Influencing factors and correlation analysis of poor appetite in continuous ambulatory peritoneal dialysis patients
10.3760/cma.j.issn.1674-2907.2010.31.004
- VernacularTitle:持续不卧床腹膜透析患者食欲不良的影响因素及相关性分析
- Author:
Jian-Ying LI
1
;
Jian-Xiong LIN
;
Bi-Ning LIANG
;
Xiao-Qing YE
;
Li-Qiong HU
;
Qun-Ying GUO
;
Hai-Ping MAO
;
Xiao YANG
;
Xue-Qing YU
Author Information
1. 510080,广州,中山大学附属第一医院肾内科
- Keywords:
Continuous ambulatory peritoneal dialysis(CAPD);
Poor appetite;
Correlation analysis
- From:
Chinese Journal of Modern Nursing
2010;16(31):3733-3736
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify CAPD patient' s clinical characteristics and psychological problems associated with poor appetite and to improve the nutrition of patients. Methods Nutrition status of 192 CAPD patients was investigated by dialysis symptom index questionnaire. The relationships between poor appetite and nutrition, clinical characteristics, sociodemographic data and laboratory index were also investigated. The Beck Depression Inventory (BDI) and the Subjective Global Assessment (SGA) were used to assess the presence of depression and nutrition status, respectively. Depression was diagnosed in the current study based on BDI score ≥ 15. SGA score≤5 was defined as malnutrition. Results 37.9% of patients were poor appetite. Compared to patients with good appetite, poor appetite patients had lower serum albumin level (36.9 ±4.5 vs. 38.8 ±3.8,(50% vs. 21.2%, P ＜ 0. 001 ) and higher diastolic blood pressure ( 86.6 ± 10. 5 vs. 81.9 ± 11.0, P =0. 005 ). Poor appetite was negatively correlated with serum albumin level ( r = - 0. 24, P = 0. 003 ), SGA score (r = -0. 31, P = 0. 001 ), and positively correlated with CO2 combining power ( CO2 CP) ( r = 0. 19, P =0. 012), diastolic blood pressure ( r = - 0. 19, P = 0. 01 ) and depression ( r = 0. 38, P ＜ 0. 001 ). In multiple logistic regression analysis, serum albumin level ( OR = 0. 92, P = 0. 031 ), diastolic blood pressure ( OR =1.04, P = 0. 007 ) and depression ( OR = 1. 04, P = 0. 035 ) were independent predictors for the lack of appetite. Conclusions Lack of appetite significantly related to poor nutritional status, depression, hypertension and metabolic acidosis. It suggested that depression and hypertension management in CAPD patients may be helpful to improve patient' s appetite and beneficial to nutritional status.
