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.
Objective To explore the latent classes of the change trajectory of postoperative nutritional literacy in gastric cancer patients, and to analyze its influencing factors. MethodsA total of 243 patients with primary gastric cancer who underwent radical gastrectomy for gastric cancer in the Department of General Surgery of Suzhou Ninth People’s Hospital from January 2023 to March 2025 were selected by convenience sampling. The basic data of patients were collected by general information table and Herth hope scale. The nutritional literacy questionnaire was used to evaluate the nutritional literacy of patients on the day of discharge (T0), 1 month after surgery (T1), 3 months after surgery (T2), and 6 months after surgery (T3). Using latent growth mixture model to identify the latent categories of changes in nutritional literacy trajectory, and explore the influencing factors of postoperative nutritional literacy changes in gastric cancer patients through unordered multi-class logistic regression analysis. ResultsA total of 202 gastric cancer patients completed this study, and their nutritional literacy scores at T0, T1, T2 and T3 were (19.06±1.63), (20.60±2.17), (22.04±2.91) and (23.36±3.57) points respectively, the points were gradually increasing over time (F=96.912, P<0.001). Latent growth mixture model fitting identified three valid latent classes: low literacy-stable group (38 cases), medium literacy-slow increase group (104 cases) and medium literacy-rapid increase group (60 cases). A multi-class logistic regression analysis was conducted using the medium literacy-slow increase group as a control, which showed that: ① older age (OR=1.105, P=0.015), no participation in internet nutrition intervention (OR=3.496, P=0.003), lower Herth hope scale score (OR=0.832, P=0.042) were associated with the formation of low literacy-stable trajectory in patients with gastric cancer after surgery. ② High educational attainment (OR=0.417, P=0.021), presence of nutritional risk before surgery (OR=2.330, P=0.017), higher Herth hope scale score (OR=1.151, P=0.035) were associated with the formation of a medium literacy-rapid increase in gastric cancer patients after surgery. ConclusionsThere is group heterogeneity in postoperative nutritional literacy among gastric cancer patients and medical staff should take targeted measures to improve patients’ nutritional literacy based on the group characteristics and influencing factors of the patient’s nutritional literacy change trajectory.
