Prevalence of uremic pruritus in patients with peritoneal dialysis and its association with life behaviors
10.3760/cma.j.cn114798-20240207-00089
- VernacularTitle:腹膜透析患者尿毒症瘙痒症患病现状及其生活行为方式分析
- Author:
Huan WANG
1
;
Jiamei XU
;
Ning WENG
;
Dan LIU
Author Information
1. 杭州市中医院 浙江中医药大学附属杭州市中医院肾内科，杭州 310007
- Keywords:
Peritoneal dialysis;
Uremic pruritus;
Lifestyle and behavior
- From:
Chinese Journal of General Practitioners
2024;23(11):1189-1194
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prevalence of uremic pruritus (UP) in patients with peritoneal dialysis and its association with life behaviors.Methods:A total of 255 patients with peritoneal dialysis were followed up in Peritoneal Dialysis Center of Hangzhou Hospital of Traditional Chinese Medicine from October to December 2023 were enrolled. The general clinical data, disease awareness, treatment, and lifestyle behaviors (smoking, drinking, diet, bathing, and exercising etc) were compared between patients with or without UP, and among patients with different severity of UP.Results:Among 255 peritoneal dialysis patients, there were 144 UP cases with a prevalence rate of 56.5%, including 55 cases with mild itching (38.2%), 61 cases with moderate itching (42.4%), and 28 cases with severe itching (19.4%). The awareness rate of UP was 22.2% (32/144), the treatment rate of UP was 12.5% (18/144). There were significant differences in bath frequency (χ 2=7.03), and using alkaline body wash (χ 2=6.47) between UP group and non-UP group ( P<0.05). The severity of UP was associated with old age (≥60 years, Z=-3.13), low educational levels (primary school or lower, Z=-3.56), less water drinking (<500 ml/d, H=18.01), more spicy food and meat ( H=9.34), bath more than 3 times per week ( H=10.96), and using alkaline body wash ( H=6.57) (all P<0.05). Conclusion:Peritoneal dialysis patients have a high incidence of UP and a low rate of knowledge and treatment, and it is necessary to strengthen the health education and to modify their life behaviors in order to reduce the incidence of UP.
