维持性血液透析患者蛋白质-能量消耗现况及对生活质量的影响(1)
[摘要] 目的 調查维持性血液透析(MHD)患者的蛋白-能量消耗(PEW)状态的现况及发生率，描述PEW状态对MHD患者生活质量的影响。 方法 采用方便抽样法对2018年6～12月在新疆医科大学第一附属医院血液净化中心就诊的MHD患者170例，按PEW诊断标准分为PEW组与非PEW组。运用身体测量法进行PEW状态评估，运用问卷调查法进行生活质量评价，比较MHD患者中PEW组患者与非PEW组患者生活质量的差异。 结果 MHD患者至少满足3类PEW诊断指标者50例，患病率为29.40%;PEW组与非PEW组患者人口学特征在年龄、体重指数、职业方面的差异有统计学意义(P < 0.05);PEW组与非PEW组患者生活质量评价中，在活力、社会功能、社会情感、肾病负担、症状影响等维度及总分方面差异有统计学意义(P < 0.05)。 结论 MHD患者PEW患病率趋于中等水平，PEW状态对MHD患者生活质量有影响，提示护理人员应加强关注PEW患者的生活质量，为进一步干预提供理论依据。
[关键词] 维持性血液透析;蛋白质能量消耗;生活质量;多频生物电阻抗
[中图分类号] R473.55 [文献标识码] A [文章编号] 1673-7210(2019)10(b)-0141-04
Current status of protein-energy wasting and its impact on quality of life in the maintenance hemodialysis patients
Paredanmu·Tuohuti1，2 LI Yufang2 ZHANG Li2 ZHANG Shaohua2 Zinati·Sawuti2 YAN Ping1
1.School of Nursing， Xinjiang Medical University， Xinjiang Uygur Autonomous Region， Urumqi 830001， China; 2.Center of Kidney Disease， the First Affiliated Hospital of Xinjiang Medical University， Urumqi 830001， China
[Abstract] Objective To investigate the status and incidence of protein-energy wasting (PEW) in maintenance hemodialysis patients and describe the impact of PEW status on quality of life in the maintenance hemodialysis (MHD) patients. Methods A total of 170 MHD patients admitted to the Blood Purification Center of the First Affiliated Hospital of Xinjiang Medical University from June to December 2018 were enrolled in this study. They were divided into PEW group and non-PEW group according to PEW diagnostic criteria by convenience sampling method. PEW status was assessed by physical measurements and the quality of life was assessed by questionnaire. The differences in the quality of life were compared between MHD patients with PEW group and non-PEW group. Results A total of 50 cases met at least 3 indicators of PEW diagnostic criteria in MHD patients， the prevalence of PEW in MHD patients was 29.40%. The demographic characteristics of the patients in the PEW group and the non-PEW group were statistically significant in terms of age， physique index and occupation (P < 0.05). In the quality of life assessment of patients with PEW and non-PEW groups， there were statistically significant differences in vitality， social function， social affection， burden of kidney disease， symptomatic effects and total scores (P < 0.05). Conclusion The prevalence of PEW in MHD patients tends to a medium level. The PEW status has an impact on the quality of life in MHD patients， suggesting that nursing staff should pay more attention to the quality of life in PEW patients and provide a theoretical basis for further intervention., http://www.100md.com(帕热旦木·托乎提 李玉芳 张丽 张少华 孜娜提·萨伍提 颜萍)
[关键词] 维持性血液透析;蛋白质能量消耗;生活质量;多频生物电阻抗
[中图分类号] R473.55 [文献标识码] A [文章编号] 1673-7210(2019)10(b)-0141-04
Current status of protein-energy wasting and its impact on quality of life in the maintenance hemodialysis patients
Paredanmu·Tuohuti1，2 LI Yufang2 ZHANG Li2 ZHANG Shaohua2 Zinati·Sawuti2 YAN Ping1
1.School of Nursing， Xinjiang Medical University， Xinjiang Uygur Autonomous Region， Urumqi 830001， China; 2.Center of Kidney Disease， the First Affiliated Hospital of Xinjiang Medical University， Urumqi 830001， China
[Abstract] Objective To investigate the status and incidence of protein-energy wasting (PEW) in maintenance hemodialysis patients and describe the impact of PEW status on quality of life in the maintenance hemodialysis (MHD) patients. Methods A total of 170 MHD patients admitted to the Blood Purification Center of the First Affiliated Hospital of Xinjiang Medical University from June to December 2018 were enrolled in this study. They were divided into PEW group and non-PEW group according to PEW diagnostic criteria by convenience sampling method. PEW status was assessed by physical measurements and the quality of life was assessed by questionnaire. The differences in the quality of life were compared between MHD patients with PEW group and non-PEW group. Results A total of 50 cases met at least 3 indicators of PEW diagnostic criteria in MHD patients， the prevalence of PEW in MHD patients was 29.40%. The demographic characteristics of the patients in the PEW group and the non-PEW group were statistically significant in terms of age， physique index and occupation (P < 0.05). In the quality of life assessment of patients with PEW and non-PEW groups， there were statistically significant differences in vitality， social function， social affection， burden of kidney disease， symptomatic effects and total scores (P < 0.05). Conclusion The prevalence of PEW in MHD patients tends to a medium level. The PEW status has an impact on the quality of life in MHD patients， suggesting that nursing staff should pay more attention to the quality of life in PEW patients and provide a theoretical basis for further intervention., http://www.100md.com(帕热旦木·托乎提 李玉芳 张丽 张少华 孜娜提·萨伍提 颜萍)