患者参与的饮食管理模式在维持性血液透析患者中的应用  

Application of patient participation-based diet management in maintenance hemodialysis patients

作　　者：杨柳[1] 赵琳娜[1] 王淑萍[1] Yang Liu;Zhao Linna;Wang Shuping(Hemodialysis Room,Health Care Center,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院医疗保健中心血液透析室,100050

出　　处：《中华现代护理杂志》2019年第30期3936-3939,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨患者参与的饮食管理模式对维持性血液透析(MHD)患者营养状况的影响.方法采用便利抽样法,选取2015年1月—2017年12月于首都医科大学附属北京友谊医院行MHD治疗的患者140例为研究对象,采用随机数字表法分为试验组和对照组,各70例.对照组给予MHD患者一般饮食指导,试验组给予患者参与的饮食管理模式,包括共同制定饮食管理手册、制定饮食计划等.于出院前1天、干预6周后、干预12周后测量两组患者的BMI、血浆白蛋白(ALB)、前白蛋白(PAB),并采用患者营养主观评估量表(PG-SGA)评价患者的营养状况.结果两组ALB、PAB和PA-SGA得分存在组间、时间以及时间和组间的交互效应(P<0.01),且干预6周和12周时,试验组ALB和PAB水平均高于对照组,PG-SGA评分均低于对照组,差异均有统计学意义(P<0.01).结论患者参与饮食管理可以改善MHD患者的营养状况.Objective To explore the effects of patient participation-based diet management on nutritional status among maintenance hemodialysis(MHD)patients.Methods From January 2015 to December 2017,we selected 140 MHD patients at Beijing Friendship Hospital of Capital Medical University as subjects by convenience sampling.All of the patients were divided into experimental group and control group with the method of random number table,70 cases in each group.Control group carried out general diet guidance for MHD patients,while experimental group provided the participation-based diet management involving making the diet management booklet and the diet plan together.The body mass index(BMI),plasma albumin(ALB),pre-albumin(PAB)of patients between two groups were evaluated and patients'nutritional status was assessed with the patient-generated subjective global assessment(PG-SGA)one day before discharge,six weeks and 12 weeks after intervention.Results There were interaction effects of groups,time,groups and time in ALB,PAB and scores of PG-SGA between two groups with statistical differences(P<0.01).Six weeks and 12 weeks after intervention,the levels of ALB and PAB of experimental group were higher than those of control group,and the scores of PG-SGA were lower than that of control group;the differences were statistical(P<0.01).Conclusions Patient participation-based diet management can improve nutritional status of MHD patients.

关 键 词：透析 患者参与 饮食管理 营养状况 

分 类 号：R47[医药卫生—护理学]