성인간호학회지 (Korean Journal of Adult Nursing)

  • 제28권2호
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  • Pages.226-236
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  • 2016
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  • 1225-4886(pISSN)
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  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
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혈액투석 환자의 영양장애 영향요인

Factors Affecting Malnutrition in Hemodialysis Patients

  • 박옥례 (원광대학교병원 간호부) ;
  • 장영준 (전북대학교병원 간호부) ;
  • 정종환 (원광대학교병원 신장내과) ;
  • 김성렬 (전북대학교 간호대학.간호과학연구소)
  • Park, Ok Lae (Department of Nursing, Wonkwang University Hospital) ;
  • Jang, Young Jun (Department of Nursing, Chonbuk National University Hospital) ;
  • Jung, Jong Hwan (Division of Nephrology, Department of Internal Medicine, Wonkwang University Hospital) ;
  • Kim, Sung Reul (College of Nursing.Research Institute of Nursing Science, Chonbuk National University)
  • 투고 : 2016.03.02
  • 심사 : 2016.04.18
  • 발행 : 2016.04.30
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초록

Purpose: The aim of this study was to evaluate the nutritional status and to identify factors affecting malnutrition in hemodialysis patients. Methods: Data were collected from a convenience sample of 125 hemodialysis patients who agreed to participate in the study, between August 1 and October 4, 2014. Five structured questionnaires were used: Patient-generated Subjective Global Assessment, Simplified Nutritional Appetite Questionnaire, Self-rating Depression Scale, Fatigue Scale, and Family Support Scale. Data were analyzed by descriptive statistics, t-test, Mann-Whitney U test, ${\chi}^2$-test, and stepwise multiple regression analysis by using SPSS/WIN 22.0 program. Results: Of 125 patients, 30.4% were found to be malnourished. Malnutrition was related to age, family household income, depression, fatigue, social support, appetite, and levels of C-reactive protein and serum albumin. Stepwise multiple regression analysis showed that appetite, C-reactive protein level, fatigue, and albumin level were significant factors affecting malnutrition in hemodialysis patients. Conclusion: Regular and consistent nutritional assessment is essential in hemodialysis patients. Nurses who care for hemodialysis patients need to consider the factors identified from these findings when assessing their patients' nutritional status and needs.

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참고문헌

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  2. Factors related to malnutrition in community-dwelling patients with schizophrenia pp.00315990, 2019, https://doi.org/10.1111/ppc.12327
  3. Factors Influencing Psychosocial Adjustment in Hemodialysis Patients vol.31, pp.1, 2019, https://doi.org/10.7475/kjan.2019.31.1.38
  4. 첫 1년간 혈액투석 환자의 식사 관련 생리적 지표 변화 분석 vol.23, pp.1, 2016, https://doi.org/10.22650/jkcnr.2017.23.1.91
  5. A health‐related quality of life model for patients undergoing haemodialysis vol.29, pp.3, 2016, https://doi.org/10.1111/jocn.15113