个体化饮食护理干预对维持性血液透析患者营养状况及钙磷代谢的影响  

Effects of individualized dietary nursing intervention on nutritional status and calcium and phosphorus metabolism in patients receiving maintenance hemodialysis

作　　者：杨燕 陈好娟 林燕云 Yang Yan;Chen Haojuan;Lin Yanyun(People's Hospital of Yangdong district,Yangjiang,Guangdong,529900,China)

机构地区：[1]阳东区人民医院,广东阳江529900

出　　处：《齐齐哈尔医学院学报》2022年第3期295-297,共3页Journal of Qiqihar Medical University

基　　金：阳江市科技计划项目(146)。

摘　　要：目的探讨个体化饮食护理干预对维持性血液透析患者营养状况及钙磷代谢的影响。方法选择2018年4月-2020年3月于本院行维持性血液透析质量的肾衰竭患者86例作为研究对象,采用随机数表法分为观察组和对照组两组,每组各43例。对照组采取常规饮食干预,观察组采取个体化饮食护理干预,持续观察6个月。比较两组饮食依从性、营养状况及钙磷代谢。结果观察组饮食依从性高于对照组,差异有统计学意义(P<0.05);干预前两组血前白蛋白、白蛋白比较,差异无统计学意义(P>0.05);观察组干预后血前白蛋白、白蛋白水平高于对照组,两组均高于干预前,差异有统计学意义(P<0.05);两组干预前血钙、磷含量比较,差异无统计学意义(P>0.05);干预后两组血钙含量均高于干预前,血磷含量低于干预前,差异有统计学意义(P<0.05);干预后观察组血钙含量高于对照组,血磷含量低于对照组,差异有统计学意义(P<0.05)。结论个体化饮食护理干预能够提升维持性血液透析患者饮食依从性,改善其营养状况,预防钙磷代谢紊乱。Objective To explore the effects of individualized dietary nursing intervention on nutritional status and calcium and phosphorus metabolism in patients with maintenance hemodialysis.Methods A total of 86 patients with renal failure who receiving maintenance hemodialysis quality in our hospital from April 2018 to March 2020 were selected as the study objects.They were divided into observation group and control group according to random number table method,with 43 cases in each group.The control group took routine diet intervention,the observation group took individual diet nursing intervention,the continuous observation lasted for 6 months.Dietary compliance,nutritional status and calcium and phosphorus metabolism were compared between the two groups.Results The dietary compliance of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).There was no significant difference in pre-albumin and albumin between the two groups before intervention(P>0.05).The levels of prealbumin and albumin in the observation group were higher than those in the control group after intervention,and the two indicators of both two groups were higher than those before intervention,with statistical significance(P<0.05).There was no significant difference in serum calcium and phosphorus content between the two groups before intervention(P>0.05).After intervention,the blood calcium content in both groups were higher than those before intervention,and the blood phosphorus content was lower than that before intervention,with statistical significance(P<0.05).After intervention,blood calcium content in observation group was higher than that of control group,and blood phosphorus content was lower than control group,the differences were statistically significant(P<0.05).Conclusions Individualized dietary nursing intervention could improve the dietary compliance of patients receiving maintenance hemodialysis,improve their nutritional status,and prevent calcium and phosphorus metabolism from d

关 键 词：肾衰竭 维持性血液透析 个体化饮食护理 饮食依从性 营养状况 钙磷代谢 

分 类 号：R586.9[医药卫生—内分泌]