Tình trạng dinh dưỡng và một số yếu tố liên quan của người bệnh suy thận mạn chưa lọc máu điều trị nội trú tại Bệnh viện Đa khoa Xanh Pôn năm 2018

Abstract

This study aims to examine the nutritional status and its related factors among inpatients with chronic renal failure without dialysis at the Saint Paul General Hospital. A mixed methods study design was applied. A cross-sectional analysis of 138 patients and intentional in-depth interviews with 2 doctors and 8 patients were conducted. Malnutrition status was assessed by three separate measures: SGA score, BMI, and serum Albumin test index. The prevalence of malnutrition rate among the participants was 76.1% by SGA score, 34.0% by BMI, and 48.6% by serum Albumin test index. Participants over 60 years old, with disease period of 2 years or more, and with poor nutrition practices were significanly more likely to have malnutrition. Levels of knowledge and practice of nutrition among the participants were low and need to be improved Additionally, communication regarding nutrition practice needs to be intuitive. Participants who did not receive dietary advice from medical staff were four times more likely to be malnourished than those who did. The participants' families has been shown to have a great influence on their  nutritional practice  by encouraging and reminding the participants to adhere to and prepare the proper diet. Interventions on nutrition communication need to pay more attention to this group of population.