【摘要】目的了解目前腹膜透析患者对食用豆制品的认知情况。方法对广安门医院南区和房山区中医医院肾病科腹膜透析中心的所有患者进行豆制品相关知识的问卷调查。结果共收取有效问卷1 2 5 份,有效应答率为8 2 . 7 8 % ( 1 2 5 / 1 5 1 )。9 1 . 2 %的被调查者听说过肾衰竭患者需要优质蛋白饮食,同时,9 4 . 4 %的被调查者听说过肾病患者不能进食豆制品。9 0 . 4 %的调查问卷提示被调查者关于豆制品的相关知识是从医生、护士处得知的,并且同时也会从网络、电视、亲属、病友处获得。7 7 . 6 %的被调查者只是偶尔食用豆制品,6 8 %的被调查者不敢食用豆制品。2 0 %的被调查者从来不食用豆制品。只有1 7 . 6 %的被调查者将豆制品替代或部分替代肉类蛋白质摄入。3 2 %的被调查者血白蛋白水平偏低。其中不同年龄段( ≤6 0 岁,>6 0 岁)的腹膜透析患者与不同血白蛋白水平之间的差异具有统计学意义(χ2 = 6 . 0 1 5,P = 0 . 0 4 9 )。结论所纳入的两家腹透中心的患者对食用豆制品的认识有误区,应加强患者饮食宣教。
【Abstract】Objective To understand the current attitude to consume soy products in peritoneal dialysis (PD) patients. Methods A questionnaire survey of the knowledge about taking soy products was conducted among PD patients treated in the PD centers in two Chinese traditional medical hospitals. Results A total of 125 valid questionnaires were collected, and the effective response rate was 82.78% (125/151). In these respondents, 91.2% had heard of high- quality protein diets necessary for kidney disease patients; 94.4% had heard that kidney disease patients could not eat soy products; 90.4% indicated that the knowledge about soy
product food was obtained from doctors and nurses and also from internet, television, relatives and other patients; 77.6% ate soy products occasionally, 68% felt unsuitable to eat soy products, and 20% never ate soy products; 17.6% took soy products to partially or completely substitute their meat diet. Serum albumin was lower in 32% of the respondents, in which serum albumin level was statistically different between PD patients younger than 60 years old and those older than 60 years old (P=0.041). Conclusion Many patients in the two PD centers were in the shortage of correct knowledge about the consumption of soy products. Therefore, dietary education must be reinforced for PD patients.
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