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老年血液透析患者的老年营养风险指数与生活质量:一项横断面研究

Geriatric nutritional risk index and quality of life among elderly hemodialysis patients: a cross-sectional study.

作者信息

Nouri Ali, Mansour-Ghanaei Roya, Esmaeilpour-Bandboni Mohammad, Gholami Chaboki Bahare

机构信息

Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences.

Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

Ann Med Surg (Lond). 2024 Jul 17;86(9):5101-5105. doi: 10.1097/MS9.0000000000002378. eCollection 2024 Sep.

Abstract

BACKGROUND

Nutritional problems are considered one of the main complications of hemodialysis, and the geriatric nutritional risk index (GNRI) is a new instrument for assessing geriatric nutritional status. The present study sought to evaluate the relationship between the GNRI and quality of life (QOL) among elderly hemodialysis patients.

METHODS

In the present analytical cross-sectional study, 110 hemodialysis individuals were selected by applying a simple random sampling method, among whom 57 and 53 were males and females, respectively (mean: 70.3±6.93 years). Demographic characteristics, GNRI, and QOL status were determined. The data were analyzed using SPSS 20 software and descriptive statistics, Pearson's correlation, ANOVA, independent sample -tests, and multiple linear regression analysis.

RESULTS

The mean GNRI and mean total QOL were respectively obtained 93.903±11.067 and 20.95 ± 4.89. Among females, a significant direct relationship was observed between GNRI and total QOL ( = 0.010, r = 0.352), autonomy ( = 0.004, r = 0.389), and pleasure ( = 0.015, r = 0.333), while GNRI was not directly and significantly related to QOL in males ( = 0.161, r = 0.188).

CONCLUSION

Due to the presence of a significant association between Geriatric GNRI and QOL among elderly hemodialysis patients, particularly among females, highlighting the importance of addressing nutritional status in optimizing well-being.

摘要

背景

营养问题被认为是血液透析的主要并发症之一,而老年营养风险指数(GNRI)是评估老年营养状况的一种新工具。本研究旨在评估老年血液透析患者中GNRI与生活质量(QOL)之间的关系。

方法

在本分析性横断面研究中,采用简单随机抽样方法选取了110名血液透析患者,其中男性57名,女性53名(平均年龄:70.3±6.93岁)。确定了人口统计学特征、GNRI和QOL状况。使用SPSS 20软件对数据进行分析,并进行描述性统计、Pearson相关性分析、方差分析、独立样本t检验和多元线性回归分析。

结果

平均GNRI和平均总QOL分别为93.903±11.067和20.95±4.89。在女性中,观察到GNRI与总QOL(P = 0.010,r = 0.352)、自主性(P = 0.004,r = 0.389)和愉悦感(P = 0.015,r = 0.333)之间存在显著的直接关系,而在男性中,GNRI与QOL没有直接且显著的关系(P = 0.161,r = 0.188)。

结论

由于老年血液透析患者,尤其是女性患者中,老年GNRI与QOL之间存在显著关联,这凸显了在优化健康状况时关注营养状况的重要性。

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