Cultural and linguistic diversity is associated with increased inter-dialytic weight gain among patients on long-term haemodialysis

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2024-10-08 DOI:10.1111/jorc.12512

Asha Blessan RN, Edward Zimbudzi PhD

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引用次数: 0

Abstract

Background

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.

Objective

This study examined the relationship between interdialytic weight gain and cultural and linguistic diversity among patients receiving haemodialysis.

Design

Retrospective cross-sectional study.

Participants and Measurements

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.

Results

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).

Conclusion

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.

Abstract Image

查看原文本刊更多论文

文化和语言多样性与长期血液透析患者两次透析间体重增加有关。

背景：透析间期体重增加不理想的相关因素早已确立。然而，文化和语言多样性对血液透析患者治疗间期体重增加的影响尚未得到充分了解：本研究探讨了血液透析患者治疗间期体重增加与文化和语言多样性之间的关系：设计：回顾性横断面研究：从五个透析单位接受血液透析患者的电子病历中收集人口统计学和临床数据。进行了逻辑回归分析，以确定与透析间期体重增加不达标有关的因素：研究对象为 269 名患者，其中 62% 为女性，平均年龄（65.8±14.8）岁。大多数患者来自不同的文化和语言背景（60%），相当一部分患者属于社会经济条件最差的群体。与来自非文化和语言多样性背景的患者（1.83 ± 1.09%）相比，来自文化和语言多样性背景的患者的疗程间相对体重增加率（2.40% ± 1.45%）明显更高（平均差异：0.57%，95% CI：0.25-0.90，P = 0.001）。来自不同文化和语言背景与治疗间期体重相对增加的几率增加有关（OR：2.40；95% CI：1.38-4.17，P 结论：在接受血液透析维持治疗的患者中，来自不同文化和语言背景的患者体重增加的几率增加（OR：2.40；95% CI：1.38-4.17，P = 0.001）：在接受维持性血液透析的患者中，与来自非文化和语言多样性背景的患者相比，来自文化和语言多样性背景的患者在两次透析间体重增加的几率更高。今后的研究需要侧重于共同开发文化敏感性干预措施，以提高来自不同文化和语言背景的维持性血液透析患者的自我管理能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.