ArticleJournal of multidisciplinary healthcare2025
The Association Between Lifestyle and All-Cause Mortality in Patients Undergoing Maintenance Hemodialysis: A 3-year Prospective, Observational Study.
Article in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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3 authors.
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Abstract
Purpose: Lifestyle is one of the important factors affecting health. There are few studies that comprehensively analyze the impact of a combination of lifestyle factors on mortality in patients undergoing maintenance hemodialysis. So, to measure the association between lifestyle factors and mortality for patients undergoing maintenance hemodialysis. Patients and Methods: A prospective, observational study design was employed. Through convenience sampling, the patients who are over 18 years old and have undergone dialysis for at least 3 months, from the hemodialysis center outpatient in two hospitals of Xi'an were selected. The questionnaires of this study include sociodemographic characteristics and lifestyle-related scales, such as nutrition, sleep and self-management scales. The differences between the deceased group and the surviving group were analyzed using the Results: In this study, 286 patients who completed the questionnaire were screened. During the follow-up of this 3 years, patients who transferred to another hospital (n=31), kidney transplantation (n=6) and termination of dialysis (n=13) were excluded. Finally, 236 participants were tracked to the final outcome. Of these 236 patients, 66.95% were men. The proportion of patients under 60 years old is slightly higher than that of patients over 60 years old. More than half (64.83%) of the patients have a lower education level. And the main primary disease of ESRD was diabetic nephropathy (39.83%). Through a 3-year follow-up study, 73 patients died, accounting for 30.93%. The results showed that compared with surviving patients, deceased patients had significantly lower scores of self-management ( Conclusion: Self-management and age are closely related to the mortality rate of patients. And our study showed that the relationship between self-management and mortality is strongest, so doctors and nurses at dialysis centers should pay more attention to and actively improve self-management level of patients undergoing maintenance hemodialysis.
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