Health Status and Normalized Protein Catabolic Rate for Hepatitis Versus Non-hepatitis Patients Undergoing Hemodialysis: A Comparative Study
Aqbal Fadil Fanoos, Ibrahem A. AI-Ashour
Health status of hemodialysis patients is a complex and multifaceted issue that requires continuous monitoring and evaluation to ensure the effectiveness of their treatment plan. Complications include viral hepatitis and protein-energy loss, with inflammation and malnutrition being leading causes of death. The main objective of the study is to compare the health status and normalized protein catabolic rate between hepatitis and non-hepatitis patients undergoing hemodialysis. A descriptive A-non-probability (purposive sample) of 205 male and female hemodialysis patients in AL-Diwaniyah City with end-stage renal disease and undergoing hemodialysis. All patients included in the sample were diagnosed with ESRD > one year ago and on a maintenance hemodialysis program. The patient's overall health status was found to be low, with a mean score of 19.82. The assessment was conducted in eight domains, with 99.0% of patients having low health status, and 78.0% having low nPCR, and 15.1% having high nPCR. End-stage renal disease patients undergoing hemodialysis face physical, mental, emotional, and social challenges, including fatigue, muscle weakness, mobility difficulties, anxiety, depression, and social isolation. Addressing these issues is crucial for improving patient outcomes and health status. Low nPCR levels indicate inadequate protein intake or malnutrition. Regular monitoring of health indicators like nPCR levels, protein intake, and muscle wasting, providing psychological support, and supervised exercise programs are crucial for early identification of deficiencies and issues, as well as addressing anxiety, depression, and social isolation in patients.
Keywords: Health status, Normalized protein catabolic rate, Hemodialysis, Hepatitis, Non-hepatitis
