仿真食物模型对维持性血液透析患者饮食教育的效果  

Effect of simulated food model on diet education in patients with maintenance hemodialysis

作　　者：潘淑贤[1] 乔建歌[1] 徐岭[1] 吕培培 付明生 

机构地区：[1]复旦大学附属上海市第五人民医院血液透析室,200240 [2]复旦大学附属上海市第五人民医院消化内科,200240

出　　处：《中华现代护理杂志》2017年第26期3397-3399,共3页Chinese Journal of Modern Nursing

基　　金：复旦大学附属上海市第五人民医院科研课题项目（2016WYH10）

摘　　要：目的 探讨仿真食物模型对维持性血透患者饮食教育的效果.方法 采用方便抽样法,选取2016年3—6月在复旦大学附属上海市第五人民医院血透室门诊行血液透析的患者90例,根据透析时间分为试验组和对照组各45例,试验组采用仿真食物模型进行饮食教育,对照组采用常规方式进行饮食教育.比较饮食教育前后饮食相关知识掌握程度,血肌酐、血红蛋白、血清白蛋白变化,以及患者对饮食教育的满意度.结果 干预后试验组患者饮食知识得分高于对照组,两组差异有统计学意义（P〈0.05）;患者对饮食教育的满意度高于对照组,两组差异有统计学意义（P〈0.05）;干预后两组血肌酐水平差异有统计学意义（P〈0.05）,血红蛋白、血清白蛋白差异无统计学意义（P＆gt;0.05）.结论 仿真食物模型可提高维持性血液透析患者饮食知识掌握程度和对饮食教育的满意度,降低血肌酐水平,因此仿真食物模型饮食教育对维持性血液透析患者有重要价值.Objective To explore the effect of simulated food model on diet education in patients with maintenance hemodialysis. Methods A total of 90 patients who had hemodialysis in the Fifth People＇s Hospital of Shanghai from March to June 2016 were selected into this study according to convenience sampling. The participants were divided into control group（n=45）and intervention group（n=45）based on the dialysis time. The simulated food model was applied to the diet education in the intervention group while the control group received routine diet education. The knowledge of diet,changes in serum creatinine,hemoglobin and serum albumin,and satisfaction of diet education were compared before and after the intervention. Results After the education, the intervention group had significantly higher scores of diet knowledge and satisfaction level compared with the control group（P 〈 0.05）. There were significant differences in serum creatinine between the two groups（P〈0.05）. However,no statistical differences were found in hemoglobin or serum albumin between the two groups（P＆gt; 0.05）. Conclusions The simulated food model can effectively improve the knowledge of diet and the satisfaction of diet education in patients with maintenance hemodialysis. It can also reduce the serum creatinine and has a positive effect on diet education.

关 键 词：肾透析 仿真食物模型 饮食教育 

分 类 号：R473.5[医药卫生—护理学]