Investigation And Influence Factors Analysis Of Compliance With Low Protein Diet In Stages 3-5 Chronic Kidney Disease Patients

Objective:This study aims to investigate the implementation of low protein diet in stages 3-5 chronic kidney disease patients, help to understand the present compliance with low protein diet in stages 3-5 chronic kidney disease patients, and analyze the influence factors, provide data support and direction for better compliance improvement of reliable treatment related nursing measures in low protein diet therapy.Method:Through the investigate with low protein diet compliance of 180 cases in CKD3-5 patients who from Guangdong Province Traditional Chinese Medical Hospital clinic.Using the questionnaire, collect patient’s basic personal information (name, sex, age, marital status, education level, work status, payment mode, tobacco and alcohol habits),and the clinical data (the primary disease, CKD stage, blood creatinine values) and nutritional index (BMI index, SGA score). Calculate the content of protein in the daily diet of patients through the three day dietary questionnaire, depend on this to judge patients’ compliance. Statistics analysis using the SPSS18.0 software, analysis the basic demographic data, clinical data, nutrition data, self-efficacy record between high compliance group and the low compliance group. Univariate analysis of count data using chi-square test, measurement data using independent t test or non-parametric test based on normal distributions, multivariate analysis preclude using binary logistic regression analysis, test level α= 0.05.Results:In the 180 patients, the oldest one is 85 years old and the youngest one is 18 years old, the average age is (57.06±14.01) years; there were 96 male, accounting for 53.3%, and female 84 cases, accounting for 46.7%; there were 97 CKD3 stage patients accounted for 53.9%,49 CKD 4 patients accounted for 27.2%,34 CKD5 patients accounted for 18.9%; the average serum creatinine in patients was (244.52±185.61) mol/1; the average height of the patients was 161.26±7.53cm; the average weight was (59.71±11.50)kg; the mean body mass index was (22.83±3.67) kg/m2. The investigation shows that the protein content of 180 CKD patients were actual daily intake ranged between (19.0-78.0)g, the average intake of (44.21±13.76) g/d, because the protein intake and the weight of the patient related, therefore the conversion for every kilogram of intake of protein content is more accurate, obtains the average value of (0.75± 0.20)g/(kg. d) the intake of patients; quality protein between (3.96-65.90)g, the average was (24.17±10.80)g/d; conversion as high quality protein intake ratio, obtains the high quality protein in patients in the daily diet ratio between 15%-86%, the average was 53±13%. In this study, the survey found that 51 of patients with a low protein diet compliance, accounting for 28.30%, the remaining 129 patients with a low protein diet poor compliance, accounting for 71.70%. In the regression analysis of the influencing factors, whether the patient received diet training, whether patient suffering from hypertension and self-efficacy scores can be entered into the regression equation, the P values were less than 0.05, that the three factors are the independent influence factors of patient’scompliance with low protein diet in CKD patients.Conclusion:Generally, the compliance with low protein diet in stages 3-5 CKD patients was poor. Whether the patient received diet training, whether patient suffering from hypertension and the self-efficacy score are independent influence factors of low protein diet compliance in CKD patients, should take appropriate measures to improve the interventions, in order to improve patient’s compliance effectively, and to achieve the purpose of delaying renal failure.