维持性血液透析病人营养状况与生活质量相关性分析

    Relationship between nutrition condition and quality of life in maintenance hemodialysis patients

    • 摘要:
      目的分析维持性血液透析(MHD)病人的营养状况与生活质量的相关性。
      方法选择进行MHD治疗的102例病人作为研究对象。使用改进的主观整体评估量表(MQSGA)评估病人营养状况, 使用肾脏疾病和生活质量调查问卷评价病人生活质量, 分析营养状况与生活质量的相关性。
      结果MQSGA评分结果显示营养正常组49例(48.04%), 营养不良组53例(51.96%)。2组病人的生化指标差异无统计学意义(P>0.05)。营养正常组病人除社会角色维度得分低于营养不良组, 其总体健康和其他各维度得分均明显高于营养不良组(P < 0.01)。Pearson相关分析显示, MHD病人营养状况评分与生活质量总评分呈明显负相关关系(r=-0.378, P < 0.01), 与生活质量的总体健康、身体功能、社会功能、躯体疼痛、生理功能、肾病负担、症状影响、肾病影响维度得分均呈负相关关系(P < 0.05~P < 0.01)。
      结论MHD病人的营养状况与生活质量水平密切相关, 应尽早给予MHD病人营养干预, 以提升病人的生活质量。

       

      Abstract:
      ObjectiveTo investigate the correlation between nutrition condition and quality of life in maintenance hemodialysis(MHD) patients.
      MethodsA total of 102 patients with MHD were selected as the study subjects.The nutrition condition of patients was evaluated by the modified quantitative subjective global assessment(MQSGA).Kidney disease quality of life-36(KDQOL-36) questionnaires were used to evaluate the quality of life of patients, and the correlation between nutrition condition and quality of life was analyzed.
      ResultsAccording to MQSGA, there were 49 patients in normal nutrition group(48.04%) and 53 patients in malnutrition group(51.96%).No significant difference between the two groups were found in biochemical indexes(P>0.05).In terms of physical function, social function, physiological function, burden of kidney disease, influence of symptoms and influence of kidney disease, the score of malnutrition group was lower than that of normal nutrition group(P < 0.05).In addition, the score of social role dimension in normal nutrition group was lower than that in malnutrition group, and the score of overall health and other dimensions in normal nutrition group was significantly higher than that in malnutrition group(P < 0.01).Pearson correlation analysis showed that nutrition condition scores were negatively correlated with total quality of life scores(r=-0.378, P < 0.01) and their dimensions, such as general health, physical function, social function, the body pain, physiological function, kidney disease burden, symptoms, kidney disease affects(P < 0.05 to P < 0.01).
      ConclusionsThe nutrition condition of MHD patients is closely related to the quality of life.Therefore, the nutritional intervention should be considered as soon as possible to improve the quality of life of patients.

       

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