低磷饮食护理在维持性血液透析患者中的应用效果及对其磷代谢状况的影响  

Effect of Low Phosphorus Diet Nursing in Maintenance Hemodialysis Patients and Its Effect on Phosphorus Metabolism

作　　者：陈彩霞 CHEN Caixia(Department of Hemodialysis,Yongtai County Hospital,Fuzhou 350700,China)

机构地区：[1]永泰县医院血液透析科,福州350700

出　　处：《中国医药指南》2024年第30期169-171,共3页Guide of China Medicine

摘　　要：目的 探析低磷饮食护理在维持性血液透析患者中的应用效果,并探讨该饮食护理对患者磷代谢的影响。方法 在我院接收的维持性血液透析患者(收治时间为2022年1月至2024年2月)中,选取符合纳入标准的88例,并通过随机数字表法将其均分为两组:参照组与研究组,每组各有44例患者。参照组实施常规护理,研究组在常规护理基础上实施低磷饮食护理。比较两组护理前后营养风险评分、血磷、血钙、钙磷乘积水平和生活质量评分。结果 护理后,研究组预后营养指数高于参照组(P <0.05)。护理后,研究组血磷、钙磷乘积水平低于参照组,血钙水平高于参照组(P <0.05)。护理后,研究组生活质量评分高于参照组(P <0.05)。结论 低磷饮食护理可有效改善患者营养状态和磷代谢状况,促进生活质量提高。Objective To explore the effect of low phosphorus diet nursing in maintenance hemodialysis patients,and explore the effect of diet nursing on phosphorus metabolism in patients.Methods Among the maintenance hemodialysis patients received by our hospital(admitted from January 2022 to February 2024),88 patients meeting the inclusion criteria were selected and divided into two groups by random number table:reference and study groups,with 44 patients in each group.The reference group implemented routine care,and the study group implemented low-phosphorus diet care based on the usual care.The nutritional risk score,blood phosphorus,blood calcium,calcium and phosphorus product levels and quality of life scores were compared between the two groups.Results After nursing,the prognosis nutritional index of the study group was higher than the reference group(P<0.05).After nursing,the blood phosphorus and calcium phosphorus product level was lower than the reference group,and the blood calcium level was higher than the reference group(P<0.05).After nursing,the quality of life score of the study group was higher than the reference group(P<0.05).Conclusions Low-phosphorus diet care can effectively improve the nutritional status and phosphorus metabolism of patients,and promote the quality of life.

关 键 词：维持性血液透析 低磷饮食护理 磷代谢 

分 类 号：R459.5[医药卫生—治疗学] R473.5[医药卫生—临床医学]