首页|维持性血液透析患者营养素养现状及影响因素分析

维持性血液透析患者营养素养现状及影响因素分析

Current status of nutritional literacy and its influencing factors in maintenance hemodialysis patients

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目的 探讨维持性血液透析(maintenance hemodialysis,MHD)患者营养素养的现状及影响因素.方法 选取2023年4月一6月内蒙古医科大学附属医院血液净化中心行MHD的患者200例为研究对象.采用一般资料调查表、社会支持评定量表、血液透析患者自我管理量表、血液透析患者营养素养评价量表进行问卷调查.结果 MHD患者营养素养得分为(19.99±3.72)分.多元线性回归分析显示性别(β=0.142,P=0.003)、文化程度(β=0.188,P=0.001)、居住方式(β=0.112,P=0.020)、每日尿量(β=0.249,P<0.001)、透析龄(β=0.193,P=0.001)、原发疾病(糖尿病)(β=-0.144,P=0.005)、社会支持(β=0.113,P=0).032)、自我管理(β=0.449,P<0.001)是MHD患者营养素养的影响因素.结论 MHD患者营养素养水平处于中等水平,有进一步的提升空间.
Objective To explore the current situation and influencing factors of nutritional literacy in maintenance hemodialysis(MHD)patients.Methods A total of 200 MHD patients treated in the Hemodialy-sis Center,The Affiliated Hospital of Inner Mongolia Medical University from April 2023 to June 2023 were recruited in this study.General Information Questionnaire,Social Support Rating Scale,Self-Management Scale for Hemodialysis Patients,and Nutritional Literacy Evaluation Scale for Hemodialysis Patients were used as the questionnaires to the MHD patients.Results The nutritional literacy score of MHD patients was 19.99±3.72.Multivariate linear regression analyses showed that gender(β=0.142,P=0.003),literacy level(β=0.188,P=0.001),mode of residence(β=0.112,P=0.020),daily urine output(β=0.249,P<0.001),dialysis age(β=0.193,P=0.001),primary disease(diabetes)(β=-0.144,P=0.005),social support(β=0.113,P=0.032),and self-management(β=0.449,P<0.001)were the influencing factors for nutritional literacy in MHD pa-tients(P<0.001).Conclusion The level of nutritional literacy in MHD patients is at an intermediate level,and further improvement is required.

Maintenance hemodialysisNutritional literacySelf-managementSocial supportInflu-encing factor

李伊、孟庆兰、郝健、张利娟、朱婷、席晓岩、武素珍

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010000 呼和浩特,内蒙古医科大学护理学院

010050 呼和浩特,内蒙古医科大学附属医院医院感染管理科

010050 呼和浩特,内蒙古医科大学附属医院医院肾内科

维持性血液透析 营养素养 自我管理 社会支持 影响因素

内蒙古自治区卫生健康委医疗卫生科技计划

202201253

2024

中国血液净化
中国医院协会

中国血液净化

CSTPCD
影响因子:1.54
ISSN:1671-4091
年,卷(期):2024.23(2)
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