目的 探讨农村居家腹膜透析(PD)患者的营养状况及相关因素.方法 采用便利抽样法,选取2015年2—6月在某三级甲等医院肾内科行持续性非卧床腹膜透析的患者72例为研究对象,采用一般资料调查表、改良主观综合性营养评估(SGA)、人体学测量、生化检查、合并症指数、PD充分性评价方法对其进行问卷调查.采用单因素分析和多因素Logistic回归分析患者营养状况的影响因素.结果 PD患者营养不良的发生率为79.17%.单因素分析差异有统计学意义的项目共12项,分别为:合并症指数、透析充分性、TSF、Alb、Hb、RBC、nPCR、eGFR、TG、BUN、Scr以及KT/V.Logistic回归分析显示,透析不充分、存在合并症、低血白蛋白是农村PD患者营养状况的影响因素(OR值分别为6.995、0.075、1.050;P<0.05).结论 重视并及时评估农村居家PD患者的营养状况,可以改善其透析效果,提高患者生活质量.%Objective To investigate nutrition status and its influencing factors of patients undergoing peritoneal dialysis (PD) in rural area. Methods A total of 72 rural-home-care patients with continuous ambulatory PD were recruited and investigated with a self-designed demographic data questionnaire, Subjective Global Assessment(SGA), somatometry, biochemical test, Charlson Comorbidity Index(CCI), method of peritoneal dialysis adequacy in Nephrology Department of a Class Ⅲ Grade A hospital from February to June 2015 by convenient sampling. Influencing factors of patients' nutrition status were analyzed by single factor analysis and multiple factors Logistic regression. Results Incidence of malnutrition in PD patients was 79.17%. Single factor analysis showed that a total of 12 factors were related to malnutrition: complications index, dialysis adequacy, TSF, Alb, Hb, Rbc, nPCR, eGFR, TG, BUN, Scr and Kt/v. Logistic regression analysis showed that peritoneal dialysis inadequacy, complication and low serum albumin were the influencing factors of malnutrition for patients undergoing PD in rural area (OR=6.995,0.075,1.050;P<0.05). Conclusions The results indicate that paying more attention and assessing nutrition timely may maintain good effect of dialysis and promote the quality of life for patients receiving PD in rural area.
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