Doctor-led intensive diet education on health-related quality of life in patients with chronic renal failure and hyperphosphatemia  

作　　者：Xian-Dong Feng Xue Xie Rui He Fang Li Gui-Zhong Tang 

机构地区：[1]Medical Department,Chengdu Second People’s Hospital,Chengdu 610021,Sichuan Province,China [2]Chongqing Medical University School of Public Health and Management,Medical and Social Development Research Center,and Collaborative Innovation Center for Social Risk Prediction and Governance in the Health Field,Chongqing 400016,China

出　　处：《World Journal of Clinical Cases》2022年第4期1217-1225,共9页世界临床病例杂志

摘　　要：BACKGROUND Secondary hyperparathyroidism,renal osteodystrophy,and cardiovascular adverse events can occur if long-term hyperphosphatemia is not corrected,leading to the adverse prognosis of patients with chronic renal failure.Besides the use of phosphorus binders,clinical control measures for hyperphosphatemia in these patients should also incorporate diet control.AIM To observe doctor-led intensive diet education effects on health-related quality of life in patients with chronic renal failure and hyperphosphatemia.METHODS We assessed 120 patients with hyperphosphatemia and chronic renal failure on hemodialysis admitted to our hospital(July 2018 to March 2020).The control group(n=60)was given routine nursing guidance,and the observation group(n=60)was given doctor-led intensive diet education.The changes in EQ-5D-3L scores,disease-related knowledge,and compliance scores before intervention and 3 and 6 mo after intervention in the two groups were recorded.The levels of serum parathyroid hormone(iPTH),calcium(Ca),phosphorus(P),calciumphosphorus product(Ca×P),serum creatinine(Scr),and blood urea nitrogen(BUN)before intervention and 3 and 6 mo after intervention in the two groups were assessed along with patient satisfaction.RESULTS There was no significant difference in blood iPTH,Ca,P,Ca×P,Scr,or BUN levels between the groups before intervention.After 3 and 6 mo of intervention,the blood iPTH,Ca,P,and Ca×P levels in the two groups decreased gradually(P<0.05),but there were no significant differences in Scr or BUN.The blood iPTH,Ca,P,and Ca×P levels in the observation group were lower than those in the control group(P<0.05).The satisfaction rate in the observation group after 3 mo was 93.33%and after 6,90.00%,which was high compared with the 80.00%and 71.67%,respectively,in the control group(P<0.05).There was no significant difference in EQ-5D-3L score between the two groups before intervention.After 3 and 6 mo of intervention,the visual analogue scale score of the two groups increased gradually(P<0.05);and the

关 键 词：Dietary education Chronic renal failure HEMODIALYSIS HYPERPHOSPHATEMIA Quality of life SATISFACTION 

分 类 号：R473.5[医药卫生—护理学]