The association between self-management ability and malnutrition-inflammation-atherosclerosis syndrome in peritoneal dialysis patients: a cross-sectional study

Abstract

Background The relationship between malnutrition-inflammation-atherosclerosis syndrome (MIAS) and self-management ability has not been previously revealed even though both play an important role in the management of peritoneal dialysis (PD) patients. Methods In total, 93 patients were enrolled in this study. A self-management questionnaire was used for the evaluation of self-management ability. The identification of MIAS was based on one or more of the following three conditions: C-reactive protein (CRP)≥10 mg/L, malnutrition–inflammation score (MIS)> 7, and the presence of atherosclerosis-related medical records. The possible association between different self-management abilities and MIAS was analyzed with a Spearman correlation analysis. Results There were 40 (43.0%) patients in the atherosclerosis group, and 38 (40.9%), 38 (40.9%), 10 (10.8%), and 7 (7.5%) patients in the MIAS0, MIAS1, MIAS2, and MIAS3 groups, respectively. The group with a score above the mean score of the Dialysis Effect Evaluation and Monitoring dimension had a fewer number of hospitalizations, higher albumin levels, lower MIS scores, a lower level of IL-6, and a lower number of MIAS factors. The Pearson and Spearman correlation analyses also revealed that this dimension was negatively correlated with the MIAS, MIS, IL-6, BNP, number of hospitalizations, and age and positively associated with albumin and prealbumin. Conclusion The Dialysis Effect Evaluation and Monitoring dimension of the self-management scale for PD patients is closely linked to the MIAS, and a better dialysis effect evaluation and monitoring capacity results in a decreased likelihood of exposure to malnutrition and inflammation. Trial registration Chinese Clinical Trial Registry: ChiCTR2000035525 (http://www.chictr.org.cn/showproj.aspx?proj=58110), registered August 13, 2020.

Factors Associated with Self-Management of Peritoneal Dialysis Patients in Urumqi of Xinjiang of China: A Cross-Sectional Survey

“…Our data is high in the findings in Shanghai in China (47.5±12.1). 22 Self- management is an essential and indispensable part of treating patients with chronic diseases.…”

“…The patient’s excellent self-management ability is inseparable from the patient’s positive and optimistic attitude toward life. 22 Therefore, targeted self-management education on PD should be provided according to the educational level of different PD patients.…”

“…Meanwhile, in China, the studies on the self-management ability of PD patients primarily focused on the developed areas of eastern China. 22 , 23 However, the self-management of PD patients in Xinjiang Northwest China is rarely reported. Xinjiang covers about one-sixth of China’s total land area.…”

“…Our data is high in the findings in Shanghai in China (47.5±12.1). 22 Self-management is an essential and indispensable part of treating patients with chronic diseases. We found that patients had an awareness of the standard operation and knowledge of dialysis-related complications; however, understanding of dialysis adequacy evaluation needed to be more robust, and their compliance with standard procedures, standardized medications, and monitoring of ultrafiltrate decreased as the duration of dialysis increased.…”

A Novel Substrate-Inspired Fluorescence-Based Albumin Detection Improves Assessment of Clinical Outcomes in Hemodialysis Patients Receiving a Nursing Nutrition Intervention

“…High rates of nutritional deficiency are widely reported in patients undergoing maintenance hemodialysis [ 1 , 2 ]. Malnutrition can cause micro-inflammatory reactions, leading to malnutrition-inflammation-atherosclerosis syndrome (MIA) and cardiovascular events, seriously affecting the lifespan and the general wellbeing of patients [ 3 , 4 ]. An optimal diet is critical to improve the outcomes of hemodialysis patients [ 5 , 6 ].…”