关键词: 血液透析, 饮食行为, 不良反应, 影响因素分析

Abstract:

Objective To investigate the current situation of adverse dietary reactions in patients during hemodialysis and to analyze the influencing factors. Methods A cross-sectional survey was conducted on 368 hemodialysis patients in 4 tertiary hospitals in Lianyungang City by the general data questionnaire and dietary behavior questionnaire,and the influencing factors of adverse dietary reactions were analyzed. Results Among the 81.8%（301 cases） of patients who ate during dialysis,14.0%（42 cases） had hypotension; 4.7%（14 cases） had cough; 1.7%（5 cases） had nausea. Logistic regression analysis results showed that diabetes mellitus,dialysis duration,mealtime,and pre-dietary systolic blood pressure were the influencing factors of hypotension（P<0.05）. The results of single factor analysis showed that age and diet position were influencing factors of cough（P<0.05）,and pre-dietary systolic blood pressure was influencing factor of nausea（P<0.05）. Conclusion During hemodialysis,most of patients who have dietary behaviors are prone to suffer from adverse dietary reactions. Medical staff should pay more attention to patients with diet in hemodialysis,and guide their dietary behaviors during dialysis,so as to reduce the occurrence of adverse dietary reactions.

Key words: Hemodialysi, Dietary Behavior, Adverse Reactions, Root Cause Analysis