护士主导的营养管理模式在腹膜透析患者中的应用  

Application of Nurse-Led Nutrition Management Model in Patients undergoing Peritoneal Dialysis

作　　者：李晓丹[1] 薛丹丹 王淇 王亚南 王华[1] LI Xiaodan;XUE Dandan;WANG Qi;WANG Yanan;WANG Hua(Department of Nephrology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院肾脏内科,河南郑州450000

出　　处：《河南医学研究》2024年第11期2101-2105,共5页Henan Medical Research

摘　　要：目的 探讨护士主导的营养管理模式对行腹膜透析患者营养状态的影响。方法 采用便利抽样法选取2022年1—12月在郑州大学第一附属医院两个院区肾内科收治的76例行腹膜透析患者,将东院区38例患者确定为试验组,河医院区38例患者为对照组。试验组患者采取护士主导的营养管理模式,对照组患者实施常规护理干预。对比两组患者营养状况(观综合性营养评估、血清白蛋白、血红蛋白、体重指数、上臂围、上臂肌围)。结果 试验组患者干预6个月后,营养状态正常人数、血清白蛋白、血红蛋白、体重指数、上臂围均优于干预前及对照组,差异有统计学意义(P<0.05);干预后上臂肌围结果与干预前及对照组,差异无统计学意义(P>0.05)。结论 实施以护士为主导的营养管理模式,可促进患者养成良好的饮食习惯,掌握疾病及营养相关知识,改善患者的营养状况。Objective To explore the impact of nurse-led nutrition management model on the nutritional status of patients undergoing peritoneal dialysis.Methods The convenience sampling method was used,76 patients undergoing peritoneal dialysis admitted to the First Affiliated Hospital of Zhengzhou University from January to December 2022 were seclected and the patients in new hospital area were set as the experimental group and the points in old word of the hospital were set as the control group,with 38 cases in each group.The control group patients received routine nursing,and the experimental group patients received the nurse-led nutrition management model.The nutritional status(subjective global assessment,serum albumin,hemoglobin,body mass index,arm circumference,arm muscle circumference)were compared between the two groups.Results After 6 months of intervention,the number of patients with normal nutritional status,and the levels of serum albumin,hemoglobin,body mass index and arm circumference in the experimental group were higher than those before intervention and the control group(P<0.05).In the experimental group,intervention had no significant effect on the level of arm muscle circumference,and there was no difference between the experimental group and the control group after intervention.Conclusion The nurse-led nutrition management model can promote patients to master nutrition knowledge,develop healthy dietary habits,improve the nutritional status of patients undergoing peritoneal dialysis.

关 键 词：营养管理模式 腹膜透析 营养状态 

分 类 号：R473.5[医药卫生—护理学]