饮食教育方面申请这些调查结果，不仅仅是知识，而是态度和家庭支持。营养教育和健康促进申请与非白人群体构成的营养促进应用可能是改善膳食合规性的工具尤为重要。 2001年版权2001年由国家肾儿所基金会，Inc。

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