Nutritional literacy status and influencing factors of maintenance hemodialysis patients_West China Medical Journal

Authors：

PENG Yuan , ZHU Linfang , GAO Menglin , YANG Yujie ,  YUAN Huaihong

Department of Nephrology and Kidney Research Institute, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YUAN Huaihong, Email: yuanhuaihong@wchscu.cn

Keywords：

Maintenance hemodialysis; nutritional literacy; influencing factors; nursing intervention

DOI：

10.7507/1002-0179.202207097

Video：

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Objective To explore the current status of nutritional literacy in maintenance hemodialysis (MHD) patients and analyze its influencing factors. Methods MHD patients in Wenjiang Hemodialysis Center of West China Hospital, Sichuan University between January and April 2022 were selected by convenient sampling method. A questionnaire survey was conducted using the Nutrition Literacy Evaluation Scale for end-stage renal disease dialysis patients, and the current status and influencing factors of nutritional literacy in MHD patients were analyzed. Results A total of 214 patients were included, with an average nutritional literacy score of 19.14±5.78 for MHD patients. Among them, there were 60 cases (28.04%) of highly likely low nutritional literacy, 124 cases (57.94%) of moderate nutritional literacy, and 30 cases (14.02%) of highly likely high nutritional literacy. The correlation test results showed that hemoglobin, albumin, cholesterol, triglyceride, calcium, phosphorus, potassium, creatinine, estimated glomerular filtration rate, and nutritional literacy scores were not correlated. The results of multiple linear stepwise regression analysis showed that education level [non-standardized partial regression coefficient (b)=1.821, 95% confidence interval (CI) (1.143, 2.498), P<0.001], age [b=?2.460, 95%CI (?4.247, ?0.672), P=0.007], hypertensive kidney damage [b=2.233, 95%CI (0.428, 4.039), P=0.016] were all factors affecting the nutritional literacy of MHD patients. Conclusions In clinical work, more attention should be paid to MHD patients with low educational level, older age, and more primary diseases. And targeted interventions should be adopted to improve the level of nutritional literacy in order to improve the quality of life of MHD patients.

Citation： PENG Yuan, ZHU Linfang, GAO Menglin, YANG Yujie, YUAN Huaihong. Nutritional literacy status and influencing factors of maintenance hemodialysis patients. West China Medical Journal, 2023, 38(7): 1021-1026. doi: 10.7507/1002-0179.202207097 Copy

1.	翁秋群. 護理干預對合并高血壓的血透患者血壓水平的改善作用分析. 心血管病防治知識, 2021, 11(18): 43-45.
2.	齊琲, 張振香, 楊培琰, 等. 居家腦卒中患者照顧者營養素養測評量表的編制及信效度檢驗. 護理學雜志, 2020, 35(8): 90-94.
3.	李平, 劉志紅. 膳食營養與慢性腎臟病. 腎臟病與透析腎移植雜志, 2020, 29(1): 66-70.
4.	曾濤, 李貞, 張劍彬, 等. 終末期腎臟病透析患者營養素養評價量表的編制及信效度檢測. 護理學學志, 2022, 37(4): 24-27.
5.	賈珊珊, 張堅. WS/T 552-2017《老年人營養不良風險評估》標準解讀. 中國衛生標準管理, 2018, 9(9): 1-2.
6.	李艷秋, 朱波, 歐超, 等. 廣西壯族人群 TNF-α基因多態性及其表達與原發性肝細胞癌的相關性研究. 檢驗醫學, 2017, 32(1): 35-40.
7.	陳懿, 柳園, 石運瑩. 營養管理策略在慢性腎臟病中的應用. 華西醫學, 2021, 36(7): 959-963.
8.	樸麗, 楊蕊, 高佩紅. 婦科惡性腫瘤患者營養風險及營養知識認知與需求調查. 中國婦幼保健, 2018, 33(21): 4969-4970.
9.	Blanchard CM, Courneya KS, Stein K. Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society’s SCS-Ⅱ. J Clin Oncol, 2008, 26(13): 2198-2204.
10.	Duffrin C, Carraway-Stage VG, Briley A, et al. Validation of a dietary intake tool for African-American dialysis patients with low literacy. J Ren Care, 2015, 41(2): 126-133.
11.	吳少彬, 洪玉婷. 惠州地區維持性血透合并糖尿病患者健康素養及營養特征. 公共衛生與預防醫學, 2020, 31(4): 136-140.
12.	齊琲, 張振香, 梅永霞, 等. 慢性病患者營養素養的研究進展. 職業與健康, 2020, 36(2): 284-288.
13.	Chen R, McKevitt C, Rudd AG, et al. Socioeconomic deprivation and survival after stroke: findings from the prospective South London Stroke Register of 1995 to 2011. Stroke, 2014, 45(1): 217-223.
14.	鄭志貴, 何東元, 陳建國. 75 歲及以上老年血透患者生活質量及影響因素. 中國老年學雜志, 2021, 41(17): 3849-3852.
15.	李雪梅, 石磊, 張勇勝, 等. 西部地區臨床營養科服務能力調查與分析. 華西醫學, 2021, 36(9): 1239-1243.
16.	Patel P, Panaich S, Steinberg J, et al. Use of nutrition literacy scale in elderly minority population. J Nutr Health Aging, 2013, 17(10): 894-897.
17.	何慶宣, 何興來, 呂薇, 等. 青中年血透患者低社會支持度橫斷面分析. 中國醫學創新, 2017, 14(3): 69-72.
18.	刁宗禮, 郭王, 黃紅東, 等. 2016～2020 年北京市血液透析患者流行病學調查. 醫學研究雜志, 2022, 51(4): 114-117.
19.	劉敏, 李鎰沖, 劉世煒, 等. 2013 年中國歸因于高鹽飲食的疾病負擔研究. 中華預防醫學雜志, 2016, 50(9): 759-763.
20.	張曉華, 李靜, 王利華. 山西省維持性血液透析患者現狀調查. 中國血液凈化, 2020, 19(3): 209-212.
21.	郭英男, 郭倩穎, 陳勇言, 等. 精準營養的評價指標體系進展. 中國慢性病預防與控制, 2021, 29(9): 711-714.

1. 翁秋群. 護理干預對合并高血壓的血透患者血壓水平的改善作用分析. 心血管病防治知識, 2021, 11(18): 43-45.
2. 齊琲, 張振香, 楊培琰, 等. 居家腦卒中患者照顧者營養素養測評量表的編制及信效度檢驗. 護理學雜志, 2020, 35(8): 90-94.
3. 李平, 劉志紅. 膳食營養與慢性腎臟病. 腎臟病與透析腎移植雜志, 2020, 29(1): 66-70.
4. 曾濤, 李貞, 張劍彬, 等. 終末期腎臟病透析患者營養素養評價量表的編制及信效度檢測. 護理學學志, 2022, 37(4): 24-27.
5. 賈珊珊, 張堅. WS/T 552-2017《老年人營養不良風險評估》標準解讀. 中國衛生標準管理, 2018, 9(9): 1-2.
6. 李艷秋, 朱波, 歐超, 等. 廣西壯族人群 TNF-α基因多態性及其表達與原發性肝細胞癌的相關性研究. 檢驗醫學, 2017, 32(1): 35-40.
7. 陳懿, 柳園, 石運瑩. 營養管理策略在慢性腎臟病中的應用. 華西醫學, 2021, 36(7): 959-963.
8. 樸麗, 楊蕊, 高佩紅. 婦科惡性腫瘤患者營養風險及營養知識認知與需求調查. 中國婦幼保健, 2018, 33(21): 4969-4970.
9. Blanchard CM, Courneya KS, Stein K. Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society’s SCS-Ⅱ. J Clin Oncol, 2008, 26(13): 2198-2204.
10. Duffrin C, Carraway-Stage VG, Briley A, et al. Validation of a dietary intake tool for African-American dialysis patients with low literacy. J Ren Care, 2015, 41(2): 126-133.
11. 吳少彬, 洪玉婷. 惠州地區維持性血透合并糖尿病患者健康素養及營養特征. 公共衛生與預防醫學, 2020, 31(4): 136-140.
12. 齊琲, 張振香, 梅永霞, 等. 慢性病患者營養素養的研究進展. 職業與健康, 2020, 36(2): 284-288.
13. Chen R, McKevitt C, Rudd AG, et al. Socioeconomic deprivation and survival after stroke: findings from the prospective South London Stroke Register of 1995 to 2011. Stroke, 2014, 45(1): 217-223.
14. 鄭志貴, 何東元, 陳建國. 75 歲及以上老年血透患者生活質量及影響因素. 中國老年學雜志, 2021, 41(17): 3849-3852.
15. 李雪梅, 石磊, 張勇勝, 等. 西部地區臨床營養科服務能力調查與分析. 華西醫學, 2021, 36(9): 1239-1243.
16. Patel P, Panaich S, Steinberg J, et al. Use of nutrition literacy scale in elderly minority population. J Nutr Health Aging, 2013, 17(10): 894-897.
17. 何慶宣, 何興來, 呂薇, 等. 青中年血透患者低社會支持度橫斷面分析. 中國醫學創新, 2017, 14(3): 69-72.
18. 刁宗禮, 郭王, 黃紅東, 等. 2016～2020 年北京市血液透析患者流行病學調查. 醫學研究雜志, 2022, 51(4): 114-117.
19. 劉敏, 李鎰沖, 劉世煒, 等. 2013 年中國歸因于高鹽飲食的疾病負擔研究. 中華預防醫學雜志, 2016, 50(9): 759-763.
20. 張曉華, 李靜, 王利華. 山西省維持性血液透析患者現狀調查. 中國血液凈化, 2020, 19(3): 209-212.
21. 郭英男, 郭倩穎, 陳勇言, 等. 精準營養的評價指標體系進展. 中國慢性病預防與控制, 2021, 29(9): 711-714.

West China Medical Journal

Nutritional literacy status and influencing factors of maintenance hemodialysis patients

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