首页|基于家属参与的饮食管理联合饮食日记对老年维持性血液透析患者饮食管理行为及营养状况的影响

基于家属参与的饮食管理联合饮食日记对老年维持性血液透析患者饮食管理行为及营养状况的影响

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目的 探讨基于家属参与的饮食管理联合饮食日记对老年维持性血液透析(MHD)患者饮食管理行为及营养状况的影响.方法 选择 2019年 9 月—2023 年 5 月金塔县人民医院肾病科收治的 100 例老年MHD患者为研究对象,按随机数字表法分为对照组和观察组,每组 50 例.对照组接受常规饮食教育指导,观察组采用基于家属参与的饮食管理联合饮食日记干预.比较两组患者的饮食管理行为、营养状况及生活质量.结果 干预后,观察组的饮食管理行为中液体和离子的限制行为评分、饮食量管理行评分分别为(27.61±3.12)分、(16.72±1.65)分,均高于对照组的(20.14±2.43)分、(27.61±3.12)分,组间差异有统计学意义(P<0.05).干预后,观察组的转铁蛋白、血红蛋白、前清蛋白、白蛋白水平均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的生活质量综合评定问卷评分高于对照组,差异有统计学意义(P<0.05).结论 基于家属参与的饮食管理联合饮食日记干预有助于促进老年MHD患者饮食管理行为养成,提高其营养状况,改善其生活质量.
Effects of Dietary Management Based on Family Participation Combined with Dietary Diary on Dietary Management Behavior and Nutritional Status of Elderly Maintenance Hemodialysis Patients
Objective To investigate the effects of dietary management based on family participation combined with dietary diary on dietary management behavior and nutritional status of elderly maintenance hemodialysis(MHD)patients.Methods 100 elderly MHD patients admitted to Nephrology Department of Jinta County People's Hospital from September 2019 to May 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group received routine dietary education guidance,and the observation group received dietary management based on family participation combined with dietary diary.The dietary management behavior,nutritional status and quality of life of the two groups were compared.Results After intervention,the fluid restriction and ion restriction score and the dietary management score in the observation group were(27.61±3.12)points and(16.72±1.65)points,respectively,higher than(20.14±2.43)points and(27.61±3.12)points in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the levels of transferrin,hemoglobin,prealbumin and albumin in the observation group were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the Generic Quality of Life Inventory-74 score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Dietary management based on family participation combined with dietary diary can promote the development of dietary management behavior,improve the nutritional status and improve the quality of life of elderly MHD patients.

Maintenance hemodialysisAgedDietary management based on family participationDietary diaryDietary management

张洁琼

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金塔县人民医院肾病科,甘肃酒泉 735300

维持性血液透析 老年 基于家属参与的饮食管理 饮食日记 饮食管理

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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