Korean J Adult Nurs.  2016 Apr;28(2):226-236. 10.7475/kjan.2016.28.2.226.

Factors Affecting Malnutrition in Hemodialysis Patients

• Park OL
• Jang YJ
• Jung JH
• Kim SR

• KMID: 2358688
• DOI: http://doi.org/10.7475/kjan.2016.28.2.226

Abstract

PURPOSE
The aim of this study was to evaluate the nutritional status and to identify factors affecting malnutrition in hemodialysis patients.
METHODS
Data were collected from a convenience sample of 125 hemodialysis patients who agreed to participate in the study, between August 1 and October 4, 2014. Five structured questionnaires were used: Patient-generated Subjective Global Assessment, Simplified Nutritional Appetite Questionnaire, Self-rating Depression Scale, Fatigue Scale, and Family Support Scale. Data were analyzed by descriptive statistics, t-test, Mann-Whitney U test, χ2-test, and stepwise multiple regression analysis by using SPSS/WIN 22.0 program.
RESULTS
Of 125 patients, 30.4% were found to be malnourished. Malnutrition was related to age, family household income, depression, fatigue, social support, appetite, and levels of C-reactive protein and serum albumin. Stepwise multiple regression analysis showed that appetite, C-reactive protein level, fatigue, and albumin level were significant factors affecting malnutrition in hemodialysis patients.
CONCLUSION
Regular and consistent nutritional assessment is essential in hemodialysis patients. Nurses who care for hemodialysis patients need to consider the factors identified from these findings when assessing their patients' nutritional status and needs.

MeSH Terms

Appetite
C-Reactive Protein
Depression
Family Characteristics
Fatigue
Humans
Malnutrition*
Nutrition Assessment
Nutritional Status
Renal Dialysis*
Serum Albumin
C-Reactive Protein
Serum Albumin

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