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| Potential profile analysis of nutrient quality of maintenance hemodialysis patients and its relationship with debility |
| Xia Jingwen, Yang Li, Yang Jiahui, Xu Wei |
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Abstract Objective To explore the trajectory of nutritional literacy changes in maintenance hemodialysis patients analyze the
influencing factors of different trajectories and explore the correlation with frailty so as to provide new ideas and bases for the
improvement of the patients' level of frailty at a later stage. Method Convenience sampling method was used to select patients
undergoing maintenance hemodialysis treatment in Jiangsu Provincial People's Hospital during the time period from January 2023 to
June 2024 as the study subjects and basic information questionnaire Chinese version of the Nutritional Literacy Assessment Tool and
the Tilburg Debilitation Scale were used to conduct questionnaire surveys on the enrolled research subjects. The data were analyzed and
tested by one - way analysis and two - by - two comparison. Result The total nutritional literacy score of maintenance hemodialysis
patients was 20. 21±4. 37 points and the debilitation score 4. 55±1. 13 points. Nutritional literacy of maintenance hemodialysis
patients was categorized into 3 potential profile categories high nutrient literacy group low nutrient literacy group and medium
nutrient literacy group. Univariate analysis the 3 category groups were significantly different in terms of age education mode of
residence and age on dialysis P < 0. 05 . Two-by-two comparison showed that the level of debilitation of patients in the low-nutrient
literacy group was higher than that of the high-nutrient literacy group P < 0. 01 and higher than that of the medium-nutrient literacy
low-skill group P < 0. 01 and that of the medium-nutrient literacy low-skill group was higher than that of the high-nutrient literacy
group P < 0. 05 . Conclusion Nutritional literacy of maintenance hemodialysis patients was classified into 3 potential profile
categories. Nutritional literacy in different profiles was strongly associated with the patients' level of debilitation. Clinical staff can
actively adopt countermeasures for patients in the low-literacy group to improve their nutrient literacy status as much as possible which
will have a positive effect on delaying the progression of patients' debilitation and preventing the occurrence of adverse events.
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