个体化健康管理在维持性血液透析患者水钠控制管理中的应用  

Application of Individualized Health Management in Water and Sodium Control Management in Maintenance Hemodialysis Patients

作　　者：李晶[1] 姜利 杨萍[1] 陈菊红 Li Jing;Jiang Li;Yang Ping(Tongji Hospital Affiliated to Tongji Medical Collegeof HUST,Wuhan Hubei 430000,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430000

出　　处：《齐鲁护理杂志》2023年第6期30-33,共4页Journal of Qilu Nursing

摘　　要：目的:探讨个体化健康管理在维持性血液透析(MHD)患者水钠控制管理中的应用效果。方法:将2020年1月1日~12月31日收治的45例MHD患者作为对照组,实施常规护理干预;将2021年1月1日~8月31日收治的45例MHD患者作为观察组,在对照组基础上实施个体化健康管理。比较两组水钠摄入情况、排尿量、感觉变化、体重情况。结果:干预后,两组水钠摄入量、24 h排尿量均低于干预前(P<0.01),且观察组低于对照组(P<0.01);干预后,两组口渴度评分、唾液静息流率低于干预前(P<0.01),且观察组低于对照组(P<0.01);干预后两组味觉敏感度高于干预前(P<0.01),且观察组高于对照组(P<0.01);干预后,两组体重增加低于干预前(P<0.01),且观察组低于对照组(P<0.01)。结论:对MHD患者实施个体化健康管理,有利于提高水钠控制水平,降低口渴度,提升味觉敏感度,对远期预后有积极促进作用。Objective:To explore the application effect of individualized health management in water and sodium control management in maintenance hemodialysis patients.Methods:A total of 45 maintenance hemodialysis patients admitted from January 1 to December 31,2020 to August 2021,patients were admitted from January 2020 to December 2020 were selected as the control group,the control group performed routine care intervention,and another 45 admitted from January 1 to August 31,2021 were selected as the observation group,the observation group performed individualized health management intervention.Comparison was made between the two groups on the water and sodium intake,urination volume,sensory changes,and weight changes.Results:After intervention,the water,sodium intake,and 24h urination ratio in both groups were lower than those before intervention(P>0.01),and lower in the observation group than those in the control group(P>0.01).After intervention,the thirst scores and saliva resting flow rate were lower in both groups than those before intervention,and lower in the observation group than those in the control group(P>0.01).After intervention,the taste sensitivity was higher in both groups than those before intervention(P<0.01),and that in the observation group was higher than that in the control group(P<0.01).After intervention,the weight gain was lower in both groups than that before intervention(P<0.01),and that in the observation group was lower than that in the control group(P<0.01).Conclusion:Implementation of individualized health management can help to improve the water and sodium control level,reduce thirst degree,improve taste sensitivity,with positive promoting effect on long-term prognosis.

关 键 词：维持性血液透析 个体化健康管理 水钠控制 感觉变化 体重增加 

分 类 号：R473.5[医药卫生—护理学]