肝病合并糖尿病肾病维持性血液透析患者的饮食护理方案分析  

Analysis of Dietary Care Programs for Maintenance Hemodialysis Patients with Liver Disease Combined with Diabetic Nephropathy

作　　者：吴丽霞 陈秋华 WU Lixia;CHEN Qiuhua(Department of Nephrology,Sanming First Hospital Affiliated to Fujian Medical University,Sanming,Fujian Province,365000 China)

机构地区：[1]福建医科大学附属三明第一医院肾内科,福建三明365000

出　　处：《中外医疗》2023年第22期144-148,共5页China & Foreign Medical Treatment

摘　　要：目的就维持性血液透析治疗的肝病合并糖尿病肾病患者应用饮食护理方案的效果进行研究。方法方便选取2019年5月—2021年5月三明市第一医院收治的肝病合并糖尿病肾病患者58例,随机分为观察组和对照组,各29例。对照组接受传统护理服务,观察组实施饮食护理干预。比较两组体质量、上臂围、三头肌皮褶厚度、护理满意度、血糖水平以及生活质量评分。结果观察组体质量(54.08±3.21)kg高于对照组,差异有统计学意义(t=4.161,P<0.05)。观察组护理满意度(96.55%)高于对照组(72.41%),差异有统计学意义(χ^(2)=4.735,P=0.030)。治疗后,观察组空腹血糖(6.32±0.21)mmol/L,低于对照组,差异有统计学意义(t=12.403,P<0.05)。治疗后观察组生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论对采取维持性血液透析治疗的肝病合并糖尿病肾病患者进行饮食干预,可以改善患者的机体状况,促使患者预后改善,在患者生活质量提升方面,也发挥了积极的作用。Objective To study the effect of dietary care program in patients with diabetic nephropathy treated by maintenance hemodialysis.Methods 58 cases of patients with liver disease combined with diabetic nephropathy admitted to Sanming First Hospital from May 2019 to May 2021 were conveniently selected and divided into two groups based on the lottery method,with 29 cases in each group.All patients were treated with maintenance hemodialysis,the control group implemented traditional nursing interventions,and the observation group implemented dietary nursing interventions.Body mass,upper arm circumference,triceps skinfold thickness,nursing satisfaction,blood glucose level and quality of life score were compared between the two groups.Results The body mass of the observation group(54.08±3.21)kg was higher than that of the control group,and the difference was statistically significant(t=4.161,P<0.05).Nursing satisfaction of the observation group(96.55%)was higher than that of the control group(72.41%),and the difference was statistically significant(χ^(2)=4.735,P=0.030).After treatment,fasting blood glucose in the observation group was(6.32±0.21)mmol/L,which was lower than in the control group,and the difference was statistically significant(t=12.403,P<0.05).The quality of life scores of the observation group were higher than those of the control group after treatment,and the difference was statistically significant(P<0.05).Conclusion Dietary intervention for patients with liver disease combined with diabetic nephropathy on maintenance hemodialysis treatment can improve the patients' physical condition,can enhance and improve the quality of life of patients,and is conducive to the regulation of blood glucose.

关 键 词：肝病 糖尿病肾病 维持性血液透析 饮食护理 

分 类 号：R459.5[医药卫生—治疗学] R587.2[医药卫生—临床医学]