维持性血液透析患者蛋白质-能量消耗现况及对生活质量的影响

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Abstract Objective To investigate the status and incidence of protein-energy wasting (PEW) in maintenance hemodialysis patients and describe the impact of PEW status on quality of life in the maintenance hemodialysis (MHD) patients. Methods A total of 170 MHD patients admitted to the Blood Purification Center of the First Affiliated Hospital of Xinjiang Medical University from June to December 2018 were enrolled in this study. They were divided into PEW group and non-PEW group according to PEW diagnostic criteria by convenience sampling method. PEW status was assessed by physical measurements and the quality of life was assessed by questionnaire. The differences in the quality of life were compared between MHD patients with PEW group and non-PEW group. Results A total of 50 cases met at least 3 indicators of PEW diagnostic criteria in MHD patients, the prevalence of PEW in MHD patients was 29.40%. The demographic characteristics of the patients in the PEW group and the non-PEW group were statistically significant in terms of age, physique index and occupation (P ＜ 0.05). In the quality of life assessment of patients with PEW and non-PEW groups, there were statistically significant differences in vitality, social function, social affection, burden of kidney disease, symptomatic effects and total scores (P ＜ 0.05). Conclusion The prevalence of PEW in MHD patients tends to a medium level. The PEW status has an impact on the quality of life in MHD patients， suggesting that nursing staff should pay more attention to the quality of life in PEW patients and provide a theoretical basis for further intervention.

Key words： Maintenance hemodialysis Protein－energy wasting Multi－frequency bioelectrical impedance Quality of life

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	Paredanmu·Tuohuti1
	2 LI Yufang2 ZHANG Li2 ZHANG Shaohua2 Zinati·Sawuti2 YAN Ping1

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Paredanmu·Tuohuti1,2 LI Yufang2 ZHANG Li2 ZHANG Shaohua2 Zinati·Sawuti2 YAN Ping1. Current status of protein-energy wasting and its impact on quality of life in the maintenance hemodialysis patients[J]. 中国医药导报, 2019, 16(29): 141-144.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I29/141

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