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NTIS 바로가기韓國營養學會誌 = The Korean journal of nutrition., v.46 no.2, 2013년, pp.137 - 146
이진주 (이화여자대학교 임상보건과학대학원 임상영양학전공) , 김지명 (한북대학교 식품영양학과) , 김유리 (이화여자대학교 임상보건과학대학원 임상영양학전공)
The purpose of this study was to evaluate diet-related Quality of Life (QOL) and to analyze the relationship among diet-related QOL, dietary regimen practice, health-related QOL, and gastrointestinal symptoms in hemodialysis patients. Subjects were recruited from an artificial kidney center in Seoul...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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말기 신부전이란 무엇인가? | 말기 신부전 (End-Stage Renal Disease, ESRD)은 신장의 기능이 5% 이하로 저하되어 혈액투석이나 복막투석, 신장이식의 신대체 요법을 통하여 생명을 연장해야 하는 질환이다.1-3) 국내에서 신대체 요법을 받는 말기신부전 환자는 63,341명으로 계속 증가하는 추세이며 혈액투석환자가 42,596명 (67. | |
심각한 합병증을 초래할 수 있음에도 불구하고 혈액투석환자가 식사요법을 실천하기 어려운 이유는 무엇인가? | 그러나 혈액투석환자가 식사요법을 이행하지 못할 경우 심각한 합병증을 초래하게 됨에도 불구하고 여러 선행연구에서 식사요법의 실제 이행정도는 매우 낮다.12,13) 환자 개인의 식습관은 오랫동안 고착화 되어 있기 때문에 식사요법의 실천은 환자들에게 매우 어려운 과제이며, 이를 개선하기 위한 구체적인 중재가 필요하다. 특히, 혈액 투석 환자들의 경우 식사요법의 실패가 때로는 사망에까지도 이르게 되며 투석 자체에 대한 심리적, 경제적 부담, 여러 가지 음식 제한으로 인한 식사요법의 압박감 등으로 극심한 우울증 및 스트레스 상태에 놓여 삶의 질 저하에 큰 영향을 미치게 된다. | |
혈액투석 환자가 가지는 문제는 무엇인가? | 혈액투석은 기계를 이용하여 혈액 속의 과잉 수분과 노폐물을 인공 반 투과막을 통해 투석액으로 여과 또는 제거하는 방법으로, 혈액투석 환자는 축적되는 노폐물로 인한 요독증 (uremia)으로 인해5) 음식물의 흡수장애, 식욕부진, 오심, 구토 등의 부작용이 발생되어 제한된 식생활이 요구되어지고 단백질 열량 섭취 부족 (protein-energy malnutrition, PEM) 등의 영양 문제를 가진다.6,7) 이러한 영양소의 불균형 및 영양실조 상태는 유병률과 사망률에 밀접한 관련이 있으며 혈액투석 환자의 재활과 삶의 질을 낮추게 된다. |
Stevens LA, Coresh J, Greene T, Levey AS. Assessing kidney function--measured and estimated glomerular filtration rate. N Engl J Med 2006; 354(23): 2473-2483
Spiegel BM, Melmed G, Robbins S, Esrailian E. Biomarkers and health-related quality of life in end-stage renal disease: a systematic review. Clin J Am Soc Nephrol 2008; 3(6): 1759-1768
Cruz MC, Andrade C, Urrutia M, Draibe S, Nogueira-Martins LA, Sesso Rde C. Quality of life in patients with chronic kidney disease. Clinics (Sao Paulo) 2011; 66(6): 991-995
ESRD Registry Committee, Korean Society of Nephrology. Current renal replacement therapy in Korea -Insan Memorial Dialysis Registry-. Seoul: ESRD Registry Committee, Korean Society of Nephrology; 2011
Bossola M, Luciani G, Rosa F, Tazza L. Appetite and gastrointestinal symptoms in chronic hemodialysis patients. J Ren Nutr 2011; 21(6): 448-454
Chumlea WC, Dwyer J, Bergen C, Burkart J, Paranandi L, Frydrych A, Cockram DB, Kusek JW, McLeroy S; Hemodialysis Study Group. Nutritional status assessed from anthropometric measures in the HEMO study. J Ren Nutr 2003; 13(1): 31-38
Bossola M, Muscaritoli M, Tazza L, Giungi S, Tortorelli A, Rossi Fanelli F, Luciani G. Malnutrition in hemodialysis patients: what therapy? Am J Kidney Dis 2005; 46(3): 371-386
Lowrie EG, Lew NL. Death risk in hemodialysis patients: the predictive value of commonly measured variables and an evaluation of death rate differences between facilities. Am J Kidney Dis 1990; 15(5): 458-482
Lowrie EG, Huang WH, Lew NL. Death risk predictors among peritoneal dialysis and hemodialysis patients: a preliminary comparison. Am J Kidney Dis 1995; 26(1): 220-228
Leung J, Dwyer J, Miller J, Patrick SW, Rocco M, Uhlin L. The role of the dietitian in a multicenter clinical trial of dialysis therapy: the Hemodialysis (HEMO) Study. J Ren Nutr 2001; 11(2): 101-108
Kutner NG, Johansen KL, Kaysen GA, Pederson S, Chen SC, Agodoa LY, Eggers PW, Chertow GM. The comprehensive dialysis study (CDS): a USRDS special study. Clin J Am Soc Nephrol 2009; 4(3): 645-650
Cho MK, Choe MA. Self care behavior of hemodialysis patients. J Korean Biol Nurs Sci 2007; 9(2): 105-117
McCloskey C, Clarke J, Rayner H. Dialysis patients' understanding of nutritional advice. J Ren Nutr 1997; 7(2): 90-101
Silva LF, Lopes GB, Matos CM, Brito KQ, Amoedo MK, Azevedo MF, Sa Araujo MJ, Martins MS, Lopes AA. Gastrointestinal symptoms and nutritional status in women and men on maintenance hemodialysis. J Ren Nutr 2012; 22(3): 327-335
Cano AE, Neil AK, Kang JY, Barnabas A, Eastwood JB, Nelson SR, Hartley I, Maxwell D. Gastrointestinal symptoms in patients with end-stage renal disease undergoing treatment by hemodialysis or peritoneal dialysis. Am J Gastroenterol 2007; 102(9): 1990- 1997
Kahvecioglu S, Akdag I, Kiyici M, Gullulu M, Yavuz M, Ersoy A, Dilek K, Yurtkuran M. High prevalence of irritable bowel syndrome and upper gastrointestinal symptoms in patients with chronic renal failure. J Nephrol 2005; 18(1): 61-66
Park JM, Choi MG, Kim YS, Choi CH, Choi SC, Hong SJ, Jeong JJ, Lee DH, Lee JS, Lee KJ, Son HJ, Sung IK. Quality of life of patients with irritable bowel syndrome in Korea. Qual Life Res 2009; 18(4): 435-446
Jeong JJ, Choi MG, Cho YS, Lee SG, Oh JH, Park JM, Cho YK, Lee IS, Kim SW, Han SW, Choi KY, Chung IS. Chronic gastrointestinal symptoms and quality of life in the Korean population. World J Gastroenterol 2008; 14(41): 6388-6394
Afsar B, Elsurer R, Yilmaz MI, Eyileten T, Yenicesu M. Irritable bowel syndrome in haemodialysis: Prevalence, link with quality of life and depression. Nephrology (Carlton) 2010; 15(2): 197- 202
Kalantar-Zadeh K, Unruh M. Health related quality of life in patients with chronic kidney disease. Int Urol Nephrol 2005; 37(2): 367-378
Lacson E Jr, Xu J, Lin SF, Dean SG, Lazarus JM, Hakim RM. A comparison of SF-36 and SF-12 composite scores and subsequent hospitalization and mortality risks in long-term dialysis patients. Clin J Am Soc Nephrol 2010; 5(2): 252-260
Braga SF, Peixoto SV, Gomes IC, Acurcio Fde A, Andrade EI, Cherchiglia ML. Factors associated with health-related quality of life in elderly patients on hemodialysis. Rev Saude Publica 2011; 45(6): 1127-1136
Wiser NA, Shane JM, McGuigan AT, Memken JA. Olsson PJ. The effects of a group nutrition education program on nutrition knowledge, nutrition status, and quality of life in hemodialysis patients. J Ren Nutr 1997; 7(4): 187-193
Min H, Ko KS, Kim MS, Moon SS, Park WD, Park CW, Suh SY, Yu BH, Lee YK, Chung TS, Shin YT. The influencing factors of quality of life in hemodialysis patients. Korean J Nephrol 1999; 18(5): 714-732
Delahanty LM, Hayden D, Ammerman A, Nathan DM. Medical nutrition therapy for hypercholesterolemia positively affects patient satisfaction and quality of life outcomes. Ann Behav Med 2002; 24(4): 269-278
Barr J, Schumacher G. Using focus groups to determine what constitutes quality of life in clients receiving medical nutrition therapy: first steps in the development of a nutrition quality-oflife survey. J Am Diet Assoc 2003; 103(7): 844-851
Sato E, Suzukamo Y, Miyashita M, Kazuma K. Development of a diabetes diet-related quality-of-life scale. Diabetes Care 2004; 27(6): 1271-1275
Perry L, McLaren S. An exploration of nutrition and eating disabilities in relation to quality of life at 6 months post-stroke. Health Soc Care Community 2004; 12(4): 288-297
Lee SJ, Park HS, Han JH, Kim HJ, Seo MW, Choi EA, Im EY, Choi MR, Choi SS, Park KO, Kim KO. Effects of an individualized educational program on knowledge, compliance and physiologic parameters in non-compliant hemodialysis patients. J Korean Clin Nurs Res 2009; 15(3): 5-16
Park HM, Lee HS. Effects of empowerment education program for hemodialysis patients on self-efficacy, self-care agency, selfcare activities and physiologic parameters. Korean J Rehabil Nurs 2010; 13(2): 151-160
National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis 2002; 39(2 Suppl 1): S1-S266
Blackburn SL. Dietary compliance of chronic hemodialysis patients. J Am Diet Assoc 1977; 70(1): 31-37
Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30(6): 473-483
Kim HS, Lee KB, Lee YS, Kim H, Seh BS, Lim SW, Shin HC. The reliability and the validity of health related QOL Measurement Method in hemodialysis patients. Korean J Nephrol 2008; 27(1): 78-84
Kim HY, Lee JC, Kim SG, Park JJ, Lee DH, Lee ST, Lee EH, Lee JH, Choi SL, Ham KB. Development of index of dyspepsia symptoms- Korean IDS-K. Annual meeting of the Korean Society of Gastroenterology; 2013 Nov 19-21. Seoul: Korean Society of Gastroenterology; 2003. p.562-579
Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvine EJ, Muller-Lissner SA. Functional bowel disorders and functional abdominal pain. Gut 1999; 45 Suppl 2: II43-II47
Drossman DA, Corazziari E, Delvaux M, Spiller R, Talley NJ, Thompson WG. Appendix B: Rome III diagnostic criteria for functional gastrointestinal disorders. Rev Gastroenterol Mex 2010; 75(4): 511-516
Byham-Gray L, Wiesen K. A clinical guide to nutrition care in kidney disease. Chicago, IL: American Dietetic Association; 2004
Lee SL, Kim YL, Lee SJ, Cho YK, Choi YK, Chun CH, Chang YK. Effects of diabetes education on diabetic management in non-insulin-dependent diabetics mellitus patients. J Korean Diet Assoc 2004; 10(3): 300-308
Allen KL, Miskulin D, Yan G, Dwyer JT, Frydrych A, Leung J, Poole D; Hemodialysis (HEMO) Study Group. Association of nutritional markers with physical and mental health status in prevalent hemodialysis patients from the HEMO study. J Ren Nutr 2002; 12(3): 160-169
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