Roy适应理论下的饮食管理对维持性腹膜透析患者饮食行为和营养状况的影响  

The influence of diet management under Roy adaptation theory on dietary behavior and nutritionalstatus of maintenance peritoneal dialysis patients

作　　者：彭丹丹 车腾腾 周聪 张倜 韩叶青 PENG Dandan;CHE Tengteng;ZHOU Cong;ZHANG Ti;HAN Yeqing(Nephrology Department,Eastern Theater Command General Hospital of the People's Liberation Army of China,Nanjing,Jiangsu 210000,China)

机构地区：[1]中国人民解放军东部战区总医院肾脏病科,江苏南京210000

出　　处：《中华全科医学》2025年第2期243-247,共5页Chinese Journal of General Practice

基　　金：江苏省科技项目(BK20210148)。

摘　　要：目的 科学合理的饮食管理对维持性腹膜透析患者至关重要。本研究基于Roy适应理论构建了腹膜透析患者饮食管理方案,旨在腹膜透析患者饮食管理开拓新路径。方法 选取2020年6月—2023年6月在中国人民解放军东部战区总医院规律腹膜透析的患者189例,采用随机数字表法分为对照组(94例,常规饮食管理)和Roy组(95例,Roy适应理论下的饮食管理),对比2组饮食知识和行为、营养状况。结果 Roy组干预后饮食知识评分为(17.88±3.09)分,高于对照组的(14.56±3.45)分(P<0.05);肾脏病饮食行为依从量表(RABQ)评分、每日蛋白质及总热量摄入量、限水及限盐合格率均优于对照组(P<0.05);血清白蛋白(ALB)、血红蛋白(Hb)及转铁蛋白(TRF)为(40.02±5.63)g/L、(109.31±8.22)g/L、(2.38±0.56)g/L,均高于对照组的(33.56±8.09)g/L、(96.44±16.78)g/L、(1.92±0.34)g/L(P<0.05);人体测量学指标与对照组比较差异无统计学意义(P>0.05);营养不良发生率为25.33%(19/75),低于对照组的41.33%(31/75,P<0.05)。结论 Roy适应理论下的饮食管理可提高维持性腹膜透析患者饮食知识水平,帮助患者形成良好的饮食依从行为,有利于改善营养状况,降低营养不良的发生风险。Objective Scientific and rational diet management is very important for patients with maintenance peritoneal dialysis.In this study,the diet management scheme of peritoneal dialysis patients was constructed based on Roy's adaptation theory,aiming to open up a new path for the diet management of dialysis patients.Methods A total of 189 patients receiving regular peritoneal dialysis in the Eastern Theater General Hospital from June 2020 to June 2023 were selected and divided into the control group(94 cases with conventional diet management)and the Roy group(95 cases with diet management under Roy's adaptation theory)by random number table method.The dietary knowledge,behavior,and nutritional status of the two groups were compared.Results The post-intervention dietary knowledge score in the Roy group was 17.88±3.09,which was higher than that in the control group(14.56±3.45,P<0.05);The scores of the renal disease adherence behavior questionnaire(RABQ),daily protein and total calorie intake,and the qualified rates of restricted water and salt were better than those of control group(P<0.05).Serum albumin(ALB),hemoglobin(Hb)and transferrin(TRF)were(40.02±5.63)g/L,(109.31±8.22)g/L,(2.38±0.56)g/L,which were higher than that of control group[(33.56±8.09)g/L,(96.44±16.78)g/L,(1.92±0.34)g/L,P<0.05];There was no significant difference in anthropometric indexes between the Roy group and control group(P>0.05).The incidence of malnutrition was 25.33%(19/75),which was lower than that of the control group[41.33%(31/75),P<0.05].Conclusion Diet management under Roy's adaptation theory can improve the knowledge level of diet control in maintenance peritoneal dialysis patients,help to form a good diet compliance behavior,and is conducive to the improvement of nutritional status and reduce the occurrence of malnutrition.

关 键 词：腹膜透析 饮食管理 Roy适应理论 饮食行为 营养状况 

分 类 号：R459.5[医药卫生—治疗学]