TỶ LỆ SUY DINH DƯỠNG VÀ KHẨU PHẦN ĂN CỦA BỆNH NHÂN BỆNH THẬN MẠN LỌC MÁU CHU KỲ TẠI BỆNH VIỆN THỐNG NHẤT

Abstract

Background: The assessment of nutritional status, nutritional regimen in patients with chronic kidney disease is very necessary to make a health education plan, develop or adjust an appropriate diet, improve the treatment outcome and patients’quality of life. Objectives: To determine malnutrition rate and dietary intake of patients with chronic kidney disease on dialysis at Thong Nhat hospital. Subiects and Methods: A descriptive cross-sectional study was performed on 96 chronic kidney failure patients undergoing intermittent hemodialysis at Deparment of Nephrology and Hemodialysis, Thong Nhat Hospital from February 2022 to May 2022. The data included the patient's nutritional status and diet. Malnutrition was assessed based on the SGA-DMS (Subjective Global Assessment-Dialysis Malnutrition Score). The higher the SGA-DMS score, the more severe of malnutrition. Results: The malnutrition rate of patients with chronic kidney failure undergoing intermittent hemodialysis was 94.8%. 88.5% of patients had mild and moderate malnutrition, and 6.3% of patients had severe and very severe malnutrition. The mean SGA-DMS score was 15.9 ± 4.6. The SGA-DMS score of patients over 60 years old was significantly higher than that in patients ≤ 60 years old (p = 0,002). The average energy consumption and some nutrients in diets reached the recommended levels was higher in men than in women (p < 0.05). Conclusion: The malnutrition rate of patients with chronic kidney disease was quite high. It is necessary to get collaboration between the clinicans and the nutritionists to regularly assess and monitor the nutritional status and diet of patients with chronic kidney disease undergoing intermittent hemodialysis.