影响持续门诊腹腔透析患者生活质量的因素:回顾性分析
Xiujun Wang1, Juan Jiang1, Yanqiong Ding2
1Quality Control Office, Huanggang Central Hospital Nursing, Huanggang, Hubei Province, China.
Medicine
|July 9, 2025
概括
糟糕的生活质量 (QoL) 影响超过一半的连续门诊腹膜透析 (CAPD) 患者,通常与营养不良和炎症有关. 解决每日能量摄入量和C-反应蛋白水平的问题可以改善CAPD患者的QoL.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 临床营养学 临床营养学
- 生活质量研究 研究 生命质量研究
背景情况:
- 持续的门诊腹膜透析 (CAPD) 是一种至关重要的置换疗法.
- 评估生活质量 (QoL) 对于管理CAPD患者至关重要.
- 营养不良和炎症是降低CAPD中的QoL的潜在贡献者.
研究的目的:
- 为了评估CAPD患者的QoL.
- 确定与低质量生活相关的临床和营养因素.
- 了解营养不良和炎症对CAPD中的QoL的影响.
主要方法:
- 对164名临床稳定的CAPD患者进行了回顾性研究.
- 使用主观全球评估评估的生活质量.
- 通过人体测量,生化标志物和饮食摄入量评估营养状况.
- 透析充分性,残留功能和C反应蛋白 (CRP) 分析.
主要成果:
- 53.66%的CAPD患者报告了不良的QoL,通常与营养不良有关.
- 较低的QOL与年龄较大,BMI较低,营养标志物减少和饮食摄入量较低有关.
- 在低质量生活群体中观察到CRP水平升高和更高的并发症率.
- 低每日能量摄入量 (DEI) 和升高的CRP独立预测了不良的QOL.
结论:
- 营养不良很普遍,并且在CAPD患者中显著影响QoL.
- 不充分的能量摄入和炎症是降低QoL的关键独立风险因素.
- 营养支持和炎症控制对于改善QOL和CAPD的结果至关重要.
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