中国血液净化

中国血液净化 ›› 2022, Vol. 21 ›› Issue (11): 858-861.doi: 10.3969/j.issn.1671-4091.2022.11.015

• 护理研究 • 上一篇    下一篇

维持性血液透析患者食欲减退现状及影响因素研究

卜兆文   钟月欢   李 娜   周 彬   丁义梅   

  1. 730000 兰州，1兰州大学护理学院
    730000 兰州，2甘肃省人民医院血液净化中心
  • 收稿日期:2022-05-24 修回日期:2022-09-07 出版日期:2022-11-11 发布日期:2022-11-12
  • 通讯作者: 钟月欢 E-mail:chung@lzu.edu.cn

A study on the status of anorexia and its influencing factors in maintenance hemodialysis patients

BU Zhao-wen, ZHONG Yue-huan, LI Na, ZHOU Bin, DING Yi-mei   

  1. School of Nursing, Lanzhou University, Lanzhou 730000, China; 2Blood Purification Center, Gansu Provincial Hospital, Lanzhou 730000, China Corresponding author: ZHONG Yue-huan, Email: chung@lzu.edu.cn
  • Received:2022-05-24 Revised:2022-09-07 Online:2022-11-11 Published:2022-11-12
  • Contact: 730000 兰州，1兰州大学护理学院 E-mail:chung@lzu.edu.cn

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摘要： 目的 调查维持性血液透析患者食欲减退现状及影响因素。 方法 采用便利抽样选取2021年11月～2022年1月在甘肃省人民医院血液净化中心进行透析的患者168例，使用一般情况调查表、食欲视觉模拟评分、睡眠状况自评量表、焦虑自评量表、抑郁自评量表、国际体力活动问卷等进行调查，采用单因素分析及二元Logistic回归分析患者食欲减退的影响因素。 结果 168例患者中，食欲减退发生率为32.1%。二元Logistic回归分析显示：性别(OR =0.323,95% CI：0.119～0.879,P=0.027)、便秘(OR =2.929，95% CI：1.204～7.125，P=0.018)、尿素清除指数(OR=0.027，95% CI：0.002～0.435，P=0.011)、睡眠状况自评量表评分(OR =1.081，95%CI：1.01～1.156，P=0.024)、体力活动水平(OR=0.134,95% CI：0.049～0.364,P＜0.001)是维持性血液透析患者食欲减退的影响因素。 结论 部分维持性血液透析患者存在食欲减退，性别、便秘、尿素清除指数、体力活动水平、睡眠状况是其影响因素。

关键词: 维持性血液透析, 食欲减退, 影响因素

Abstract: Objective To investigate the status of anorexia and its influencing factors in maintenance hemodialysis (MHD) patients.  Methods  A total of 168 MHD patients were recruited from the Blood Purification Center, Gansu Provincial Hospital from November 2021 to January 2022. The self-designed general condition questionnaire, visual analog score of appetite (VAS), self-rating sleep status scale (SPSS), self-rating anxiety scale (SAS), self-rating depression scale (SDS), and international physical activity questionnaire (short volume in Chinese version, IPAQ) were used for the investigation. Univariate analysis and binary logistic regression were performed to analyze the influencing factors.  Results  The incidence of anorexia was 32.1% in the 168 MHD patients. Binary logistics regression showed that gender (OR=0.323, 95% CI 0.119~0.879, P=0.027), constipation (OR=2.929, 95% CI 1.204~7.125, P=0.018), urea clearance index (OR=0.027, 95% CI 0.002~0.435, P=0.011), SPSS score (OR=1.081, 95% CI 1.01~1.156, P=0.024), and physical activity level (OR=0.134, 95% CI 0.049~0.0.364, P＜0.001) were the influencing factors for the diminished appetite in MHD patients.  Conclusion   Anorexia was found in about one third of the MHD patients. Patients’ constipation, urea clearance index, physical activity level and SPSS score were the influencing factors for anorexia.

Key words: Maintenance hemodialysis, Anorexia, Influencing factors

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