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The effect of Ramadan fasting on fluid control, dietary adherence, and interdialytic weight gain in patients
Ercan Bakir1, Fatma Karasu2, Bedriye Cansu Koyunoğlu3
1Faculty of Health Sciences, Department of Nursing, Adiyaman University, Adiyaman, Turkey. e.bakir02@gmail.com.
Aim:
This study compared fluid control, dietary adherence, and interdialytic weight gain (IDWG) between fasting and non-fasting hemodialysis (HD) patients during Ramadan.
Materials And Methods:
This quasi-experimental study, data were collected from 128 HD patients (56 fasting, 72 non-fasting) at a single center. Pretest data were gathered 1 month before Ramadan, and post-test data on the final day of Ramadan. Data collection tools included a Patient Information Form, the Fluid Control in Hemodialysis Patients Scale (FCHPS), and the Dialysis Diet and Fluid Non-adherence Questionnaire (DDFQ). Data were analyzed using paired and independent samples t-tests.
Findings:
A significant time-by-group interaction was observed. Fasting patients showed a significant decrease in IDWG from pretest to posttest (p < 0.05), whereas non-fasting patients maintained more stable IDWG. However, fasting patients also demonstrated a significant decline in FCHPS total scores and its Knowledge, Behavior, and Attitude subscales (p < 0.05), indicating poorer fluid management adherence and awareness. DDFQ scores also indicated poorer dietary adherence in the fasting group compared to the non-fasting group.
Conclusion:
Fasting patients were found to have lower adherence to fluid management, and their knowledge, behavior, and attitudes were negative. Non-fasting patients were found to have higher adherence to fluid management, diet, and fluid management than fasting patients.
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