Andrew Morris1, Helen Love2, Zulaika van Aar3, Clive Liles4, Carolyn Roskell4. 1. Specialist Renal Dietitian, Dietetics Department, University Hospitals Coventry & Warwickshire NHS Trust, Coventry, UK. 2. Clinical Psychology Department, University Hospitals Coventry & Warwickshire NHS Trust, Coventry, UK. 3. Dietetics Department, Milton Keynes University NHS Foundation Trust, Buckinghamshire, UK. 4. School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Abstract
BACKGROUND: Individuals on peritoneal dialysis are given dietary advice to help reduce disease morbidity and mortality. However, the experience of people who have been given this advice is not well researched. OBJECTIVE: To understand the experiences of individuals on peritoneal dialysis when following dietary advice. METHOD: A phenomenological approach, using semi-structured in-depth interviews was used to understand the experiences of ten service-users of the renal dietetic service. Data were analysed using Framework Analysis. FINDINGS: One theme emerged around difficulty when eating outside the home. Individuals experienced negative emotions when following advice. Individuals ate foods reluctantly, offered excuses as to why meals could not be eaten, or in extreme cases did not attend certain social gatherings in order to avoid the perceived attention and judgement from fellow guests related to their food choices. CONCLUSION: A renal diet for peritoneal dialysis may be difficult to follow outside the home. Further support around eating in social situations may need to be offered when giving dietary advice.
BACKGROUND: Individuals on peritoneal dialysis are given dietary advice to help reduce disease morbidity and mortality. However, the experience of people who have been given this advice is not well researched. OBJECTIVE: To understand the experiences of individuals on peritoneal dialysis when following dietary advice. METHOD: A phenomenological approach, using semi-structured in-depth interviews was used to understand the experiences of ten service-users of the renal dietetic service. Data were analysed using Framework Analysis. FINDINGS: One theme emerged around difficulty when eating outside the home. Individuals experienced negative emotions when following advice. Individuals ate foods reluctantly, offered excuses as to why meals could not be eaten, or in extreme cases did not attend certain social gatherings in order to avoid the perceived attention and judgement from fellow guests related to their food choices. CONCLUSION: A renal diet for peritoneal dialysis may be difficult to follow outside the home. Further support around eating in social situations may need to be offered when giving dietary advice.