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Nutrition status and its influencing factors of patients undergoing peritoneal dialysis in rural area
Li Zhengyan, Zheng Xiao, Lou Xiaoping, Ding Rui, Zhang Xiaoxue, Ma Shuang, Xiao Jing, Zhao Zhanzheng
Published 2018-04-06
Cite as Chin J Mod Nurs, 2018,24(10): 1180-1183. DOI: 10.3760/cma.j.issn.1674-2907.2018.10.012
Abstract
ObjectiveTo investigate nutrition status and its influencing factors of patients undergoing peritoneal dialysis (PD) in rural area.
MethodsA total of 72 rural-home-care patients with continuous ambulatory PD were recruited and investigated with a self-designed demographic data questionnaire, Subjective Global Assessment(SGA), somatometry, biochemical test, Charlson Comorbidity Index(CCI), method of peritoneal dialysis adequacy in Nephrology Department of a Class Ⅲ Grade A hospital from February to June 2015 by convenient sampling. Influencing factors of patients' nutrition status were analyzed by single factor analysis and multiple factors Logistic regression.
ResultsIncidence of malnutrition in PD patients was 79.17%. Single factor analysis showed that a total of 12 factors were related to malnutrition: complications index, dialysis adequacy, TSF, Alb, Hb, Rbc, nPCR, eGFR, TG, BUN, Scr and Kt/v. Logistic regression analysis showed that peritoneal dialysis inadequacy, complication and low serum albumin were the influencing factors of malnutrition for patients undergoing PD in rural area (OR=6.995, 0.075, 1.050; P<0.05).
ConclusionsThe results indicate that paying more attention and assessing nutrition timely may maintain good effect of dialysis and promote the quality of life for patients receiving PD in rural area.
Key words:
Peritoneal dialysis; Malnutrition; Dialysis adequacy
Contributor Information
Li Zhengyan
Nephrology Department, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Zheng Xiao
Nephrology Department, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Lou Xiaoping
Nursing Department, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Ding Rui
Nephrology Department, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Zhang Xiaoxue
Nephrology Department, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Ma Shuang
Nephrology Department, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Xiao Jing
Nephrology Department, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Zhao Zhanzheng
Nephrology Department, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China