慢性肾脏疾病患者的生活质量和规律饮食

S. Staykova, P. Petrov, Lili Grudeva
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引用次数: 0

摘要

慢性肾脏疾病(CKD)的特征是肾小球滤过率(GF)降低,低于60 mL/min/1.73 m2,和/或实验室数据,和/或肾脏损害的图像数据存在超过3个月。根据最近的数据,世界上近8.7%的人口患有不同病因的CKD。CKD是一种进行性健康状况,可导致终末期肾脏疾病(ESRD)。材料和方法:这些患者的生活质量(QoL)是至关重要的,与他们的功能活动,福祉和他们在身体,心理和社会方面的健康的整体感知有关。生活质量、发病率和死亡率之间存在直接联系。已经确定,CKD患者的生活质量明显低于健康人,这在疾病的晚期阶段变得更加明显。随着肾脏疾病的进展,体力活动逐渐减少。结果:透析患者人群中存在社会人口学、临床和实验室危险因素,这必然导致生活质量的改变。在CKD患者中观察到的营养不良也可能导致其生活质量下降。它的发生是由于食物摄入减少,蛋白质消耗增加和肾脏内分泌功能改变所致。营养物质的口服摄入增加了ESRD患者治疗蛋白质能量消耗(PEW)的机会。结论:进行饮食咨询,以及准备个人饮食,以满足患者的具体需求,将提高他们的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality of life and regular diet in patients with chronic kidney disease
Introduction : Chronic kidney disease (CKD) is characterized by a reduced rate of glomerular filtration (GF), under 60 mL/min/1.73 m2, and/or laboratory data, and/or image data for kidney damage, present for more than 3 months. According to recent data, nearly 8.7% of the world population suffer from CKD with different etiology. CKD is a progressive health condition that can result in an end stage renal disease (ESRD). Materials and Methods : The quality of life (QoL) of these patients is of utmost importance and is related to their functional activity, well-being and overall perception of their health in a physical, psychological and social aspect. A direct link between QoL, morbidity rate and death rate exists. It has been established that patients with CKD have a significantly lower QoL compared to healthy people, which becomes clearer during the more advanced stages of the disease. Physical activity decreases progressively with the progression of kidney disease. Results : Sociodemographic, clinical and laboratory risk factors have been established in the population of dialysis patients, which definitely leads to a change in QoL. Malnutrition, which is observed in patients with CKD, can also contribute to a decline in their quality of life. Its occurrence results from a reduced food intake, increased protein consumption and altered endocrine function of the kidneys. Oral intake of nutrients raises the chances of treating protein-energy wasting (PEW) in patients with ESRD. Conclusion : Conducting dietary consultations, as well as preparing individual diets to meet a patient’s specific needs, will increase their quality of life.
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