- 期刊
發炎指數量表於慢性腎臟病病人營養不良之臨床應用
Applicability of malnutrition inflammation score in the assessment of nutritional status on chronic kidney disease
摘要
10～20%的慢性腎臟病病人常會因限制過嚴或疾病惡化產生厭食，繼而造成熱量攝取不足，引起「蛋白質-能量損耗（protein-energy wasting，PEW）」現象。PEW容易發生心血管合併症、增加住院率與死亡率。因此，儘早發現慢性腎臟病病人的營養不良問題為照護此類病人的重要處置目標。而發炎指數量表（Malnutrition-Inflammation Score）是一適合慢性腎臟病病人篩檢PEW之簡易及非侵入性的評估工具。此評估工具可確實反應慢性腎臟病及透析病人的營養不良問題，也可作為預測病人死亡率的工具，甚至可藉此工具之得分高低作為護理指導的基礎，提供未來醫療團隊或臨床護理人員的參考與應用。
並列摘要
10-20% patients with chronic kidney disease (CKD) have malnutrition, which named protein-energy wasting (PEW) because of dietary protein restrictions or worsening progression of the disease. These patients with PEW not only put themselves at risk for cardiovascular but also increase their hospitalization rate and mortality rate. It is a primary goal of nursing care to detect malnutrition patients with CKD early. The Malnutrition-Inflammation Score (MIS) is an appropriate and non-invasive tool for assessing malnutrition status, PEW, of CKD patients. It also can predict the mortality rate of CKD patients with PEW. Furthermore, the score of MIS can be applied as the basis of nursing instructions in CKD patients with PEW for clinical nurses.