首页|高频浸润式控钾饮食教育对维持性血液透析患者血钾管理的效果研究

高频浸润式控钾饮食教育对维持性血液透析患者血钾管理的效果研究

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目的 本研究旨在探讨高频浸润式饮食教育对维持性血液透析(maintenance hemodialysis,MHD)患者血钾管理的效果.方法 通过便利抽样选取 2023 年 1 月至 2023 年 8 月于湖州市某三级甲等医院血液透析中心进行治疗的 64 例MHD高钾血症患者为研究对象,按照透析时间,将其分为对照组和观察组,各 32 例.对照组接受常规饮食教育,观察组在此基础上增加高频浸润式饮食教育,比较两组患者干预1 个月后高血钾发生率和患者满意度,以及干预前后患者血钾知识掌握度、饮食行为依从性情况.结果 干预后,观察组的高血钾发生率显著低于对照组(P<0.05).与对照组相比,观察组患者满意度更高,且差异具有统计学意义(P<0.05).观察组饮食行为依从性量表得分为(85.66±5.34)分,显著高于对照组(74.91±5.41)分(P<0.05).观察组血钾知识掌握度得分为(9.47±0.72)分,明显高于对照组(8.47±1.19)分,两组比较,差异具有统计学意义(P<0.05).结论 高频浸润式控钾饮食教育能够有效帮助MHD患者减少高钾食物的摄入,并有助于更好地维持血钾水平,同时提升患者对饮食教育的满意度、饮食行为依从性.其临床价值显著,值得在实践中进一步推广和应用.
Study on the effect of high-frequency infiltration potassium-control dietary education on potassium man-agement in maintenance hemodialysis patients
Objective To investigate the effect of high-frequency infused dietary education on potassium management in main-tenance hemodialysis(MHD)patients.Methods Sixty-four MHD hyperkalemia patients who were treated in a hemodialysis center of a tertiary A hospital in Huzhou from January 2023 to August 2023 were selected and divided into a control group and an experimental group of 32 cases each by using the random number table method.The control group received conventional dietary education and the ex-perimental group added high-frequency infiltration dietary education on this basis.The incidence of hyperkalemia and patient satisfac-tion after one month of intervention,as well as the patients'knowledge of potassium and dietary behavior compliance before and after the intervention,were compared between the two groups.Results After the intervention,the incidence of hyperkalemia in the experi-mental group was significantly lower than that in the control group(P<0.05).Patient satisfaction was higher in the experimental group compared to the control group(P<0.05).The dietary behavior adherence scale score of the experimental group was(85.66±5.34),which was significantly higher than that of the control group(74.91±5.41),(P<0.05).The score of blood potassium knowledge mastery in the experimental group was(9.47±0.72),which was significantly higher than that of the control group(8.47±1.19)(P<0.05).Con-clusion High-frequency infiltration potassium-control dietary education can effectively help MHD patients to reduce the intake of high-potassium foods and help to maintain the blood potassium level while also enhance patient satisfaction with dietary education and im-proving dietary behavior compliance.Its clinical value is significant and worth further promotion and application in practice.

maintenance hemodialysishyperkalemiapotassium-controlled diet educationdietary behavior compliancesatis-faction

江瑞、周敏、臧丽丽、罗明君、洪成波、高昕汝

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浙江中医药大学第五临床医学院,浙江 湖州 313000

维持性血液透析 高钾血症 控钾饮食教育 饮食行为依从性 满意度

2025

牡丹江医学院学报
牡丹江医学院

牡丹江医学院学报

影响因子:0.615
ISSN:1001-7550
年,卷(期):2025.46(1)