Status and Influencing Factors of Compliance with High-quality Low-protein Diet in Non-dialysis Elderly Patients with Chronic Kidney Disease
Objective To investigate the compliance status of high-quality low-protein diet in elderly patients with chronic kidney disease without dialysis,and to analyze the relevant influencing factors.Methods Clinical data of 92 non-dialysis patients with chronic kidney disease admitted to the nephrology ward of Jiangsu Provincial Government Hospital from January 2022 to January 2023 were retrospectively selected by convenience sampling,and grouped ac-cording to whether or not they implemented a high-quality low-protein diet(63 cases in the implementation group and 29 cases in the non-implementation group).The baseline data and clinical parameters of the two groups were statisti-cally analyzed,and the factors influencing the implementation of a high-quality low-protein diet in elderly chronic kidney disease non-dialysis patients were analyzed by univariate and multivariate Logistic regression.Results Pa-tients in the implementation group had no hypertension(52 cases)and had received diet education(46 cases),which were significantly more than those in the non-implementation group,and the differences were statistically significant(x2=9.531,12.372,both P<0.05).Multivariate Logistic regression analysis showed that hypertension,diet education and self-efficacy were independent factors affecting the implementation of high-quality low-protein diet in non-dialysis elderly patients with chronic kidney disease(OR=1.341,1.560,1.649,all P<0.05).Conclusion The conscious-ness of elderly non-dialysis patients with chronic kidney disease to implement high-quality low-protein diet is not high,which is mainly affected by whether they have hypertension,whether they have received diet education,and the level of self-efficacy.Clinical guidance and intervention for patients in these three aspects can be strengthened to im-prove the execution of high-quality low-protein diet for elderly non-dialysis patients with chronic kidney disease.
NETL
NSTL
万方数据
