[1]付微微,张 珊,周婷婷,等.腹膜透析病人营养素养的调查研究[J].肠外与肠内营养杂志,2024,(03):172-175183.[doi:DOI : 10.16151/j.1007-810x.2024.03.008]
　FU Wei-wei,ZHANG Shan,ZHOU Ting-ting,et al.Status of nutritional literacy in peritoneal dialysis patients[J].PARENTERAL & ENTERAL NUTRITION,2024,(03):172-175183.[doi:DOI : 10.16151/j.1007-810x.2024.03.008]
点击复制

腹膜透析病人营养素养的调查研究()
分享到：

《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2024年03期
页码:
172-175183
栏目:
论著
出版日期:
2024-06-10

文章信息/Info

Title:
Status of nutritional literacy in peritoneal dialysis patients
作者:
付微微1; 张 珊2; 周婷婷1; 于文馨1; 吕桂兰1
1.东部战区总医院 国家肾脏疾病临床医学研究中心，江苏南京210002；2.第九〇四医院卫勤处，江苏无锡 214071
Author(s):
FU Wei-wei1;  ZHANG Shan2;  ZHOU Ting-ting1;  YU Wen-xin1;  L? Gui-lan1
1. National Clinical Research Center for Kidney Diseases, General Hospital of Eastern TheaterCommand, PLA, Nanjing 210002,Jiangsu, China；2.Health service Department, 904th Hospital of PLAJoint Logistic Support Force, Wuxi 214071, Jiangsu, China
关键词:
腹膜透析病人 ; 营养素养 ; 调查研究
Keywords:
Peritoneal dialysis patients;  Nutritional literacy;  Survey
分类号:
R473.5
DOI:
DOI : 10.16151/j.1007-810x.2024.03.008
文献标志码:
A
摘要:
目的：分析腹膜透析（PD）病人营养素养现状及其影响因素。 方法：选择2023年1至10月在东部战区总医院肾脏病科腹膜透析中心长期随访的病人为调查对象，通过一般资料调查表、营养素养评价量表收集病人一般情况、营养素养现状、实验室及透析相关指标等，并对其进行分析。 结果：PD病人营养素养水平为（24.49 ±3.35）分，不同文化程度、透析龄、接受多学科饮食管理次数的营养素养得分比较，差异均有统计学意义（P < 0.05）；PD 病人营养素养与其血钙、左室后壁厚度之间存在负相关，与前白蛋白之间存在正相关，差异均有统计学意义（P < 0.05）；以PD病人营养素养总分为因变量，以单因素分析差异有统计学意义的变量和营养素养相关的变量作为自变量进行多元线性回归分析，结果显示：接受多学科饮食管理次数、文化程度、前白蛋白为影响PD病人营养素养的独立影响因素(P < 0.05)。 结论：PD病人营养素养处于中等水平，早期关注PD病人营养素养水平，提高病人掌握相应的营养知识和自我管理能力的水平，及时采取针对性的干预措施，进而改善PD病人营养状况。
Abstract:
Objective: To determine the status of nutritional literacy and its influencing factors among theperitoneal dialysis (PD) patients. Methods: The patients who underwent PD and long-term follow-up in the Departmentof Nephrology, General Hospital of Eastern Theater Command between January and October, 2023 were enrolled in thisstudy. The status of nutritional literacy in the patients was assessed through collecting and analyzing the data on thepatients’general information, the current nutritional status, and laboratory- and dialysis-related indicators. Results:The average score of nutritional literacy in the enrolled patients were （24.49 ± 3.35）. Significant differences innutritional literacy scoring were observed in the different patient subgroups according to the patients’educationalbackground, dialysis time or times of receiving multidisciplinary diet guidance (all P values < 0.05). The nutritionalliteracy levels of PD patients were negatively correlated to the concentrations of serum calcium and prealbumin, and leftventricular posterior wall thickness, and postively correlated to prealbumin level(P < 0.05). Basing on multiple linearregression analysis, the times of receiving multidisciplinary diet guidance, educational background and serumprealbumin level were identified as independent influencing factors for the nutritional literacy levels in PD patients,respectively (all P values < 0.05). Conclusions: The present study showed that the nutritional literacy of PD patientswas in the middle level. In clinical practice, to enhance multidisciplinary diet guidance and management at the earlystage of PD could contribute to improve the nutritional status of PD patients. In addition, to increase the patients’nutritional knowledge and health management ability might be also helpful for the nutritional levels of PD patients.

参考文献/References:


[1] Lambie M，Zhao J H，Mccullough K，et al. Variation in peritonealdialysis time on therapy by country：results from the peritonealdialysis outcomes and practice patterns study. Clin J Am SocNephrol, 2022, 17(6): 861-871.
[2] Li PK, Chow KM, Van de Luijtgaarden MW, et al. Changes in theworldwide epidemiology of peritoneal dialysis. Nat Rev Nephrol,2017, 13(2):90-103.
[3] 全国腹膜透析病例信息登记系统.中国医师协会肾脏内科医师分会2022年学术年会. 2022-07-21. http://cna2022.i-conference.org/
[4] 曾 涛, 李 贞, 张剑彬, 等. 终末期肾脏病透析患者营养素养评价量表的编制及信效度检测. 护理学杂志, 2022, 37(4):24-27.
[5] 吕桂兰, 周婷婷, 席海玲, 等. 握力对腹膜透析病人营养状况的预测价值. 肠外与肠内营养, 2020, 27(6):358-362.
[6] 周 蕊, 郄淑文, 李 智, 等. 腹膜透析患者饮食依从行为现状及其影响因素分析. 中国血液净化, 2022, 21(12):929-933.
[7] 朱方方, 邱昭君, 卢秀琴, 等. 维持性血液透析患者营养素养现状及影响因素分析. 中国护理管理,2023,23(06):839-843.
[8] Costarelli V, Michou M, Panagiotakos DB, et al. Parental healthliteracy and nutrition literacy affect child feeding practices: Across-sectional study. Nutr Health, 2022, 28(1):59-68.
[9] 曾 涛. 腹膜透析患者营养素养水平对残余肾功能及生存质量的相关性研究. 重庆，重庆医科大学, 2022, 14-15.
[10] Kramer H. Diet and Chronic Kidney Disease. Adv Nutr, 2019, 10(Suppl_4):S367-S379.
[11] Taylor MK, Sullivan DK, Ellerbeck EF, et al. Nutrition literacypredicts adherence to healthy/unhealthy diet patterns in adultswith a nutrition-related chronic condition. Public Health Nutr,2019, 22(12):2157-2169.
[12] 彭 源, 朱林芳, 高梦琳, 等. 维持性血液透析患者的营养素养现状及影响因素分析. 华西医学, 2023, 38(7):1021-1026.
[13] 邢婷婷, 李嘉琪, 刘 云, 等. 维持性血液透析病人捏力及握力与肌肉质量的相关性研究 . 肠外与肠内营养, 2023, 30(6):340-346.
[14] 黎双双, 鄢建军, 宁 勇, 等. 残余肾功能对维持性血液透析患者营养状况及生活质量的影响 . 中国血液净化, 2023,22(8):603-607.

相似文献/References:

[1]吕桂兰,周婷婷,席海玲,等.握力对腹膜透析病人营养状况的预测价值[J].肠外与肠内营养杂志,2020,(06):358.[doi:DOI : 10.16151/j.1007-810x.2020.06.009]
　L? Gui-lan,ZHOU Ting-ting,XI Hai-ling,et al.Predictive value of grip strength for nutritional status in peritoneal dialysis patients[J].PARENTERAL & ENTERAL NUTRITION,2020,(03):358.[doi:DOI : 10.16151/j.1007-810x.2020.06.009]

备注/Memo

备注/Memo:
作者简介 ：付微微，护师，护理本科，从事肾脏病营养相关研究。E-mail：272877201@qq.com共同第一作者 ：张 珊，护师，护理本科，从事护理学专业。E-mail: 1769806344@qq.com通讯作者 ：吕桂兰，E-mail: ztt198787@163.com
更新日期/Last Update: 1900-01-01