护理学报 ›› 2020, Vol. 27 ›› Issue (22): 21-25.doi: 10.16460/j.issn1008-9969.2020.22.021
血液透析患者透析间期体质量增加的影响因素研究进展
张政, 袁理, 孙丽娜, 徐一元, 丁淑贞
- 大连医科大学附属第一医院 护理部,辽宁 大连 116011
摘要： 目的 对透析间期体质量增加的影响因素进行综述,为控制血液透析患者透析间期体质量增加的干预措施制定提供参考。方法 通过检索国内外文献,归纳、总结血液透析患者透析间期体质量增加的影响因素。结果 从人口学因素、疾病相关因素、患者自身因素和环境因素4类大的方面,分析了透析间期体质量增加的影响因素共有19项。结论 透析间期体质量增加影响因素的研究更加全面深入,其涉及范围扩展到国别、种族、宗教信仰、生理生化指标、环境因素等方面,未来应充分考虑多种因素的共同作用,为后续开展干预措施奠定基础。
中图分类号:
- R459.5
| [1] Natashia D,Yen M,Chen HM,et al.Self-Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain among Patients Undergoing Hemodialysis in Indonesia[J].J Nurs Scholarsh,2019,51(4):417-426.DOI:10.1111/jnu.12464. [2] Kurita N,Hayashino Y,Yamazaki S,et al.Revisiting Interdialytic Weight Gain and Mortality Association with Serum Albumin Interactions:The Japanese Dialysis Outcomes and Practice Pattern Study[J].J Ren Nutr,2017,27(6):421-429.DOI:10.1053/j.jrn.2017.05.003. [3] Caetano C,Valente A,Oliveira T,et al.Coffee Consumption in Hemodialysis Patients:How Many?[J].Eur J Clin Nutr,2019,73(6):924-929.DOI:10.1038/s41430-018-0328-2. [4] Tamaura Y,Nishitani M,Akamatsu R,et al.Association between Interdialytic Weight Gain,Perception about Dry Weight,and Dietary and Fluid Behaviors Based on Body Mass Index among Patients on Hemodialysis[J].J Ren Nutr,2019,29(1):24-32.DOI:10.1053/j.jrn.2018.04.009. [5] Nerbass FB,Correa D,Santos RGD,et al.Perceptions of Hemodialysis Patients about Dietary and Fluid Restrictions[J].J Bras Nefrol,2017,39(2):154-161.DOI:10.5935/0101-2800.20170031. [6] Cabrera C,Brunelli SM,Rosenbaum D,et al.A Retrospective,Longitudinal Study Estimating the Association between Interdialytic Weight Gain and Cardiovascular Events and Death in Hemodialysis Patients[J].BMC Nephrol,2015,16:113.DOI:10.1186/s12882-015-0110-9. [7] Trinh E,Weber C.The Dialysis Sodium Gradient:A Modifiable Risk Factor for Fluid Overload[J].Nephron Extra,2017,7(1):10-17.DOI:10.1159/000453674. [8] Colson A,Brinkley A,Braconnier P,et al.Impact of Salt Reduction in Meals Consumed During Hemodialysis Sessions on Interdialytic Weight Gain and Hemodynamic Stability[J].Hemodial Int,2018,22(4):501-506.DOI:10.1111/hdi.12655. [9] Kara B.Determinants of Thirst Distress in Patients on Hemodialysis[J].Int Urol Nephrol,2016,48(9):1525-1532.DOI:101007/s11255-016-1327-7. [10] Ipema KJ,Kuipers J,Westerhuis R,et al.Causes and Consequences of Interdialytic Weight Gain[J].Kidney Blood Press Res,2016,41(5):710-720.DOI:10.1159/000450560. [11] Mollaoglu M,Kayatas M.Disability Is Associated with Nonadherence to Diet and Fluid Restrictions in End-stage Renal Disease Patients Undergoing Maintenance Hemodialysis[J].Int Urol Nephrol,2015,47(11):1863-1870.DOI:10.1007/s11255-015-1102-1. [12] Artan AS,Kircelli F,Ok E,et al.Dialyzing Women and Men:Does It Matter? An Observational Study[J].Clin Kidney J,2016,9(3):486-493.DOI:10.1093/ckj/sfw013. [13] 李敏芝,熊燕移,史伟文,等.患者透析期间体重增加的影响因素分析[J].黑龙江医学,2015,39(3):235-237.DOI:10.3969/j.issn.1004-5775.2015.03.005. [14] Ahbap E,Sakaci T,Kara E,et al.Relationship between Relative Interdialytic Weight Gain and Serum Leptin Levels,Nutrition,and Inflammation in Chronic Hemodialysis Patients[J].Clin Nephrol,2015,83(3):154-160.DOI:10.5414/cn108450. [15] Wong MM,McCullough KP,Bieber BA,et al.Interdialytic Weight Gain:Trends,Predictors,and Associated Outcomes in the International Dialysis Outcomes and Practice Patterns Study (Dopps)[J].Am J Kidney Dis,2017,69(3):367-379.DOI:10.1053/j.ajkd.2016.08.030. [16] Adanan NIH,Md Ali MS,Lim JH,et al.Investigating Physical and Nutritional Changes during Prolonged Intermittent Fasting in Hemodialysis Patients:A Prospective Cohort Study[J].J Ren Nutr,2020,30(2):e15-e26.DOI:10.1053/j.jrn.2019.06.003. [17] Khazneh E,Qaddumi J,Hamdan Z,et al.The Effects of Ramadan Fasting on Clinical and Biochemical Markers among Hemodialysis Patients:A Prospective Cohort Study[J].PLoS One,2019,14(6):e0218745.DOI:10.1371/journal.pone.0218745. [18] Sibbel S,Walker AG,Colson C,et al.Association of Continuation of Loop Diuretics at Hemodialysis Initiation with Clinical Outcomes[J].Clin J Am Soc Nephrol,2019,14(1):95-102.DOI:10.2215/CJN.05080418. [19] Trinh E,Bargman JM.Are Diuretics Underutilized in Dialysis Patients?[J].Semin Dial,2016,29(5):338-341.DOI:10.1111/sdi.12483. [20] Hussein WF,Schiller B.Dialysate Sodium and Intradialytic Hypotension[J].Semin Dial,2017,30(6):492-500.DOI:10.1111/sdi.12634. [21] Hecking M,Wong MMY,Port FK,et al.Regional Differences in the Associations between Prescribed Dialysate Sodium Concentration and Interdialytic Weight Gain in the Dialysis Outcomes and Practice Patterns Study[J].Am J Kidney Dis,2017,70(3):450-451.DOI:10.1053/j.ajkd.2017.03.024. [22] Hanafusa N,Tsuchiya K,Nitta K.Dialysate Sodium Concentration:The Forgotten Salt Shaker[J].Semin Dial,2018,31(6):563-568.DOI:10.1111/sdi.12749. [23] Noori N,Yan AT,Kiaii M,et al.Nutritional Status after Conversion from Conventional to in-Centre Nocturnal Hemodialysis[J].Int Urol Nephrol,2017,49(8):1453-1461.DOI:10.1007/s11255-017-1595-x. [24] de Oliveira CM,Vidal CL,Cristino EF,et al.Metabolic Acidosis and Its Association with Nutritional Status in Hemodialysis[J].J Bras Nefrol,2015,37(4):458-466.DOI:10.5935/0101-2800.20150073. [25] Viegas M,Candido C,Felgueiras J,et al.Dialysate Bicarbonate Variation in Maintenance Hemodiafiltration Patients Impact on Serum Bicarbonate,Intradialytic Hypotension and Interdialytic Weight Gain[J].Hemodial Int,2017,21(3):385-392.DOI:10.1111/hdi.12502. [26] Kim SM,Kim M,Lee EK,et al.The Effect of Zinc Deficiency on Salt Taste Acuity,Preference,and Dietary Sodium Intake in Hemodialysis Patients[J].Hemodial Int,2016,20(3):441-446.DOI:10.1111/hdi.12388. [27] Cristovao AF.Fluid and Dietary Restriction's Efficacy on Chronic Kidney Disease Patients in Hemodialysis[J].Rev Bras Enferm,2015,68(6):1154-1162.DOI:10.1590/0034-7167.2015680622i. [28] Agarwal R,Peixoto AJ,Santos SF,et al.Pre- and Postdialysis Blood Pressures Are Imprecise Estimates of Interdialytic Ambulatory Blood Pressure[J].Clin J Am Soc Nephrol,2006,1(3):389-398.DOI:10.2215/cjn.01891105. [29] Gulin M,Klaric D,Ilic M,et al.Blood Pressure of Maintenance Hemodialysis Patients in the Dalmatian Region of Croatia:Differences between Hospital and out-of-Hospital Dialysis Centers[J].Blood Purif,2017,44(2):110-121.DOI:10.1159/000474931. [30] Ferraz SF,Freitas AT,Vaz IM,et al.Nutritional Status and Interdialytic Weight Gain of Chronic Hemodialysis Patients[J].J Bras Nefrol,2015,37(3):306-314.DOI:10.5935/0101-2800.20150050. [31] 赵煜华,王俊霞,张瑞星.自我效能在肠造口病人护理中的应用研究进展[J].护理研究,2020,34(4):683-685.DOI:10.12102/j.issn.1009-6493.2020.04.025. [32] Kauric-Klein Z,Peters RM,Yarandi HN.Self-Efficacy and Blood Pressure Self-Care Behaviors in Patients on Chronic Hemodialysis[J].West J Nurs Res,2017,39(7):886-905.DOI:10.1177/0193945916661322. [33] Bond FW,Hayes SC,Baer RA,et al.Preliminary Psychometric Properties of the Acceptance and Action Questionnaire-Ii:A Revised Measure of Psychological Inflexibility and Experiential Avoidance[J].Behav Ther,2011,42(4):676-688.DOI:10.1016/j.beth.2011.03.007. [34] Delgado Dominguez CJ,Varas Garcia J,Ruiz FJ,et al.Psychological Inflexibility and Clinical Impact:Adaptationof the Acceptance and Action Questionnaire-Ii in a Sample of Patients on Haemodialysis Treatment[J].Nefrologia,2020,40(2):160-170.DOI:10.1016/j.nefro.2019.06.008. [35] Ahmadpour B,Ghafourifard M,Ghahramanian A.Trust Towards Nurses Who Care for Haemodialysis Patients:A Cross-Sectional Study[J].Scand J Caring Sci,2019,34(1).DOI:10.1111/scs.12809. [36] de Carvalho SS,Simoes e Silva AC,Sabino Ade P,et al.Influence of Ace I/D Polymorphism on Circulating Levels of Plasminogen Activator Inhibitor 1,D-Dimer,Ultrasensitive C-Reactive Protein and Transforming Growth Factor Beta1 in Patients Undergoing Hemodialysis[J].PLos One,2016,11(3):e0150613.DOI:10.1371/journal.pone.0150613. [37] Saleh FSB,Naji MN,Eltayeb AA.Effect of Thyroid Function Status in Hemodialysis Patients on Erythropoietin Resistance and Interdialytic Weight Gain[J].Saudi J Kidney Dis Transpl,2018,29(6):1274-1279.DOI:10.4103/1319-2442.248310. [38] El Harraqui R,Abda N,Bentata Y,et al.Evaluation and Analysis of Pain in Chronic Hemodialysis[J].Nephrol Ther,2014,10(7):500-506.DOI:10.1016/j.nephro.2014.06.005. [39] Guinsburg AM,Usvyat LA,Etter M,et al.Seasonal Variations in Mortality and Clinical Indicators in InternationalHemodialysis Populations from the Mondo Registry[J].BMC Nephrol,2015,16:139.DOI:10.1186/s12882-015-0129-y. |
| [1] | 李丹妮, 邱丽燕, 吴隆燕, 谭铮可可, 陈欣, 杨丽. 前交叉韧带损伤日间手术患者恐动症的潜在剖面分析及影响因素研究[J]. 护理学报, 2025, 32(4): 12-17. |
| [2] | 杜易梅, 刘莉, 郭立丽, 卢吉, 付苗苗, 刘杰. 妇科恶性肿瘤患者性健康研究进展[J]. 护理学报, 2025, 32(4): 28-33. |
| [3] | 李长娥, 徐真真, 张文忠, 吴燕, 季红. 新生儿父母脐带血储存决策影响因素的定性研究[J]. 护理学报, 2025, 32(3): 74-78. |
| [4] | 魏利, 赵兴颖, 刘佳, 何雨璇, 陈晓梅, 杨雪, 鲜继淑, 杨燕妮. 神经外科重症住院患者家庭照顾者照顾负担及影响因素分析[J]. 护理学报, 2025, 32(2): 1-6. |
| [5] | 杨蓓, 叶红芳, 张宁, 相卢伟, 路诗雨. 老年2型糖尿病患者体力活动现状及影响因素研究[J]. 护理学报, 2025, 32(2): 7-12. |
| [6] | 刘畅, 张维, 王翠雪, 岳鹏. ICU实施非限制性探视制度的影响因素研究进展[J]. 护理学报, 2025, 32(1): 34-38. |
| [7] | 王进波, 吴姗, 黄蓉蓉, 陈代凤, 洪梅, 李审绥. 头颈癌患者自杀影响因素及干预的研究进展[J]. 护理学报, 2025, 32(1): 39-43. |
| [8] | 陈莹莹, 丁红, 张根生. 患儿术后谵妄影响因素的研究进展[J]. 护理学报, 2024, 31(9): 32-35. |
| [9] | 曹娟, 李方, 于跃, 戴丽, 杨丹丹, 李志华, 徐欣怡, 戴琪, 陈柯宇. 食管癌术后静脉血栓栓塞症风险预测模型的构建及验证[J]. 护理学报, 2024, 31(8): 63-68. |
| [10] | 朱心悦, 嵇冰聪, 蓝雪芬, 季晓珍. 糖尿病患者电子健康素养研究进展[J]. 护理学报, 2024, 31(7): 36-39. |
| [11] | 李莹, 周志欢. ICU护理缺失的研究进展[J]. 护理学报, 2024, 31(6): 43-46. |
| [12] | 黄鑫, 余丽君, 张二明, 哈丽娜. 稳定期COPD患者的能量摄入现状及影响因素分析[J]. 护理学报, 2024, 31(5): 12-16. |
| [13] | 张思爱, 赖翠薇, 李佳佳, 张亚军, 汪张毅, 张正涛, 法天锷. 护士专业态度的影响因素研究进展[J]. 护理学报, 2024, 31(4): 38-41. |
| [14] | 林梅燕, 张星星, 李瑞华, 陶思琪, 甄莉. 肠造口患者居家睡眠质量特点及影响因素研究进展[J]. 护理学报, 2024, 31(24): 27-32. |
| [15] | 赵阳, 王岚, 尹雪梅. 正常分娩中非必要干预的研究进展[J]. 护理学报, 2024, 31(24): 33-36. |
|
||