糖尿病肾病患者MHD治疗过程中行PG-SGA评分导向的个体化饮食护理效果评价  

PG-SGA score oriented individualized diet nursing was used to evaluate the effect of MHD treatment in diabetic nephropathy patients

作　　者：伍玉玲 赵兰 胡娜 Wu Yuling;Zhao Lan;Hu Na(Mianyang Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Mianyang,Sichuan 621000,China)

机构地区：[1]电子科技大学医学院附属绵阳医院·绵阳市中心医院,四川绵阳621000

出　　处：《首都食品与医药》2024年第20期121-123,共3页Capital Food Medicine

摘　　要：目的探讨糖尿病肾病患者行维持性血液透析(maintenance hemodialysis,MHD)治疗过程中实施自评-主观全面量表(Patient-generated Subjective Global Assessment,PG-SGA)评分导向的个性化饮食护理的效果.方法选取2021年4月-2023年3月电子科技大学医学院附属绵阳医院·绵阳市中心医院肾内科行MHD治疗的98名糖尿病肾病患者,采用随机信封法将其分为对照组与观察组,每组各49例.对照组给予常规饮食护理,观察组给予PG-SGA评分导向的个体化饮食护理,比较两组营养状态(转铁蛋白水平、血清白蛋白水平、前白蛋白水平、PG-SGA评分)、血糖(空腹血糖水平、餐后2小时血糖水平)及护理满意度.结果出院当天,观察组转铁蛋白、白蛋白、前白蛋白水平均高于对照组,PG-SGA评分较对照组低(P<0.05).出院当天,观察组空腹血糖、餐后2小时血糖水平均较对照组低(P<0.05);出院当天,观察组护理满意度(47/49,95.92%)高于对照组(39/49,79.59%)(P<0.05).结论采用PG-SGA评分导向的个体化饮食护理可显著改善行MHD治疗糖尿病肾病患者的营养状态、血糖水平及护理满意度.Objective To explore the Patient-generated Subjective Global scale of diabetic nephropathy patients on maintenance hemodialysis(MHD)Assessment,PG-SGA(Assessment,PG-SGA)scoring of the effects of individualized dietary care.Methods A total of 98 patients with diabetic nephropathy who received MHD treatment in the Department of Nephrology,Mianyang Hospital Affiliated to UESTC School of Medicine and Mianyang Central Hospital from April 2021 to March 2023 were selected and divided into control group and observation group with 49 cases in each group by random envelope method.The control group was given routine diet care,and the observation group was given PG-SGA score oriented individualized diet care.The nutritional status(transferrin level,serum albumin level,prealbumin level,PG-SGA score),blood glucose(fasting blood glucose level,2 hours post-meal blood glucose level)and nursing satisfaction of the two groups were compared.Results On the day of discharge,the levels of transferrin,albumin and prealbumin in the observation group were higher than those in the control group,and the PG-SGA score was lower than that in the control group(P<0.05).On the day of discharge,the levels of fasting blood glucose and 2 hours postprandial blood glucose in the observation group were lower than those in the control group(P<0.05).On the day of discharge,the nursing satisfaction of the observation group(47/49,95.92%)was higher than that of the control group(39/49,79.59%)(P<0.05).Conclusion PG-SGA score oriented individualized diet nursing can significantly improve the nutritional status,blood glucose level and nursing satisfaction of diabetic nephropathy patients treated with MHD.

关 键 词：糖尿病肾病 PG-SGA评分导向的个体化饮食护理 营养状态血糖水平 护理满意度 

分 类 号：R473.5[医药卫生—护理学]