中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (02): 157-160.doi: 10.3969/j.issn.1671-4091.2024.02.017

• 护理研究 • 上一篇    

维持性血液透析患者营养素养现状及影响因素分析

李  伊    孟庆兰    郝  健    张利娟    朱  婷    席晓岩    武素珍   

  1. 010000 呼和浩特，1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2医院感染管理科 3肾内科
  • 收稿日期:2023-08-16 修回日期:2023-11-16 出版日期:2024-02-12 发布日期:2024-02-12
  • 通讯作者: 孟庆兰 E-mail:address:nmgmengqinglan@163.com
  • 基金资助:
    内蒙古自治区卫生健康委医疗卫生科技计划(202201253)

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

LI Yi, MENG Qing-lan, HAO Jian, ZHANG Li-juan, ZHU Ting, XI Xiao-yan, WU Su-zhen   

  1. School of Nursing, Inner Mongolia Medical University, Hohhot 010000, China; 2Department of Nosocomial Infection Control, and 3Department of Nephrology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China
  • Received:2023-08-16 Revised:2023-11-16 Online:2024-02-12 Published:2024-02-12
  • Contact: 010050 呼和浩特，内蒙古医科大学附属医院2医院感染管理科 E-mail:address:nmgmengqinglan@163.com

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摘要： 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—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。

关键词: 维持性血液透析, 营养素养, 自我管理, 社会支持, 影响因素

Abstract: 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 Hemodialysis 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 patients (P<0.001).  Conclusion  The level of nutritional literacy in MHD patients is at an intermediate level, and further improvement is required.

Key words: Maintenance hemodialysis, Nutritional literacy, Self-management, Social support, Influencing factor

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