KNOWLEDGE, ATTITUDES AND PRACTICES OF CHRONIC DIALYSIS PATIENTS REGARDING DIETARY CONSULTATIONS: A KAP STUDY IN A NON-URBAN DIALYSIS UNIT

 

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KNOWLEDGE, ATTITUDES AND PRACTICES OF CHRONIC DIALYSIS PATIENTS REGARDING DIETARY CONSULTATIONS: A KAP STUDY IN A NON-URBAN DIALYSIS UNIT

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JEAN-FRANCOIS
CANTIN
DELPHINE BUTTITTA dbuttitta@u2nc.nc Unité de Néphrologie de Nouvelle-Calédonie U2NC LA FOA France -
ALEXANDRA SOUPRAYEN asouprayen@atir.asso.nc Unité de Néphrologie de Nouvelle-Calédonie U2NC NOUMEA France -
NOEMIE BAROUX nbaroux@resir.nc Réseau de l'insuffisance rénale de Nouvelle-Calédonie RESIR DUMBEA France -
JEAN-FRANCOIS CANTIN jfcantin@u2nc.nc Unité de Néphrologie de Nouvelle-Calédonie U2NC NOUMEA France *
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Regular access to nutritional care is essential for chronic dialysis patients to prevent malnutrition and improve clinical outcomes. However, misconceptions and lack of awareness about dietetic consultations often hinder such care. This study assessed the knowledge, attitudes, and practices (KAP) of dialysis patients regarding dietetic consultations in a non-urban dialysis unit.

In July 2024, a descriptive cross-sectional study was conducted among 30 chronic dialysis patients. Nutritional KAP were assessed using an interviewer-assisted questionnaire, along with demographic and biological data extracted from medical records.

The mean age of participants was 66 years (SD: 12), and 53% lived in tribal areas. Although 77% had attended at least one dietetic consultation, the average time since the last consultation was 3 years. Only 30% were aware of their eligibility for two consultations per year, and 60% were unaware that transportation costs were covered for in-session consultations. Moreover, only 52% correctly identified foods high in hidden salt, and 83% were unaware of the toxicity of starfruit. Finally, 47% considered that they did not need a consultation, highlighting a gap between perceived and actual needs.

Given the importance of lifestyle factors in the long-term management of dialysis patients, this study emphasizes the need for better nutritional education and family involvement. The identified barriers call for targeted, multidisciplinary, and context-adapted educational interventions. It is also recommended to organize regular “diet staff meetings” bringing together healthcare teams from remote units and dialysis dietitians to share practices, harmonize messages, and strengthen territorial coordination.

This abstract was previously presented as a poster at the 2025 SFNDT Congress in Tours, France. Re-submission of this abstract to WCN’26 is permitted by the organizers of the original meeting.

Kewords