Department of Nephrology, Monash Health, Melbourne, Victoria, Australia.
School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
J Ren Care. 2024 Dec;50(4):505-512. doi: 10.1111/jorc.12512. Epub 2024 Oct 8.
Factors associated with suboptimal interdialytic weight gain have long been established. However, the influence of cultural and linguistic diversity on interdialytic weight gain among patients receiving haemodialysis is not well-understood.
This study examined the relationship between interdialytic weight gain and cultural and linguistic diversity among patients receiving haemodialysis.
Retrospective cross-sectional study.
Demographic and clinical data were collected from electronic medical records of patients receiving haemodialysis at five dialysis units. Logistic regression analysis was performed to determine factors associated with suboptimal interdialytic weight gain.
Two hundred and sixty-nine patients, 62% of whom were female, with mean ± age of 65.8 ± 14.8 years, were studied. Most were from culturally and linguistically diverse backgrounds (60%) and a significant number belonged to the most disadvantaged socioeconomic group. Patients from culturally and linguistically diverse backgrounds had significantly higher relative interdialytic weight gain (2.40% ± 1.45%) compared to those from nonculturally and linguistically diverse backgrounds (1.83 ± 1.09%) (mean difference: 0.57%, 95% CI: 0.25-0.90, p = 0.001). Being from culturally and linguistically diverse backgrounds was associated with increased odds of higher relative interdialytic weight gain (OR: 2.40; 95% CI: 1.38-4.17, p < 0.01).
Among patients on maintenance haemodialysis, individuals from culturally and linguistically diverse backgrounds had higher interdialytic weight gain compared to those from nonculturally and linguistically diverse backgrounds. Future research focusing on co-developing culturally sensitive interventions to improve self-management capability of patients on maintenance haemodialysis from culturally and linguistically diverse backgrounds is needed.
与透析间期体重增加不理想相关的因素早已确立。然而，文化和语言多样性对接受血液透析的患者透析间期体重增加的影响尚未得到充分理解。
本研究旨在探讨接受血液透析患者的透析间期体重增加与文化和语言多样性之间的关系。
回顾性横断面研究。
从五家透析单位的电子病历中收集接受血液透析患者的人口统计学和临床数据。进行逻辑回归分析，以确定与透析间期体重增加不理想相关的因素。
共纳入 269 名患者，其中 62%为女性，平均年龄为 65.8±14.8 岁。大多数患者来自文化和语言多样化的背景（60%），相当一部分患者属于最贫困的社会经济群体。来自文化和语言多样化背景的患者相对透析间期体重增加明显更高（2.40%±1.45%），而来自非文化和语言多样化背景的患者相对透析间期体重增加（1.83%±1.09%）（平均差异：0.57%，95%CI：0.25-0.90，p=0.001）。来自文化和语言多样化背景与更高的相对透析间期体重增加的几率增加相关（OR：2.40；95%CI：1.38-4.17，p<0.01）。
在接受维持性血液透析的患者中，来自文化和语言多样化背景的个体与来自非文化和语言多样化背景的个体相比，透析间期体重增加更高。需要进一步研究制定文化敏感性干预措施，以提高来自文化和语言多样化背景的维持性血液透析患者的自我管理能力。
