Analysis of nutritional risk in inpatients with chronic kidney disease_West China Medical Journal

Authors：

LI Jing , LUO Yan , RUAN Yi , LI Ling , MA Dengyan ,  DIAO Yongshu

Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

DIAO Yongshu, Email: dszhbf@163.com

Keywords：

Chronic kidney disease; Nutritional risk; Nutritional Risk Screening 2002

DOI：

10.7507/1002-0179.201905245

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Objective To explore the nutritional status of inpatients with chronic kidney disease (CKD) and analyze the factors affecting nutritional risk, to provide theoretical basis for further nutritional support.Methods Convenience sampling method was adopted to select 719 inpatients with CKD as research subjects in a tertiary hospital in Chengdu, Sichuan Province from January to March 2018. Nutritional Risk Screening 2002 was used for nutritional risk screening, and chi-square test, t test, one-way analysis of variance, and multiple linear regression analysis were used to explore the influencing factors of nutritional risk.Results Among the 719 cases, whose average nutritional risk score was 1.79±1.11, 158 cases had nutritional risk, accounting for 22.0%. There were statistically significant differences in nutritional risk score between patients of age<60 years and ≥60 years, between males and females, between patients with CKD stage 1-3 and stage 4-5, between patients with serum albumin level <30 g/L and ≥30 g/L, and between patients with and without anaemia (P<0.05). The results of multiple linear regression analysis showed that the nutritional risk score of CKD patients was negatively correlated to serum albumin level (P=0.016), positively correlated to age (P<0.001), and higher in females than that in males (P=0.001).Conclusions Inpatients with CKD have a higher nutritional risk, with age, gender and serum albumin as the main influencing factors. Based on the above factors, the medical staff should continue to take targeted intervention measures to assess the nutritional status of CKD inpatients early and conveniently, so as to provide scientific basis for further nutritional support and nutritional nursing.

Citation： LI Jing, LUO Yan, RUAN Yi, LI Ling, MA Dengyan, DIAO Yongshu. Analysis of nutritional risk in inpatients with chronic kidney disease. West China Medical Journal, 2019, 34(8): 933-937. doi: 10.7507/1002-0179.201905245 Copy

1.	陈丽, 朱芳蓉, 苏晓燕, 等. 慢性肾脏病管理整体模式对改善终末期肾病蛋白能量消耗患者营养状况的作用. 齐鲁护理杂志, 2018, 24(17): 66-68.
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3.	陈博, 周勇, 杨平, 等. 重视营养风险筛查在住院患者中的实施. 中国普外基础与临床杂志, 2011, 18(12): 1262-1264.
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9.	孔倩, 仇建国, 李宇华, 等. 湛江某医院383例老年住院患者不同性别营养状况分析. 海军医学杂志, 2015, 36(5): 438-440.
10.	张继红, 黄蕾, 宋宝梅, 等. 心血管内科老年住院患者营养风险分析及护理. 护理学报, 2011, 18(18): 32-34.
11.	中华医学会肠外肠内营养学分会老年营养支持学组. 老年患者肠外肠内营养支持中国专家共识. 中华老年医学杂志, 2013, 32(9): 913-929.
12.	赵晓云, 刘瑶, 赵雅宁. 维持性血液透析患者营养风险与医学应对方式相关性分析. 华北理工大学学报(医学版), 2018, 20(3): 233-238.
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14.	陈慧玉, 陈品儒, 肖芃, 等. 非结核分枝杆菌肺病患者营养风险筛查及营养支持状况的分析. 广州医药, 2016, 47(4): 57-59.
15.	王倩. 维持性血液透析患者营养风险影响因素分析. 唐山: 华北理工大学, 2016.
16.	Fouque D, Vennegoor M, Ter Wee P, et al. EBPG guideline on nutrition. Nephrol Dial Transplant, 2007, 22(Suppl 2): ii45-ii87.
17.	丁小萍, 邢小红, 陈静, 等. 1813例肾脏病患者营养风险的筛查. 解放军护理杂志, 2015, 32(22): 74-76.
18.	李丽. 慢性肾脏病患者临床营养评估及膳食结构特点分析. 重庆: 第三军医大学, 2015.
19.	孔建华, 张洁, 滑莹莹, 等. 老年慢性肾脏病患者营养风险筛查及分析. 中国老年学杂志, 2016, 36(22): 5711-5713.
20.	Shah BV, Patel ZM. Role of low protein diet in management of different stages of chronic kidney disease - practical aspects. BMC Nephrol, 2016, 17(1): 156.
21.	黄媛媛, 郑丹侠, 王悦. 慢性肾脏病低蛋白饮食的研究进展. 医学综述, 2018, 24(24): 4869-4873.
22.	曾艳, 巩红飞, 柴峰, 等. 慢性肾脏病营养治疗研究进展. 甘肃医药, 2018, 37(4): 308-310.
23.	刘晔, 欧阳晓俊, 蔡晓真, 等. 内科老年住院患者营养状况及其影响因素分析. 中国临床保健杂志, 2019, 22(2): 174-178.
24.	何璐晨, 张红梅, 常立阳, 等. 慢性肾脏病患者营养状况的调查与分析. 护理与康复, 2017, 16(3): 225-229.
25.	Spiegel BM, Melmed G, Robbins S, et al. Biomarkers and health-related quality of life in end-stage renal disease: a systematic review. Clin J Am Soc Nephrol, 2008, 3(6): 1759-1768.

1. 陈丽, 朱芳蓉, 苏晓燕, 等. 慢性肾脏病管理整体模式对改善终末期肾病蛋白能量消耗患者营养状况的作用. 齐鲁护理杂志, 2018, 24(17): 66-68.
2. K/DOQI, National Kidney Foundation. Clinical practice guidelines for nutrition in chronic renal failure. Am J Kidney Dis, 2000, 35(6 Suppl 2): S17-S104.
3. 陈博, 周勇, 杨平, 等. 重视营养风险筛查在住院患者中的实施. 中国普外基础与临床杂志, 2011, 18(12): 1262-1264.
4. Kondrup J, Rasmussen HH, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr, 2003, 22(3): 321-336.
5. 中华医学会肠外肠内营养学分会. 临床诊疗指南: 肠外肠内营养学分册. 北京: 人民卫生出版社, 2006: 15-19.
6. National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. Am J Kidney Dis, 2002, 39(2 Suppl 1): S1-S266.
7. 蒋朱明, 陈伟, 朱赛楠, 等. 我国东、中、西部大城市三甲医院营养不良(不足)、营养风险发生率及营养支持应用状况调查. 中国临床营养杂志, 2008, 16(6): 335-337.
8. 方仕, 麦海妍, 卢味, 等. 住院患者营养风险筛查及营养支持状况. 中国公共卫生, 2010, 26(5): 574-575.
9. 孔倩, 仇建国, 李宇华, 等. 湛江某医院383例老年住院患者不同性别营养状况分析. 海军医学杂志, 2015, 36(5): 438-440.
10. 张继红, 黄蕾, 宋宝梅, 等. 心血管内科老年住院患者营养风险分析及护理. 护理学报, 2011, 18(18): 32-34.
11. 中华医学会肠外肠内营养学分会老年营养支持学组. 老年患者肠外肠内营养支持中国专家共识. 中华老年医学杂志, 2013, 32(9): 913-929.
12. 赵晓云, 刘瑶, 赵雅宁. 维持性血液透析患者营养风险与医学应对方式相关性分析. 华北理工大学学报(医学版), 2018, 20(3): 233-238.
13. 李臻. 某三甲医院住院患者营养风险及营养支持情况调查分析. 太原: 山西医科大学, 2017.
14. 陈慧玉, 陈品儒, 肖芃, 等. 非结核分枝杆菌肺病患者营养风险筛查及营养支持状况的分析. 广州医药, 2016, 47(4): 57-59.
15. 王倩. 维持性血液透析患者营养风险影响因素分析. 唐山: 华北理工大学, 2016.
16. Fouque D, Vennegoor M, Ter Wee P, et al. EBPG guideline on nutrition. Nephrol Dial Transplant, 2007, 22(Suppl 2): ii45-ii87.
17. 丁小萍, 邢小红, 陈静, 等. 1813例肾脏病患者营养风险的筛查. 解放军护理杂志, 2015, 32(22): 74-76.
18. 李丽. 慢性肾脏病患者临床营养评估及膳食结构特点分析. 重庆: 第三军医大学, 2015.
19. 孔建华, 张洁, 滑莹莹, 等. 老年慢性肾脏病患者营养风险筛查及分析. 中国老年学杂志, 2016, 36(22): 5711-5713.
20. Shah BV, Patel ZM. Role of low protein diet in management of different stages of chronic kidney disease - practical aspects. BMC Nephrol, 2016, 17(1): 156.
21. 黄媛媛, 郑丹侠, 王悦. 慢性肾脏病低蛋白饮食的研究进展. 医学综述, 2018, 24(24): 4869-4873.
22. 曾艳, 巩红飞, 柴峰, 等. 慢性肾脏病营养治疗研究进展. 甘肃医药, 2018, 37(4): 308-310.
23. 刘晔, 欧阳晓俊, 蔡晓真, 等. 内科老年住院患者营养状况及其影响因素分析. 中国临床保健杂志, 2019, 22(2): 174-178.
24. 何璐晨, 张红梅, 常立阳, 等. 慢性肾脏病患者营养状况的调查与分析. 护理与康复, 2017, 16(3): 225-229.
25. Spiegel BM, Melmed G, Robbins S, et al. Biomarkers and health-related quality of life in end-stage renal disease: a systematic review. Clin J Am Soc Nephrol, 2008, 3(6): 1759-1768.

West China Medical Journal

Analysis of nutritional risk in inpatients with chronic kidney disease

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