Factors Associated With Dietary Attitudes in Hemodialysis Patients: A Mixed-Methods Study
Therapeutic Apheresis and Dialysis, 2026 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Publication Date: 2026
- Doi Number: 10.1002/1744-9987.70203
- Journal Name: Therapeutic Apheresis and Dialysis
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Keywords: chronic kidney disease, dietary attitude, mixed-methods research, nursing, renal dialysis
- Bursa Uludag University Affiliated: Yes
Abstract
Background: Dietary attitudes are relevant to self-management in hemodialysis, but clinical associations alone cannot explain patients' experiences. Methods: This explanatory sequential mixed-methods study included 66 patients quantitatively and 18 purposively selected patients with lower dietary attitude scores qualitatively. Correlations were evaluated with false discovery rate correction, followed by exploratory adjusted multivariable linear regression. Qualitative data were analyzed thematically and integrated through a joint display. Results: The exploratory adjusted model accounted for 54.3% of the variance. Longer hemodialysis duration, comorbidity, higher blood urea nitrogen, and a higher triglyceride-to-high-density lipoprotein ratio were associated with lower dietary attitude scores, whereas higher ferritin was associated with higher scores. Among participants with lower ASDTHP scores, themes involved emotional, social, environmental, functional, and motivational experiences. Conclusion: Dietary attitudes were associated with clinical and psychosocial factors. The qualitative findings reflected participants with lower ASDTHP scores. Individualized multidisciplinary support may help address dietary self-management barriers.