Improving Knowledge, Dietary Behavior, and Clinical Outcomes Through a Protein and Energy Intake Self-Care Support Program among Monks Undergoing Hemodialysis: A Quasi-Experimental Study.

The Buddhist monastic discipline includes regulations regarding monks' consumption of food and drinks. Even in cases of health problems and with exceptions allowed, most monks still adhere to the practice of eating one to two meals per day. This limits their ability to obtain suff icient nutrients,...

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Publicado en:Pacific Rim International Journal of Nursing Research Vol. 30; no. 3; pp. 775 - 792
Autores principales: Thakhat, Surasak, Phinitkhajorndech, Noppawan, Chaiviboontham, Suchira
Formato: clinical trial research tables/charts Journal Article
Publicado: Thailand Nursing & Midwifery Council Jul-Sep2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul-Sep2026
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      pub: Thailand Nursing & Midwifery Council
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        10.60099/prijnr.2026.268767
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        atl: Improving Knowledge, Dietary Behavior, and Clinical Outcomes Through a Protein and Energy Intake Self-Care Support Program among Monks Undergoing Hemodialysis: A Quasi-Experimental Study.
      aug:
        au:
          Thakhat, Surasak
          Phinitkhajorndech, Noppawan
          Chaiviboontham, Suchira
        affil: RN, Master's student, Master of Nursing Science Program (Adult and Gerontological Nursing), Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand
      sug:
        subj:
          Health Knowledge
          Patient Education
          Eating Behavior
          Dietary Proteins Metabolism
          Energy Intake
          Self Care Education
          Monks
          Hemodialysis
          Albumins Blood
          Treatment Outcomes Evaluation
          Patient Participation
          Funding Source
          Human
          Male
          Middle Age
          Thailand
          One-Way Analysis of Variance
          Descriptive Statistics
          Quasi-Experimental Studies
          Clinical Trials
          Pretest-Posttest Design
          Pilot Studies
          Questionnaires
          Post Hoc Analysis
          Power Analysis
          Data Analysis Software
          Middle Aged: 45-64 years
          Male
      ab: The Buddhist monastic discipline includes regulations regarding monks' consumption of food and drinks. Even in cases of health problems and with exceptions allowed, most monks still adhere to the practice of eating one to two meals per day. This limits their ability to obtain suff icient nutrients, increasing the risk of malnutrition. Malnutrition and protein-energy wasting commonly occur in people undergoing hemodialysis and may be of intense concern for Buddhist monks. This quasi-experimental study, a one-group pre-posttest with repeated measures, aimed to examine the effects of the Protein and Energy Intake Self-Care Support Program on knowledge, self-care behaviors, and clinical outcomes among 30 monks undergoing hemodialysis at the Priest Hospital in Bangkok, Thailand. The participants received an intervention for twelve weeks. The instruments used were a Personal and Health Information Form, the Knowledge of Protein and Energy Intake Questionnaire, and a 24-Hour Dietary Recall Record Form to evaluate dietary behaviors as self-care behaviors. Descriptive statistics and one-way repeated-measures ANOVA were used to analyze data. The program led to a signif icant increase in mean scores for knowledge, dietary behaviors, and clinical outcomes (serum albumin and protein catabolic rate). Repeated measures analysis showed that knowledge signif icantly improved across three evaluation time points. Dietary behaviors and clinical outcomes signif icantly improved across all four evaluation time points. These f indings suggest that the intervention effectively promotes long-term enhancements in both nutritional status and clinical outcomes in monks undergoing hemodialysis. Nurses can apply this intervention in nursing practice. However, further testing of this intervention is needed through a randomized controlled trial in a multi-site study.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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