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维持性血液透析患者肌少症现状及影响因素分析

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目的 探究维持性血液透析(MHD)患者肌少症发生的现况,并分析其影响因素.方法 采用便利抽样法选取2023年10月至2024年1月在安徽医科大学第二附属医院血液净化中心接受治疗的MHD患者为研究对象,采用一般资料调查表、改良定量主观整体评估问卷(MQSGA)、国际体力活动短问卷(IPAQ-SF)、慢性病管理自我效能量表(SES6)以及生物电阻抗技术对患者进行调查评估.结果 共纳入167例MHD患者,其中75例患者(44.91%)患有肌少症,发生率较高.二元logistic逐步回归分析结果显示,年龄、基础代谢率、慢病管理自我效能是MHD患者发生肌少症的影响因素(均P<0.05).结论 MHD患者肌少症的发生率处于较高水平,现况较为严峻.临床医护人员应重视该人群的肌少症早期筛查工作,应针对影响因素及时制订个性化强、有针对性的干预措施,以预防或减缓肌少症的发生、发展,降低肌少症的发生率.
Analysis of the current status and influencing factors of sarcopenia in maintenance hemodialysis patients
Objective To investigate the current situation of sarcopenia in maintenance hemodialysis(MHD)patients and analyze its influencing factors.Methods Convenience sampling was used to select MHD patients who received treatment at the Blood Purification Center of the Second Affiliated Hospital of Anhui Medical University from October 2023 to January 2024 as the research subjects.The patients were surveyed and evaluated using a general information questionnaire,a modified quantitative subjective global assessment(MQSGA),the international physical activity questionnaire-short form(IPAQ-SF),the self-efficacy for managing chronic disease 6-item scale(SES6),and bioelectrical impedance technology.Results A total of 167 MHD patients were included,of which 75 patients(44.91%)had sarcopenia,with a high incidence rate.The results of binary logistic stepwise regression analysis showed that age,basal metabolic rate,and self-efficacy for managing chronic disease were the influencing factors for the occurrence of sarcopenia in MHD patients(all P<0.05).Conclusion The incidence of sarcopenia in MHD patients is at a high level,and the current situation is quite severe.Clinical medical staff should pay attention to the early screening of sarcopenia in this population,and timely develop personalized and targeted intervention measures based on influencing factors to prevent or slow down the occurrence and development of sarcopenia,and reduce the incidence of sarcopenia.

Maintenance hemodialysisSarcopeniaInfluencing factorsPrevalence survey

赵茜芸、王德光、陆婷婷、郑俊俊、包满珍、张淼、杨锡瑶

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安徽医科大学第二附属医院血液净化中心,安徽合肥 230601

安徽医科大学第二附属医院护理部,安徽合肥 230601

维持性血液透析 肌少症 影响因素 现况调查

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(14)