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慢性病非透析住院患者的营养状况和相关因素:单中心混合方法研究
Nguyen M An1,2, Ha D Linh3, Vo H Long4
1Department of Surgical Nursing, Hanoi Medical College, Hanoi 100000, Vietnam.
概括
营养不良影响超过76%的慢性病患者,特别是老年人和患有长期疾病的人. 早期的营养干预和家庭支持对于管理这种并发症至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床营养学 临床营养学
- 公共卫生 公共卫生
背景情况:
- 营养不良是慢性病 (CKD) 患者的重要并发症,对临床结果产生负面影响.
- 在CKD中营养不良的患病率和促成因素需要进行彻底的调查.
研究的目的:
- 评估CKD患者营养不良的患病率和相关因素.
- 探索营养干预和家庭支持在该人口中管理营养不良方面的作用.
主要方法:
- 使用主观全球评估 (SGA) 对营养状况进行了一项横截面研究.
- 数据收集包括BMI,血清白蛋白,以及关于营养咨询和家庭支持的自我报告信息.
- 后勤回归分析确定了营养不良的风险因素.
主要成果:
- 在CKD患者中观察到营养不良的高患病率 (76.1%).
- 营养不良的风险增加与年龄 (≥60岁) 和疾病持续时间 (≥2年) 有关.
- 获得营养咨询的机会有限 (23.2%) 与严重依赖家庭支持 (81.2%) 相反.
结论:
- 营养不良在CKD中是普遍存在的,由衰老,疾病持续时间和营养指导不足所驱动.
- 综合策略,包括早期评估,量身定制的干预措施和家庭参与至关重要.
- 建议进行进一步的纵向多中心研究,以优化CKD的营养护理模型.
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