Nutritional management of cirrhosis patients: A qualitative study exploring perceptions of patients and health workers in Ghana

Yvonne Ayerki Nartey, Mawuena Asem, Adwoa Agyei-Nkansah, Yaw Asante Awuku, Jacob Setorglo, Amoako Duah, Sally Bampoh, Joshua Ayawin, Shadrack Osei Asibey, Weimin Ye, Mary Yeboah Afihene, Lewis Roberts, Amelie Plymoth

Research output: Contribution to journalArticle

Abstract

Background and aims: Malnutrition is common among patients with end stage liver disease including liver cirrhosis and liver cancer. Optimal nutrition is important to reduce morbidity and mortality of these patients. There is limited qualitative data on nutritional status and management of chronic liver disease patients. We aimed to explore the knowledge, opinions and practices of cirrhosis patients and health workers in nutritional management of cirrhosis in Ghana, in order to determine whether there is a need to improve nutritional care for cirrhosis patients. Methods: We conducted a qualitative study using semi-structured interviews of cirrhotic patients (n = 16) and healthcare providers (n = 27) in three academic centers in Accra, Kumasi and Cape Coast (Ghana). Recruitment was by purposive sampling of patients attending specialist liver disease clinics. The recorded data were analyzed using NVivo 11 software, with generation of codes, themes and subthemes. Results: The major themes that emerged from the data included nutrition as part of care delivery during the hospital visit, nutritional recommendations, dietary changes and long-term practice improvement. The results showed that patients and health workers felt dietary recommendations for patients were frequently addressed, but could be significantly improved. We found that in the opinion of study participants, local guidelines are important and necessary in nutritional management of cirrhosis patients, and that participants felt it was difficult to change dietary habits following cirrhosis diagnosis. Conclusions: These results suggest that nutritional management of cirrhosis patients in Ghana requires improvement. Strategies to improve this could include a multi-disciplinary approach to nutritional management, development of local guidelines and continued nutritional assessment, monitoring and follow-up.

Original languageEnglish (US)
Pages (from-to)18-22
Number of pages5
JournalClinical Nutrition ESPEN
Volume34
DOIs
StatePublished - Dec 2019

Fingerprint

Ghana
Fibrosis
Health
Liver Diseases
Guidelines
Nutrition Assessment
End Stage Liver Disease
Feeding Behavior
Liver Neoplasms
Nutritional Status
Malnutrition
Liver Cirrhosis
Health Personnel
Patient Care
Chronic Disease
Software
Interviews
Morbidity

Keywords

  • Ghana
  • Healthcare workers
  • Liver cirrhosis
  • Nutritional management

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Nutritional management of cirrhosis patients : A qualitative study exploring perceptions of patients and health workers in Ghana. / Nartey, Yvonne Ayerki; Asem, Mawuena; Agyei-Nkansah, Adwoa; Awuku, Yaw Asante; Setorglo, Jacob; Duah, Amoako; Bampoh, Sally; Ayawin, Joshua; Asibey, Shadrack Osei; Ye, Weimin; Afihene, Mary Yeboah; Roberts, Lewis; Plymoth, Amelie.

In: Clinical Nutrition ESPEN, Vol. 34, 12.2019, p. 18-22.

Research output: Contribution to journalArticle

Nartey, YA, Asem, M, Agyei-Nkansah, A, Awuku, YA, Setorglo, J, Duah, A, Bampoh, S, Ayawin, J, Asibey, SO, Ye, W, Afihene, MY, Roberts, L & Plymoth, A 2019, 'Nutritional management of cirrhosis patients: A qualitative study exploring perceptions of patients and health workers in Ghana', Clinical Nutrition ESPEN, vol. 34, pp. 18-22. https://doi.org/10.1016/j.clnesp.2019.09.010
Nartey, Yvonne Ayerki ; Asem, Mawuena ; Agyei-Nkansah, Adwoa ; Awuku, Yaw Asante ; Setorglo, Jacob ; Duah, Amoako ; Bampoh, Sally ; Ayawin, Joshua ; Asibey, Shadrack Osei ; Ye, Weimin ; Afihene, Mary Yeboah ; Roberts, Lewis ; Plymoth, Amelie. / Nutritional management of cirrhosis patients : A qualitative study exploring perceptions of patients and health workers in Ghana. In: Clinical Nutrition ESPEN. 2019 ; Vol. 34. pp. 18-22.
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AU - Setorglo, Jacob

AU - Duah, Amoako

AU - Bampoh, Sally

AU - Ayawin, Joshua

AU - Asibey, Shadrack Osei

AU - Ye, Weimin

AU - Afihene, Mary Yeboah

AU - Roberts, Lewis

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N2 - Background and aims: Malnutrition is common among patients with end stage liver disease including liver cirrhosis and liver cancer. Optimal nutrition is important to reduce morbidity and mortality of these patients. There is limited qualitative data on nutritional status and management of chronic liver disease patients. We aimed to explore the knowledge, opinions and practices of cirrhosis patients and health workers in nutritional management of cirrhosis in Ghana, in order to determine whether there is a need to improve nutritional care for cirrhosis patients. Methods: We conducted a qualitative study using semi-structured interviews of cirrhotic patients (n = 16) and healthcare providers (n = 27) in three academic centers in Accra, Kumasi and Cape Coast (Ghana). Recruitment was by purposive sampling of patients attending specialist liver disease clinics. The recorded data were analyzed using NVivo 11 software, with generation of codes, themes and subthemes. Results: The major themes that emerged from the data included nutrition as part of care delivery during the hospital visit, nutritional recommendations, dietary changes and long-term practice improvement. The results showed that patients and health workers felt dietary recommendations for patients were frequently addressed, but could be significantly improved. We found that in the opinion of study participants, local guidelines are important and necessary in nutritional management of cirrhosis patients, and that participants felt it was difficult to change dietary habits following cirrhosis diagnosis. Conclusions: These results suggest that nutritional management of cirrhosis patients in Ghana requires improvement. Strategies to improve this could include a multi-disciplinary approach to nutritional management, development of local guidelines and continued nutritional assessment, monitoring and follow-up.

AB - Background and aims: Malnutrition is common among patients with end stage liver disease including liver cirrhosis and liver cancer. Optimal nutrition is important to reduce morbidity and mortality of these patients. There is limited qualitative data on nutritional status and management of chronic liver disease patients. We aimed to explore the knowledge, opinions and practices of cirrhosis patients and health workers in nutritional management of cirrhosis in Ghana, in order to determine whether there is a need to improve nutritional care for cirrhosis patients. Methods: We conducted a qualitative study using semi-structured interviews of cirrhotic patients (n = 16) and healthcare providers (n = 27) in three academic centers in Accra, Kumasi and Cape Coast (Ghana). Recruitment was by purposive sampling of patients attending specialist liver disease clinics. The recorded data were analyzed using NVivo 11 software, with generation of codes, themes and subthemes. Results: The major themes that emerged from the data included nutrition as part of care delivery during the hospital visit, nutritional recommendations, dietary changes and long-term practice improvement. The results showed that patients and health workers felt dietary recommendations for patients were frequently addressed, but could be significantly improved. We found that in the opinion of study participants, local guidelines are important and necessary in nutritional management of cirrhosis patients, and that participants felt it was difficult to change dietary habits following cirrhosis diagnosis. Conclusions: These results suggest that nutritional management of cirrhosis patients in Ghana requires improvement. Strategies to improve this could include a multi-disciplinary approach to nutritional management, development of local guidelines and continued nutritional assessment, monitoring and follow-up.

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