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박옥례 ( Park Ok-Lae ) - 원광대학교병원 간호부
장영준 ( Jang Young-Jun ) - 전북대학교병원 간호부
정종환 ( Jung Jong-Hwan ) - 원광대학교병원 신장내과
김성렬 ( Kim Sung-Reul ) - 전북대학교 간호대학
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Abstract
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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, x2-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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KeyWords
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식욕, 피로, 혈액투석, 영양장애
Appetite, Fatigue, Hemodialysis, Malnutrition
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원문 및 링크아웃 정보
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등재저널 정보
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