Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
권호 표지
DOI QR코드

DOI QR Code

Factors Affecting Food Carving among Hemodialysis Patients

혈액투석 환자의 음식갈망 영향요인

  • Kim, Ju Yeun (Department of Nursing, Daewon University College) ;
  • Joo, Hyun Sil (Department of Nursing, Daewon University College)
  • Received : 2017.08.25
  • Accepted : 2017.11.08
  • Published : 2017.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to evaluate food carving among hemodialysis patients and to identify factors affecting the food carving. Methods: A descriptive correlational study was conducted. Data were collected from 129 patients receiving hemodialysis between March 15 and April 15, 2017. Measurement instruments included the general food craving questionnaire trait, the center for epidemiological studies-depression scale, and stress response inventory-modified form. The statistical analysis included t-test, analysis of variance, pearson correlation analysis, and stepwise multiple regression analysis. Results: Mean food craving score was $53.00{\pm}12.36$. Food craving was higher in patients younger than 40 years (F=4.36 p=.006) and having occupation (t=2.18 p=.031). Patients receiving hemodialysis demonstrated higher levels of depression ($21.37{\pm}9.62$) and stress ($39.68{\pm}15.95$). Factors influencing food craving were depression (${\beta}=.52$, p<.001), stress (${\beta}=.65$, p<.001), and age 50~59 years old (${\beta}=-.28$, p=.001) and 60~69 years old (${\beta}=-.19$, p=.026), which accounted for 25.6% of total variance. Conclusion: Food craving among hemodialysis patients was influenced by patients' depression, stress and age. Assessment and management of depression and stress needs to be incorporated as a nursing strategy for dietary management for hemodialysis patients.

Keywords

References

  1. ESRD Registry Committee. Current renal replacement therapy in Korea[Internet]. Seoul: Korean Society of Nephrology; 2016 [cited 2017 May 23]. Available from: http://www.ksn.or.kr.
  2. Kallenbach JZ. Review of hemodialysis for nurses and dialysis personnel. 9th ed. Amsterdam (Netherlands): Elsevier Academic press; 2016. p. 12-190.
  3. Saran R, Bragg-Gresham JL, Rayner HC, Goodkin DA, Keen ML, Van Dijk PC, et al. Nonadherence in hemodialysis: Associations with mortality, hospitalization, and practice pattern in the DOPPS. Kidney International. 2003;64(1):254-262. http://dx.doi.org/10.1046/j.1523-1755.2003.00064.x
  4. Lee JJ, Kim JM, Kim YR. Association of diet related quality of life with dietary regimen practice, health related quality of life, and gastrointestinal symptoms in end stage renal disease patients with hemodialysis. Journal of Nutrition and Health. 2013;46(2):137-146. http://dx.doi.org/10.4163/kjn.2013.46.2.137
  5. Seo NS, Kang SJ, Kim JH, Kim SJ. Relationships between fatigue, sleep disturbance, stress, self-efficacy and depression in hemodialysis patient. Journal of Korean Clinical Nursing Research. 2013;19(2):285-297. https://doi.org/10.22650/JKCNR.2013.19.2.285
  6. Yang EK, Kim IO. Hemodialysis patient's experience of adapting to dietary therapy. Korean Journal of Adult Nursing. 2016;28(3):323-333. http://dx.doi.org/10.7475/kjan.2016.28.3.323
  7. Garíca-Llana H, Remor E, Del Peso G, Selgas R. The role of depression, and depression, anxiety, stress and adherence to treatment in dialysis patient's health-related quality of life: A systemic review of the literature. Official Publication of the Spanish Nephrology Society. 2014;34(5):637-657. http://dx.doi.org/10.3265/Nefrologia.pre2014.Jun.11959
  8. Yu JH, Ng HJ, Nandankumar M, Griva K. The management of food carvings and thirst in hemodialysis patients: A qualitative study. Journal of Health Psychology. 2016;21(2):217-227. https://doi.org/10.1177/1359105314525066
  9. Polivy J, Herman CP. Dietary restraint: Some current findings and speculations. Psychology of Addictive Behavior. 1990;4(2):100-106. https://doi.org/10.1037/h0080580
  10. Pelchat ML. Of human bondage: Food craving, obsession, compulsion, and addiction. Physiology & Behavior. 2002;76(3):347-352. https://doi.org/10.1016/S0031-9384(02)00757-6
  11. Macht M. How emotions affect eating: A five way model. Appetite. 2008;50(1):1-11. http://dx.doi.org/10.1016/j.appet.2007.07.002
  12. Canetti L, Bachar E, Berry EM. Food and emotion. Behavior Processes. 2002;60(2):157-164. https://doi.org/10.1016/S0376-6357(02)00082-7
  13. Adam TC, Epel ES. Stress, eating and the reward system. Physiology & Behavior. 2007;91(4):449-458. http://dx.doi.org/10.1016/j.physbeh.2007.04.011
  14. Torres SJ, Nowson CA. Relationship between stress, eating behavior, and obesity. Nutrition. 2007;23(11-12):887-894. http://dx.doi.org/10.1016/j.nut.2007.08.008
  15. Chao A, Grilo CM, White MA, Sinha R. Food craving mediate the relationship between chronic stress and body mass index. Journal of Health Psychology. 2015;20(6):721-729. http://dx.doi.org/10.1177/1359105315573448
  16. Kim JE, Choue R, Lim H. Difference of socio-psychology, eating behavior, diet quality and quality of life in South Korean women according to their weight status. Clinical Nutrition Research. 2016;5(3):161-171. http://dx.doi.org/10.7762/cnr.2016.5.3.161
  17. Yu JH, Shin MS, Kim DJ, Lee JR, Yoon SY, Kim SG, et al. Enhanced carbohydrate craving in patients with poorly controlled type 2 diabetes mellitus. Diabetic Medicine. 2013;30(9):1080-1086. http://dx.doi.org/10.1111/dme.12209
  18. Radloff LS. The CES-D scale: A self report depression scale for research in the general population. Applied Psychological Measurement. 1977;1:385-401 http://dx.doi.org/10.1177/014662167700100306
  19. Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology. 2001;6(1):59-76.
  20. Choi SM, Kang TY, Woo JM. Development and validation of modifed form of the stress response inventory for workers. Journal of Korean Neuropsychiatric Association. 2006;45(6):541-553.
  21. Koh KB, Park JK, Kim CH. Development of the stress response inventory. Journal of Korean Neuropsychiatric Association. 2000;39(4):707-719.
  22. Nijs IM, Franken IH, Muris P. The modified trait and state food-cravings questionnaires: Development and validation of a general index of food craving. Appetite. 2007;49(1):38-46. http://dx.doi.org/10.1016/j.appet.2006.11.001
  23. Noh JH, Kim JH, Nam HJ, Lim MR, Lee DS, Hong KS. Validation of the Korean version of the general food craving questionnaire- trait (G-FCQ-T). Korean Journal of Clinical Psychology. 2008;27(4):1039-1045. https://doi.org/10.15842/kjcp.2008.27.4.015
  24. Lee S, Ryu SH, Ko HJ, Hong KS, Nam HJ. Changes of appetite and eating behavior in bipolar disorder patients: Measurement with general-food craving questionnaire-trait and drug-related eating behavior questionnaire. Korean Society Biological Psychiatry. 2011;18:245-253.
  25. Chan YM, Zalilah MS, Hii SZ. Determinants of compliance behavior among patients undergoing hemodialysis in Malaysia. Plos One. 2012;7(8):1-7.
  26. Lam LW, Twinn SF, Chan SW. Self-reported adherence to a therapeutic regimen among patients undergoing continuous ambulatory peritoneal dialysis. Journal of Advanced Nursing. 2009;66(4):763-773. http://dx.doi.org/10.1111/j.1365-2648.2009.05235.x
  27. Lee SL, Lee SJ. The effects of eating habit and food consumption lifestyles on dietary life satisfaction of one-person households. Journal of Consumption Culture. 2016;19(3):115-133. https://doi.org/10.17053/jcc.2016.19.3.006
  28. Reichsman F, Levy NB. Problems in adaptation to maintenance hemodialysis. A four-year study of 25 patients. Archives of Internal Medicine. 1972;130(6):859-865. https://doi.org/10.1001/archinte.1972.03650060051009