Mrs Ishwari Adhikari Baral1,2,3, Mrs REETU Koirala3
1Auckland University of Technology, Auckland Central, New Zealand, 2New Zealand School of Education, New Lynn , New Zealand, 3Tribhuvan University, Institute of Medicine, Nepal, , Nepal
Biography:
Health Professional, academic Reseearcher and PhD scholar at AUT with publications in international Journals
University Gold Medalist (Master of Nursing) at Tribhuvan University, Institute of Medicine (Year 2016).
More than eight years of experience as Nursing instructor and Lecturer (Classroom and Clinical Teaching)
Subject expertise in Health Research, grant recepient of University Grants Commission and Publications
Abstract:
Malnutrition, particularly in the form of protein energy wasting, is common in patients with chronic kidney disease who are on maintenance hemodialysis (MHD). This study aimed to evaluate the nutritional status among chronic kidney disease patients undergoing MHD.
A descriptive study was conducted among 180 MHD patients selected through a consecutive sampling technique. The study took place in three tertiary hospitals in Pokhara, Nepal. Nutritional status was assessed using anthropometric measurements and the Modified Quantitative Subjective Global Assessment (MQSGA) tool. Data were analyzed using SPSS version 16.0, applying descriptive statistics, Chi-square tests, and Pearson’s correlation coefficient at a 5% significance level. Predictors of malnutrition among the elderly were identified using binary logistic regression and linear regression analyses.
The findings revealed that 72.7% of CKD patients undergoing MHD exhibited some form of malnutrition. Increasing age (p = 0.012) and dependence on others for livelihood (p = 0.002) were significantly associated with malnutrition and identified as major predictors. MQSGA scores demonstrated significant negative correlations with all anthropometric indicators. The linear correlations indicate that decreases in anthropometric measurements correspond with increases in MQSGA scores, suggesting malnutrition risk.
The study concludes that malnutrition prevalence among CKD patients undergoing hemodialysis is high. To reduce malnutrition, regular nutritional assessment using anthropometric measures should be prioritized, alongside structured health education, nutritional interventions, and the provision of dietary management guidelines for hemodialysis patients.
Note MHD: Maintenance Hemodialysis), BMI (Body Mass Index), MQSGA (Modified Quantitative Subjective Global Assessment)