腹膜透析病人营养素养的调查研究  

Status of nutritional literacy in peritoneal dialysis patients

作　　者：付微微 张珊 周婷婷 于文馨 吕桂兰 FU Wei-wei;ZHANG Shan;ZHOU Ting-ting;YU Wen-xin;LÜGui-lan(National Clinical Research Center for Kidney Diseases,General Hospital of Eastern Theater Command,PLA,Nanjing 210002,Jiangsu,China;Health service Department,904th Hospital of PLA Joint Logistic Support Force,Wuxi 214071,Jiangsu,China)

机构地区：[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

出　　处：《肠外与肠内营养》2024年第3期172-175,183,共5页Parenteral & Enteral Nutrition

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。Objective:To determine the status of nutritional literacy and its influencing factors among the peritoneal dialysis(PD)patients.Methods:The patients who underwent PD and long-term follow-up in the Department of Nephrology,General Hospital of Eastern Theater Command between January and October,2023 were enrolled in this study.The status of nutritional literacy in the patients was assessed through collecting and analyzing the data on the patients’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 in nutritional literacy scoring were observed in the different patient subgroups according to the patients’educational background,dialysis time or times of receiving multidisciplinary diet guidance(all P values<0.05).The nutritional literacy levels of PD patients were negatively correlated to the concentrations of serum calcium and prealbumin,and left ventricular posterior wall thickness,and postively correlated to prealbumin level(P<0.05).Basing on multiple linear regression analysis,the times of receiving multidisciplinary diet guidance,educational background and serum prealbumin 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 patients was in the middle level.In clinical practice,to enhance multidisciplinary diet guidance and management at the early stage 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.

关 键 词：腹膜透析病人 营养素养 调查研究 

分 类 号：R473.5[医药卫生—护理学]