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

作　　者：李伊 孟庆兰[2] 郝健 张利娟 朱婷 席晓岩 武素珍[3] LI Yi;MENG Qing-lan;HAO Jian;ZHANG Li-juan;ZHU Ting;XI Xiao-yan;WU Su-zhen(School of Nursing,Inner Mongolia Medical University,Hohhot 010000,China;Department of Nosocomial Infection Control,The Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,China;Department of Nephrology,The Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,China)

机构地区：[1]内蒙古医科大学护理学院,呼和浩特010000 [2]内蒙古医科大学附属医院医院感染管理科,呼和浩特010050 [3]内蒙古医科大学附属医院肾内科,呼和浩特010050

出　　处：《中国血液净化》2024年第2期157-160,共4页Chinese Journal of Blood Purification

基　　金：内蒙古自治区卫生健康委医疗卫生科技计划(202201253)。

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。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.

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 

分 类 号：R473[医药卫生—护理学]