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송경애 ( ) - 가톨릭대학교
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Abstract
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Long-term hemodialysis(HD) patients manifest various signs of protein and caloric malutrition due to poor intake of nutrients and other causes. Poor nutritional status increases the mortality and morbidity rates in HD patients. Thus, mataintnance
of
adequate nutritional status has been a major task in taking care of patients receiving HD. This study was to evaluate the nutritional status of HD patients and to clarify the degree of nutritional deficit based on usual dietary intake,
anthropometric
and biochemical indicators.
Sixty HD patients comprised a HD group, while the control group consisted of 60 healthy adults whose age and se matched those of the HD group. nutritional status was evaluated by dietrary intake using instant nutritional scale, anthropometric
measures,
serum protein concentrations and the number f lymphocytes. The data were analyzed by using Chi-square test ad unpaired t-test.
@ES The results are as follows.
@EN 1. Regarding usual dietary intake of HD group:
@EN 1) Estimated caloric intake was significantly lower than the recommended daily allowance(RDA) and among them, 35% were taking calories less than 85% of the RDA.
2) Estimated protein intake was significantly higher than the RDA and among them 40% were taking protein more than 115% of the RDA.
3) Estimated fat intake was lower than the RDA.
4) Vitamin A, B, B1, B2, C and niacin in take was lower than the RDA respectively.
5) Estimated ferrous intake was within the normal limit the RDA while estimated calcium intake was higher than the RDA.
6) Both caloric and protein intake were higher for the 10 patients who had been under continuous ambulatory peritoneal dialysis than for the patients under HD from the beginning.
2. Regarding anthropometric measures:
1) Body mass index(BMI), midarm circumference(MAC), and triceps skinfold thickness(TSF) were lower in the HD group than in the control group.
2) Among HD group, 47.1% were within the normal limit of BMI, while 86.7% were within the same limit in the control group.
3) Among HD group, 35.0% were within the normal limit of MAC, While 83.3% were within the same limit in the control group.
4) Among HD group, only 8.3% were normal, 30.3% were mild deficit status of TSF, while 50% were normal and 48.3% were mild deficit status in the control group.
3. Regarding biochemical laboratory tests
1) Albumin, transferrin concentrations and the number of lymphocytes were lower in HD group than in the control group
2) Among HD group, 98.3% were within the normal limit of albumin concentration and all were within the same limit in the control group.
3) Among HD group, only 11.7% were within the normal limit of transferrin concentration, while 81.7% were within the same limit in the control group.
4) Among HD group, 25% were within the normal limit, while 93.3% were within the same limit in the control group.
The above findings suggest that HD patients were in nutritional deficit status. Adequate nutritional status in HD patients are needed. Accordingly, it turned out that anthropometric measures were very reliable parameters and easy to use to
evaluate
nutritional status. So nurses are encouraged to adopt anthropometric measure to examine nutritional deficit status of HD patients.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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