JOURNAL BROWSE
Search
Advanced SearchSearch Tips
Factors Affecting Malnutrition in Hemodialysis Patients
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
  • Journal title : Korean Journal of Adult Nursing
  • Volume 28, Issue 2,  2016, pp.226-236
  • Publisher : Korean Society of Adult Nursing
  • DOI : 10.7475/kjan.2016.28.2.226
 Title & Authors
Factors Affecting Malnutrition in Hemodialysis Patients
Park, Ok Lae; Jang, Young Jun; Jung, Jong Hwan; Kim, Sung Reul;
  PDF(new window)
 Abstract
Purpose: The aim of this study was to evaluate the nutritional status and to identify factors affecting malnutrition in hemodialysis patients. Methods: Data were collected from a convenience sample of 125 hemodialysis patients who agreed to participate in the study, between August 1 and October 4, 2014. Five structured questionnaires were used: Patient-generated Subjective Global Assessment, Simplified Nutritional Appetite Questionnaire, Self-rating Depression Scale, Fatigue Scale, and Family Support Scale. Data were analyzed by descriptive statistics, t-test, Mann-Whitney U test, -test, and stepwise multiple regression analysis by using SPSS/WIN 22.0 program. Results: Of 125 patients, 30.4% were found to be malnourished. Malnutrition was related to age, family household income, depression, fatigue, social support, appetite, and levels of C-reactive protein and serum albumin. Stepwise multiple regression analysis showed that appetite, C-reactive protein level, fatigue, and albumin level were significant factors affecting malnutrition in hemodialysis patients. Conclusion: Regular and consistent nutritional assessment is essential in hemodialysis patients. Nurses who care for hemodialysis patients need to consider the factors identified from these findings when assessing their patients' nutritional status and needs.
 Keywords
Appetite;Fatigue;Hemodialysis;Malnutrition;
 Language
Korean
 Cited by
 References
1.
Himmelfarb J, Ikizler TA. Hemodialysis. The New England Journal of Medicine. 2010;363(19):1833-45. http://dx.doi.org/10.1056/NEJMra0902710 crossref(new window)

2.
Jin DC. Current status of dialysis therapy for ESRD patients in Korea. Journal of Korean Medical Association. 2013;56(7):562-68. http://dx.doi.org/10.5124/jkma.2013.56.7.562 crossref(new window)

3.
Bennett PN, Miller MD, Woodman RJ, Hill K, Murray S, Gleadle JM. Nutrition screening by nurses in dialysis. Journal of Clinical Nursing. 2013;22:723-32. http://dx.doi.org/10.1111/j.1365-2702.2012.04286.x crossref(new window)

4.
Pupim L, Ikizler T. Uremic malnutrition: new insights into an old problem. Seminars in Dialysis. 2003;16:224-32. crossref(new window)

5.
Piccini S, Fairburn A, Gill E, Budgeon CA, O'Sullivan T. Predictors of malnutrition in Australian haemodialysis patients and comparison of dietary protein intakes to national guidelines. Renal Society of Australasia Journal. 2014;10(3):133-40.

6.
Tsai AC, Chang TL, Chang MZ. An alternative short-form mininutritional assessment for rating the risk of malnutrition in persons on haemodialysis. Journal of Clinical Nursing. 2013;22(19-20):2830-7. http://dx.doi.org/10.1111/jocn.12037 crossref(new window)

7.
Yang FL, Lee RP, Wang CH, Fang TC, Hsu BG. A cohort study of subjective global assessment and mortality in Taiwanese hemodialysis patients. Renal Failure. 2007;29(8):997-1001. crossref(new window)

8.
Park KA, Sim YM, Kim SB, Choi-Kwon S. A study of the nutritional status and its related factors in the elderly hemodialysis patients. The Korean Journal of Nutrition. 2006;39(2):133-4.

9.
Kalantar-Zadeh K, Block G, McAllister CJ, Humphreys MH, Kopple JD. Appetite and inflammation, nutrition, anemia, and clinical outcome in hemodialysis patients. The American Journal of Clinical Nutrition. 2004;80:299-307.

10.
Han SS, Kim YH. Factors predicting depression in hemodialysis patients. Journal of Korean Academy Nursing. 2005;35(7):1353-61.

11.
Williams AG, Crane PB, Kring D. Fatigue in African American women on hemodialysis. Nephrology Nursing Journal. 2007;34(6):610-7.

12.
Bai YL, Lai LY, Lee BO, Chang YY, Chiou CP. The impact of depression on fatigue in patients with haemodialysis: a correlational study. Journal of Clinical Nursing. 2015;24(13-14):2014-22. http://dx.doi.org/10.1111/jocn.12804 crossref(new window)

13.
Park HK. Nutritional status, fatigue, quality of sleep and depression in hemodialysis patients. [master's thesis]. Gwangju: Chonnam National University; 2014.

14.
Khalil AA, Abed MA. Perceived social support is a partial mediator of the relationship between depressive symptoms and quality of life in patients receiving hemodialysis. Archives of Psychiatric Nursing. 2014;28(2):114-8. http://dx.doi.org/10.1016/j.apnu.2013.11.007 crossref(new window)

15.
Coleman S, Berg CJ, Thompson NJ. Social support, nutrition intake, and physical activity in cancer survivors. American Journal of Health Behavior. 2014;38(3):414-9. http://dx.doi.org/10.5993/AJHB.38.3.10 crossref(new window)

16.
Rosenberger J, Kissova V, Majernikova M, Straussova Z, Boldizsar J. Body composition monitor assessing malnutrition in the hemodialysis population independently predicts mortality. Journal of Renal Nutrition: The Official Journal of the Council on Renal Nutrition of the National Kidney Foundation. 2014;24(3):172-6. http://dx.doi.org/10.1053/j.jrn.2014.01.002 crossref(new window)

17.
Ottery FD. Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition. 1996;12(Suppl 1):S15-S19. crossref(new window)

18.
Nho JH, Kim SR, Kwon YS. Depression and appetite: predictors of malnutrition in gynecologic cancer. Supportive Care in Cancer. 2014;22(11):3081-8. http://dx.doi.org/10.1007/s00520-014-2340-y crossref(new window)

19.
Wilson MM, Thomas DR, Rubenstein LZ, Chibnall JT, Anderson S, Baxi A, et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. The American Journal of Clinical Nutrition. 2005;82(5):1074-81.

20.
Zung WW. A self-rating depression scale. Archives of General Psychiatry. 1965;12:63-70. crossref(new window)

21.
Shin SC. A chiefly on the comparative study of symptoms between depressive and anxiety neurotic outpatients=a study of the self-rating depression scale (SDS) in psychiatric wut-clinic patient(part II). Chungnam Medical Journal. 1977;4:84-9.

22.
Lee KA, Hicks G, Nino-Murcia G. Validity and reliability of a scale to assess fatigue. Psychiatry Research. 1991;36(3):291-8. crossref(new window)

23.
Kim JH. An effect of guided imagery applied to hemodialysis patients. [master's thesis]. Seoul: Yonsei University; 1995.

24.
Kang HS. Experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities. [dissertation]. Seoul: Yonsei University; 1984.

25.
Yoo SH, Oh EG, Youn MJ. The reliability and validity of Patient-Generated Subjective Global Assessment (PG-SGA) in stroke patients. Korean Journal of Adult Nursing. 2009;21(6):559-69.

26.
Statistics Korea. 2015 Household survey [Internet]. Seoul: Statistics Korea; 2016 [cited 2016 April 5]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/4/3/index.-board?bmode=read&bSeq=&aSeq=351677&pageNo=1&row-Num=10&navCount=10&currPg=&sTarget=title&sTxt=

27.
Espahbodi F, Khoddad T, Esmaeili L. Evaluation of malnutrition and its association with biochemical parameters in patients with end stage renal disease undergoing hemodialysis using subjective global assessment. Nephro-Urology Monthly. 2014;16(3):e16385. http://dx.doi.org/10.5812/numonthly.16385 crossref(new window)

28.
Qureshi AR, Alvestrand A, Danielsson A, Divino-Filho JC, Gutierrez A, Lindholm B, et al. Factors predicting malnutrition in hemodialysis patients: a cross-sectional study. Kidney International. 1998;53(3):773-82. crossref(new window)

29.
Stosovic MD, Naumovic RT, Stanojevic MLj, Simic-Ogrizovic SP, Jovanovic DB, Djukanovic LD. Could the level of serum albumin be a method for assessing malnutrition in hemodialysis patients? Nutrition in Clinical Practice: Official Publication of the American Society for Parenteral and Enteral Nutrition. 2011;26(5):607-13. http://dx.doi.org/10.1177/0884533611419665 crossref(new window)

30.
Cano NJ, Aparicio M, Brunori G, Carrero JJ, Cianciaruso B, Fiaccadori E, et al. ESPEN guidelines on parenteral nutrition: adult renal failure. Clinical nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition. 2009;28(4):401-14. http://dx.doi.org/10.1016/j.clnu.2009.05.016