血液透析患者蛋白質熱量營養不良的監測評估與飲食處理

Evaluation and Assessment as Well as Diet Plan for Hemodialysis Patients with Protein-Energy Malnutrition

長期透析患者的營養狀態不僅與共同罹病率及死亡率有密切相關，患者的營養狀態也會影響透析的治療效果與其生活品質。蛋白質熱量營養不良是血液透析患者常見的營養問題。本文將簡要說明透析患者發生蛋白質熱量營養問題的可能原因及營養師與護理人員在面對這些營養問題時，臨床上的處理方法與飲食衛教時應注意的重點。

Long-term malnutrition of dialysis patients ties closely to co-morbidity rate and mortality rate and the nutrition intake status of patients also influences treatment efficiency and life quality. Protein-energy malnutrition is highly prevalent among hemodialysis patients. This paper briefly describes the likely causes of nutrition problems among hemodialysis patients and points for attention for dietitians and nurses when they face these nutrition problems at clinics and during public health education sessions.