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Factors Associated with Serum Phosphorus Level Among Haemodialysis Patients in Selected Dialysis Centers in Kuala Lumpur

Hasni, Zulkeflee (2021) Factors Associated with Serum Phosphorus Level Among Haemodialysis Patients in Selected Dialysis Centers in Kuala Lumpur. [Project Paper] (Submitted)

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Abstract

Introduction: Chronic kidney disease (CKD) is associated with mineral metabolism disorders, and one of them is hyperphosphatemia where serum phosphorus level is elevated. However, there is a limited study on serum phosphorus level adherence among haemodialysis patients. Therefore, this cross-sectional study aimed to determine the factors associated with serum phosphorus level among haemodialysis patients from the perspective of socio-demographic characteristics, dietary intake, and medication adherence. Method: Socio-demographic characteristics were obtained from self-administered questionnaire and dietary intake was obtained through 24-hour diet recalls for two days through phone calls. Medication adherence was obtained by using Medication Adherence Rating Scale (MARS-10). Serum phosphorus level was obtained from the dialysis centres as secondary data. Results: A total of 55 respondents (54.5% male and 45.5% female) participated in the study. More than half of these respondents were older than 60 years old (52.7%), Malays (76.4%), married (67.3%), and finished secondary school (63.6%). The mean duration of dialysis (months) was 62.22 ± 50.34 months. A total of 16 (29.1%) respondents were categorized to have normal BMI. The mean serum phosphorus level of the respondents was 1.79 ± 0.58 mmol/L. More than half of the respondents (60%) had abnormal serum phosphorus level. The majority of respondents consumed energy (98.2%), carbohydrate (54.5%), and protein (83.6%) at less than the recommended amount. About 40% of the respondents consumed fat within the recommended amount. Most of the respondents consumed sodium (96.4%), phosphate (85.5%), calcium (100%), and fluid (81.8%) at the recommended amount. The mean score of medication adherence was 7.85 ± 1.68. Conclusion: The study did not observe any significant association between socio-demographic characteristics, dietary intake, medication adherence and serum phosphorus level. Future study should consider the use of food frequency questionnaire (FFQ) to assess the dietary intake and other indicator for phosphorus control-adherence.

Item Type: Project Paper
Faculty: Faculty of Medicine and Health Science
Depositing User: Mr Khoirul Asrimi Md Nor
Date Deposited: 21 Aug 2023 04:08
Last Modified: 21 Aug 2023 04:08
URI: http://psaspb.upm.edu.my/id/eprint/939

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