研究个性化饮食干预对维持性血液透析患者的影响  

TTo study the effect of personalized dietary intervention on maintenance hemodialysis patients

作　　者：徐小红[1] 黄春霞[1] 梁醒然 李莉霞[1] XU Xiaohong;HUANG Chunxia;LIANG Xingran;LI Lixia(Zhaoqing First People's Hospital,Zhaoqing 526020,China)

机构地区：[1]肇庆市第一人民医院,广东肇庆526020

出　　处：《心理月刊》2022年第18期180-182,194,共4页

摘　　要：目的研究维持性血液透析(MHD)患者行个性化饮食干预的效果。方法选取本院2019年1月~2021年1月收治的50例MHD患者,按照随机数字表法分为常规组与个性组,常规组(n=25)实施常规护理干预,个性组(n=25)实施个性化饮食干预,比较两组钙磷代谢、营养状态、生活质量及心理状态。正态计量资料以t检验;计数资料以x^(2)检验。结果干预前比较钙磷代谢、营养状态、生活质量及心理状态无显著差异(P>0.05);干预后与常规组比较,个性组血磷、钙磷乘积更低,血钙更高;血清白蛋白(ALB)、血红蛋白(Hb)指标更高;健康调查简表(SF-36)评分更高,焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分更低,显示差异均具有统计学意义(P<0.05)。结论个性化饮食干预能提高此病的干预效果、改善患者生活质量,减缓心理应激性、改善营养状态,可达到预期干预效果。Objective To study the effect of personalized diet intervention in maintenance hemodialysis(MHD)patients.Methods 50 patients with MHD admitted to our hospital from January 2019 to January 2021 were selected and divided into routine group and personality group according to the random number table method,routine group(n=25)implemented routine nursing intervention,personality group(n=25)implement personalized diet intervention,Compare calcium and phosphorus metabolism,nutritional status,quality of life,and psychological status between the two groups.Normal measurement data were tested by t test;count data were tested by x^(2).Results There was no difference in calcium and phosphorus metabolism,nutritional status,quality of life and mental state before intervention(P>0.05);after intervention,compared with the conventional group,the individual group had lower blood phosphorus,calcium and phosphorus product,and higher blood calcium;serum albumin(ALB),Hemoglobin(Hb)the index was higher;the MOS 36-item short form health survey(SF-36)score was higher,self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score were lower,showing that the difference was statistically significant(P<0.05).Conclusion Personalized diet intervention can improve the intervention effect of this disease,improve the quality of life of patients,reduce psychological stress,improve nutritional status,and achieve the expected intervention effect,which is worth learning.

关 键 词：个性化饮食干预 维持性血液透析 钙磷代谢 营养状况 

分 类 号：R473.5[医药卫生—护理学]