NUTRITIONAL EDUCATION - A STRATEGY FOR MANAGEMENT OF KIDNEY STONES
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Date
2014-10
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University of Agricultural Sciences Dharwad
Abstract
Kidney stone disease is among the most painful and prevalent urologic disorders. An investigation was undertaken with an objective to assess the nutritional status, food habits of kidney stone patients and to develop nutrition education material and to assess its impact on management of kidney stones. About 100 kidney stone patients were selected from local hospitals of Hubli - Dharwad. Educational intervention was given to 30 selected kidney stone patients and equal number of age and gender matched controls were not given any intervention. Nutrition education was given for 2 months on different aspects of kidney stones and its management through power point presentations, flash cards and booklet. Knowledge and diet related modification and practices were assessed before and after the intervention. The results of the study revealed that, sedentary life style, higher body weight, less fluid intake, higher consumption of purine, oxalate and sodium rich foods and genetic predisposition had contributed to the risk of urolithiasis. Maximum patients in both experimental and control groups had low knowledge scores about the disorder (40% vs 43.33%), followed by moderate knowledge (33.33% vs 13.33%). knowledge level of kidney stone patients was positively associated with education level. After the intervention, knowledge gain with regard to the disease was significantly higher in experimental group compared to control group (experimental: 41.67±8.04% vs control: 1.98±2.08%). About 53.33 per cent subjects showed positive improvement in their dietary and life style pattern after the intervention viz., increased water and fluid consumption, restricting salt, tea, bakery products, sugar, animal foods, fats, purine and oxalate rich foods. It can be concluded that, nutrition education is useful in increasing the knowledge and the practices pertaining to diet modifications and life style factors.
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