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Associations between knowledge on optimal control of serum phosphate, perceived social support, dietary phosphorus intake and phosphate compliance among hemodialysis patients

Introduction: Hyperphosphatemia is common among hemodialysis patients, often accompanies with unfavourable clinical outcomes. Several factors affect phosphate compliance among hemodialysis patients, with lack of such information at the local context. Thus, this cross-sectional study aimed to determi...

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Main Authors: Mohd Isa, Muhammad Darwish Asyraf, Lai, Fiona Jie Wei, Chong, Shen Yi, Ismail, Nur Amrina Rasyada, Chan, Kar Fei, Chan, Yoke Mun
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2020
Online Access:http://psasir.upm.edu.my/id/eprint/90280/1/18upm.pdf
http://psasir.upm.edu.my/id/eprint/90280/
https://medic.upm.edu.my/upload/dokumen/2020081208285318_MJMHS_0102_L.pdf
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spelling my.upm.eprints.902802021-09-09T22:57:53Z http://psasir.upm.edu.my/id/eprint/90280/ Associations between knowledge on optimal control of serum phosphate, perceived social support, dietary phosphorus intake and phosphate compliance among hemodialysis patients Mohd Isa, Muhammad Darwish Asyraf Lai, Fiona Jie Wei Chong, Shen Yi Ismail, Nur Amrina Rasyada Chan, Kar Fei Chan, Yoke Mun Introduction: Hyperphosphatemia is common among hemodialysis patients, often accompanies with unfavourable clinical outcomes. Several factors affect phosphate compliance among hemodialysis patients, with lack of such information at the local context. Thus, this cross-sectional study aimed to determine the associations of sociodemographic factors, knowledge on optimal control of serum phosphate, perceived social support from family, dietary phosphorus intake and phosphate compliance among hemodialysis patients. Methods: Structured questionnaire was used to obtain information on socioeconomic factors, knowledge, family social support and dietary phosphorus intakes of hemodialysis patients, with serum phosphate level was used as the surrogate marker for phosphate compliance. Results: A total of 76 patients (Mean age of 52 years old) were recruited. Hyperphosphatemia was prevalent with approximately 60% of the patients failed to achieve the target. Approximately 90% of the patients perceived low level of family social support. Young patients had significant higher serum phosphate compared to their older counterparts (r = -0.297, p =0.009). Serum phosphate was positively correlated with dietary intake of phosphorus, dialysis vintage (r = 0.301, p = 0.006) and comorbidity score (r = 0.325, p = 0.008) while negatively correlated with dialysis dose (r = -0.582, p = 0.002) and family social support (r = -0.263, p = 0.024). Conclusion: The promising role of dietary phosphorus intake in managing hyperphosphatemia deserves further attention. Innovative approaches are needed to promote self-adherence on serum phosphate especially the younger patients. It is imperative to promote family social support in the management of hyperphosphatemia among hemodialysis patients. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2020-08 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/90280/1/18upm.pdf Mohd Isa, Muhammad Darwish Asyraf and Lai, Fiona Jie Wei and Chong, Shen Yi and Ismail, Nur Amrina Rasyada and Chan, Kar Fei and Chan, Yoke Mun (2020) Associations between knowledge on optimal control of serum phosphate, perceived social support, dietary phosphorus intake and phosphate compliance among hemodialysis patients. Malaysian Journal of Medicine and Health Sciences, 16 (suppl. 6). pp. 140-147. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2020081208285318_MJMHS_0102_L.pdf
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Introduction: Hyperphosphatemia is common among hemodialysis patients, often accompanies with unfavourable clinical outcomes. Several factors affect phosphate compliance among hemodialysis patients, with lack of such information at the local context. Thus, this cross-sectional study aimed to determine the associations of sociodemographic factors, knowledge on optimal control of serum phosphate, perceived social support from family, dietary phosphorus intake and phosphate compliance among hemodialysis patients. Methods: Structured questionnaire was used to obtain information on socioeconomic factors, knowledge, family social support and dietary phosphorus intakes of hemodialysis patients, with serum phosphate level was used as the surrogate marker for phosphate compliance. Results: A total of 76 patients (Mean age of 52 years old) were recruited. Hyperphosphatemia was prevalent with approximately 60% of the patients failed to achieve the target. Approximately 90% of the patients perceived low level of family social support. Young patients had significant higher serum phosphate compared to their older counterparts (r = -0.297, p =0.009). Serum phosphate was positively correlated with dietary intake of phosphorus, dialysis vintage (r = 0.301, p = 0.006) and comorbidity score (r = 0.325, p = 0.008) while negatively correlated with dialysis dose (r = -0.582, p = 0.002) and family social support (r = -0.263, p = 0.024). Conclusion: The promising role of dietary phosphorus intake in managing hyperphosphatemia deserves further attention. Innovative approaches are needed to promote self-adherence on serum phosphate especially the younger patients. It is imperative to promote family social support in the management of hyperphosphatemia among hemodialysis patients.
format Article
author Mohd Isa, Muhammad Darwish Asyraf
Lai, Fiona Jie Wei
Chong, Shen Yi
Ismail, Nur Amrina Rasyada
Chan, Kar Fei
Chan, Yoke Mun
spellingShingle Mohd Isa, Muhammad Darwish Asyraf
Lai, Fiona Jie Wei
Chong, Shen Yi
Ismail, Nur Amrina Rasyada
Chan, Kar Fei
Chan, Yoke Mun
Associations between knowledge on optimal control of serum phosphate, perceived social support, dietary phosphorus intake and phosphate compliance among hemodialysis patients
author_facet Mohd Isa, Muhammad Darwish Asyraf
Lai, Fiona Jie Wei
Chong, Shen Yi
Ismail, Nur Amrina Rasyada
Chan, Kar Fei
Chan, Yoke Mun
author_sort Mohd Isa, Muhammad Darwish Asyraf
title Associations between knowledge on optimal control of serum phosphate, perceived social support, dietary phosphorus intake and phosphate compliance among hemodialysis patients
title_short Associations between knowledge on optimal control of serum phosphate, perceived social support, dietary phosphorus intake and phosphate compliance among hemodialysis patients
title_full Associations between knowledge on optimal control of serum phosphate, perceived social support, dietary phosphorus intake and phosphate compliance among hemodialysis patients
title_fullStr Associations between knowledge on optimal control of serum phosphate, perceived social support, dietary phosphorus intake and phosphate compliance among hemodialysis patients
title_full_unstemmed Associations between knowledge on optimal control of serum phosphate, perceived social support, dietary phosphorus intake and phosphate compliance among hemodialysis patients
title_sort associations between knowledge on optimal control of serum phosphate, perceived social support, dietary phosphorus intake and phosphate compliance among hemodialysis patients
publisher Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/90280/1/18upm.pdf
http://psasir.upm.edu.my/id/eprint/90280/
https://medic.upm.edu.my/upload/dokumen/2020081208285318_MJMHS_0102_L.pdf
_version_ 1712286771345096704
score 13.211869

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