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Article

Perceptions on Adherence to Dietary Prescriptions for Adults with Chronic Kidney Disease on Hemodialysis: A Qualitative Study

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Disease Prevention, Control and Health Promotion Unit, School of Public Health, College of Health Sciences, University of Nairobi, P.O. Box 19676-KNH, Nairobi 00202, Kenya
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East African Kidney Institute, College of Health Sciences, University of Nairobi, P.O. Box 19676-KNH, Nairobi 00202, Kenya
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Community Health Sciences Unit, School of Public Health, College of Health Sciences, University of Nairobi, P.O. Box 19676-KNH, Nairobi 00202, Kenya
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Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Parow, Cape Town 7505, South Africa
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Department of Internal Medicine, College of Health Sciences, University of Nairobi, P.O. Box 19676-KNH, Nairobi 00202, Kenya
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Department of Child Health and Pediatrics Moi University, P.O. Box 4606, Eldoret 30100, Kenya
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Centre for Public Health Research—Kenya Medical Research Institute, P.O. Box 20752, Nairobi 00202, Kenya
*
Author to whom correspondence should be addressed.
Received: 3 June 2020 / Revised: 7 July 2020 / Accepted: 13 July 2020 / Published: 6 August 2020
(This article belongs to the Special Issue Chronic and Infectious Diseases)
Diet is one of the modifiable lifestyle factors in management of kidney disease. We explored perceptions on adherence to dietary prescriptions for adults with chronic kidney disease on hemodialysis. This was a qualitative descriptive study. Participants were purposively selected at renal clinics/dialysis units at national referral hospitals in Kenya. Data were collected using in-depth interviews, note-taking and voice-recording. The data were managed and analyzed thematically in NVIV0-12 computer software. Study participants were 52 patients and 40 family caregivers (42 males and 50 females) aged 20 to 69 years. Six sub-themes emerged in this study: “perceived health benefits”; “ease in implementing prescribed diets”; “cost of prescribed renal diets”; “nutrition information and messages”; “transition to new diets” and “fear of complications/severity of disease”. Both patients and caregivers acknowledged the health benefits of adherence to diet prescriptions. However, there are mixed messages to the patients and caregivers who have challenges with management and acceptability of the prescriptions. Most of them make un-informed dietary decisions that lead to consumption of unhealthy foods with negative outcomes such as metabolic waste accumulation in the patients’ bodies negating the effects of dialysis and undermining the efforts of healthcare system in management of patients with chronic kidney disease. View Full-Text
Keywords: perceptions; adherence; nutrition; renal; Kenya; dialysis; food; kidney perceptions; adherence; nutrition; renal; Kenya; dialysis; food; kidney
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MDPI and ACS Style

Okoyo Opiyo, R.; Nyawade, S.A.; McCaul, M.; Nyasulu, P.S.; Lango, D.B.; Were, A.J.O.; Nabakwe, E.C.; Bukania, Z.N.; Olenja, J.M. Perceptions on Adherence to Dietary Prescriptions for Adults with Chronic Kidney Disease on Hemodialysis: A Qualitative Study. Diseases 2020, 8, 29. https://0-doi-org.brum.beds.ac.uk/10.3390/diseases8030029

AMA Style

Okoyo Opiyo R, Nyawade SA, McCaul M, Nyasulu PS, Lango DB, Were AJO, Nabakwe EC, Bukania ZN, Olenja JM. Perceptions on Adherence to Dietary Prescriptions for Adults with Chronic Kidney Disease on Hemodialysis: A Qualitative Study. Diseases. 2020; 8(3):29. https://0-doi-org.brum.beds.ac.uk/10.3390/diseases8030029

Chicago/Turabian Style

Okoyo Opiyo, Rose, Susan A. Nyawade, Michael McCaul, Peter S. Nyasulu, Daniel B. Lango, Anthony J.O. Were, Esther C. Nabakwe, Zipporah N. Bukania, and Joyce M. Olenja 2020. "Perceptions on Adherence to Dietary Prescriptions for Adults with Chronic Kidney Disease on Hemodialysis: A Qualitative Study" Diseases 8, no. 3: 29. https://0-doi-org.brum.beds.ac.uk/10.3390/diseases8030029

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