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題名 | 成大醫院慢性腹膜透析病人對高磷飲食和磷結合藥物服用知識之研究=The Knowledge of High Phosphate Diet and Phosphate Binders of Chronic Peritoneal Dialysis Patients in National Cheng Kung University Hospital, Taiwan |
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作者 | 吳紅蓮; 曾進忠; 黃建鐘; 黃延君; | 書刊名 | 中華民國營養學會雜誌 |
卷期 | 31:1 民95.03 |
頁次 | 頁24-31 |
分類號 | 415.816 |
關鍵詞 | 慢性腹膜透析; 高血磷症; 高磷飲食; 磷結合藥物; Chronic peritoneal dialysis; Hyperphosphatemia; High phosphate diet; Phosphate binders; |
語文 | 中文(Chinese) |
中文摘要 | 高磷血症和鈣磷乘積過高皆會增加透析病人心血管鈣化的發生率,造成罹病率及死亡率增加,本研究目的在探討慢性腹膜透析病人對高磷飲食及降磷藥物服用知識之狀況。以成功大學附設醫院腹膜透析病人為研究對象共84位,年齡43.8±13.4歲,男性30位,女性54位,給予病人問卷填寫,問卷內容包括高磷飲食的認知及磷結合藥物的服用知識。結果:年齡與問卷的答對題數呈顯著負相關(p<0.05),而問卷的答對題數隨教育程度顯著增加(p<0.01),但答對題數與血磷值和鈣磷乘積則無顯著相關性,問答情形以磷結合劑正確的使用方法及高磷食物辨識的答對率最高(皆為87%),而答對率最低者為高血磷的併發症問題(30%)。有74%的病患會將磷結合劑與食物一起食用,但只有21%的患者會在吃點心時服用磷結合劑,12%的病人會將磷結合劑磨粉拌於食物中。結論:醫護人員應加強慢性腹膜透析病人在飲食中磷結合劑使用的重要性及方法指導,以期能有效降低其血磷值及併發症的發生。 |
英文摘要 | Hyperphosphatemia and the multiplication of Calcium (Ca) and Phosphorus (P) will increase the risk of dialysis patients' developing cardiovascular calcification, which results in high morbidity and mortality. The purpose of the study was to investigate the level of knowledge about high phosphate food consumption and phosphate binders taken by chronic peritoneal dialysis (CPD) patients. 84 CPD patients (30 males and 54 females) were recruited from National Cheng Kung University Hospital. Their average age was 43.8±13.4 years old. They were required to fill in questionnaires about cognition of high phosphate food consumption and their knowledge of phosphate binders taking. The correlation between the age and the test score was significantly negative (p<0.05). There was a significant positive correlation (p<0.01) between the test score and the educational degree. There was no correlation between the test score and the serum phosphorus level or the Ca×P value. The correct usage of phosphate binder and the recognition of phosphorus rich food had the highest rates of correct answers (both were 87% of the patients). By contrast, the lowest rates of correct answers (30% of the patients) were on questions about complications of hyperphosphatemia. 74% of the patients knew about taking phosphate binders with meals. A mere 21% of the patients took phosphate binders while eating snacks. The other 12% mixed the ground phosphate binders in food. The medical staff should establish a program to raise the patients' awareness of the importance and the correct usage of phosphate binders in diet, in order to reduce CPD patients' serum phosphorus levels, and therefore decrease complications. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。