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. 护理干预对合并高血压的血透患者血压水平的改善作用分析. 心血管病防治知识, 2021, 11(18): 43-45.
2.	齐琲, 张振香, 杨培琰, 等. 居家脑卒中患者照顾者营养素养测评量表的编制及信效度检验. 护理学杂志, 2020, 35(8): 90-94.
3.	李平, 刘志红. 膳食营养与慢性肾脏病. 肾脏病与透析肾移植杂志, 2020, 29(1): 66-70.
4.	曾涛, 李贞, 张剑彬, 等. 终末期肾脏病透析患者营养素养评价量表的编制及信效度检测. 护理学学志, 2022, 37(4): 24-27.
5.	贾珊珊, 张坚. WS/T 552-2017《老年人营养不良风险评估》标准解读. 中国卫生标准管理, 2018, 9(9): 1-2.
6.	李艳秋, 朱波, 欧超, 等. 广西壮族人群 TNF-α基因多态性及其表达与原发性肝细胞癌的相关性研究. 检验医学, 2017, 32(1): 35-40.
7.	陈懿, 柳园, 石运莹. 营养管理策略在慢性肾脏病中的应用. 华西医学, 2021, 36(7): 959-963.
8.	朴丽, 杨蕊, 高佩红. 妇科恶性肿瘤患者营养风险及营养知识认知与需求调查. 中国妇幼保健, 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.	吴少彬, 洪玉婷. 惠州地区维持性血透合并糖尿病患者健康素养及营养特征. 公共卫生与预防医学, 2020, 31(4): 136-140.
12.	齐琲, 张振香, 梅永霞, 等. 慢性病患者营养素养的研究进展. 职业与健康, 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.	郑志贵, 何东元, 陈建国. 75 岁及以上老年血透患者生活质量及影响因素. 中国老年学杂志, 2021, 41(17): 3849-3852.
15.	李雪梅, 石磊, 张勇胜, 等. 西部地区临床营养科服务能力调查与分析. 华西医学, 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.	何庆宣, 何兴来, 吕薇, 等. 青中年血透患者低社会支持度横断面分析. 中国医学创新, 2017, 14(3): 69-72.
18.	刁宗礼, 郭王, 黄红东, 等. 2016～2020 年北京市血液透析患者流行病学调查. 医学研究杂志, 2022, 51(4): 114-117.
19.	刘敏, 李镒冲, 刘世炜, 等. 2013 年中国归因于高盐饮食的疾病负担研究. 中华预防医学杂志, 2016, 50(9): 759-763.
20.	张晓华, 李静, 王利华. 山西省维持性血液透析患者现状调查. 中国血液净化, 2020, 19(3): 209-212.
21.	郭英男, 郭倩颖, 陈勇言, 等. 精准营养的评价指标体系进展. 中国慢性病预防与控制, 2021, 29(9): 711-714.

1. 翁秋群. 护理干预对合并高血压的血透患者血压水平的改善作用分析. 心血管病防治知识, 2021, 11(18): 43-45.
2. 齐琲, 张振香, 杨培琰, 等. 居家脑卒中患者照顾者营养素养测评量表的编制及信效度检验. 护理学杂志, 2020, 35(8): 90-94.
3. 李平, 刘志红. 膳食营养与慢性肾脏病. 肾脏病与透析肾移植杂志, 2020, 29(1): 66-70.
4. 曾涛, 李贞, 张剑彬, 等. 终末期肾脏病透析患者营养素养评价量表的编制及信效度检测. 护理学学志, 2022, 37(4): 24-27.
5. 贾珊珊, 张坚. WS/T 552-2017《老年人营养不良风险评估》标准解读. 中国卫生标准管理, 2018, 9(9): 1-2.
6. 李艳秋, 朱波, 欧超, 等. 广西壮族人群 TNF-α基因多态性及其表达与原发性肝细胞癌的相关性研究. 检验医学, 2017, 32(1): 35-40.
7. 陈懿, 柳园, 石运莹. 营养管理策略在慢性肾脏病中的应用. 华西医学, 2021, 36(7): 959-963.
8. 朴丽, 杨蕊, 高佩红. 妇科恶性肿瘤患者营养风险及营养知识认知与需求调查. 中国妇幼保健, 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. 吴少彬, 洪玉婷. 惠州地区维持性血透合并糖尿病患者健康素养及营养特征. 公共卫生与预防医学, 2020, 31(4): 136-140.
12. 齐琲, 张振香, 梅永霞, 等. 慢性病患者营养素养的研究进展. 职业与健康, 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. 郑志贵, 何东元, 陈建国. 75 岁及以上老年血透患者生活质量及影响因素. 中国老年学杂志, 2021, 41(17): 3849-3852.
15. 李雪梅, 石磊, 张勇胜, 等. 西部地区临床营养科服务能力调查与分析. 华西医学, 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. 何庆宣, 何兴来, 吕薇, 等. 青中年血透患者低社会支持度横断面分析. 中国医学创新, 2017, 14(3): 69-72.
18. 刁宗礼, 郭王, 黄红东, 等. 2016～2020 年北京市血液透析患者流行病学调查. 医学研究杂志, 2022, 51(4): 114-117.
19. 刘敏, 李镒冲, 刘世炜, 等. 2013 年中国归因于高盐饮食的疾病负担研究. 中华预防医学杂志, 2016, 50(9): 759-763.
20. 张晓华, 李静, 王利华. 山西省维持性血液透析患者现状调查. 中国血液净化, 2020, 19(3): 209-212.
21. 郭英男, 郭倩颖, 陈勇言, 等. 精准营养的评价指标体系进展. 中国慢性病预防与控制, 2021, 29(9): 711-714.

West China Medical Journal

Nutritional literacy status and influencing factors of maintenance hemodialysis patients

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