Qualité de vie et état nutritionnel chez les patients atteints d'insuffisance rénale chronique
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La maladie r�nale chronique (MRC) et l'h�modialyse (HD) entra�nent des limitations dans la vie des patients, affectant leur qualit� de vie. La nutrition est fondamentale dans le traitement de cette maladie. L'objectif de cette �tude �tait de corr�ler la qualit� de vie, �valu�e � l'aide du questionnaire SF-36, avec la consommation alimentaire et l'�tat nutritionnel de patients atteints de MRC sous HD, � travers une recherche quantitative, descriptive et transversale. Une �valuation anthropom�trique a �t� r�alis�e, les r�sultats des examens biochimiques ont �t� recueillis, le questionnaire SF-36 a �t� appliqu� et une anamn�se alimentaire a �t� effectu�e. La maladie la plus fr�quemment associ�e � l'IRC �tait l'hypertension art�rielle, l'indice de masse corporelle moyen �tait de 25,04 4,50 kg/m . D'apr�s le pli cutan� du bras, 73 patients souffraient de malnutrition. Le diagnostic nutritionnel final a r�v�l� que 80 % de l'�chantillon souffrait de malnutrition. D'apr�s la moyenne des examens biochimiques, seuls le phosphore et la cr�atinine �taient ad�quats. Dans les moyennes des scores SF-36, la valeur la plus faible concernait les limitations physiques et la plus �lev�e les aspects sociaux. La consommation �nerg�tique et prot�ique moyenne �tait inf�rieure � la recommandation. Une corr�lation positive a �t� obtenue entre la consommation calorique, prot�ique, en fibres, en calcium et en glucides et la qualit� de vie.
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