基于营养护理程序和模型的慢性肾脏病患者营养管理方案的构建
Construction of nutrition management plan for chronic kidney disease patients based on nutritional care procedure and model
田雪琦 1李振香 2孔颜 3宗可敬 4刘延政 5张静6
作者信息
- 1. 山东第一医科大学附属省立医院(山东省立医院)乳腺甲状腺外科,济南 250021
- 2. 山东第一医科大学附属省立医院(山东省立医院)门诊部,济南 250021
- 3. 山东第一医科大学附属省立医院(山东省立医院)脊柱外二科,济南 250021
- 4. 山东中医药大学护理学院,济南 250000
- 5. 山东第一医科大学(山东省医学科学院)护理学院,济南 250000
- 6. 山东第一医科大学附属省立医院(山东省立医院)肾内科,济南 250021
- 折叠
摘要
目的 构建系统化、规范化的慢性肾脏病患者营养管理方案.方法 以营养护理程序和模型为理论基础,通过文献检索、文献质量评价、研究小组讨论等方法制订慢性肾脏病患者营养管理方案初稿;经过2轮专家函询修订营养管理方案初稿,形成最终方案.结果 共邀请32名专家完成2轮函询.2轮专家函询均发放问卷32份,分别回收有效问卷32、31份,问卷有效回收率分别为100.0％、96.9％;专家权威系数分别为0.853、0.871.最终构建的慢性肾脏病营养管理方案包括营养管理人员、营养风险筛查、营养评估、营养治疗、营养监测、营养健康教育6项一级条目,23项二级条目和52项三级条目.结论 本研究构建的慢性肾脏病患者营养管理方案具有科学性,可为慢性肾脏病患者营养指导提供参考.
Abstract
Objective To build a systematic and standardized nutrition management plan for patients with chronic kidney disease.Methods Based on the nutrition care procedure and model,a preliminary draft of a nutrition management plan for chronic kidney disease patients was developed through a literature search,quality evaluation,and group discussions.After two rounds of expert consultation and revision of the preliminary draft of the nutrition management plan,the final plan was formed.Results A total of 32 experts were invited to complete two rounds of consultation.In two rounds of expert consultation,32 questionnaires were distributed,and 32 and 31 valid questionnaires were collected,with valid response rates of 100.0％and 96.9％,respectively.The expert authority coefficients were 0.853 and 0.871,respectively.The final nutrition management plan for chronic kidney disease patients included six first-level items of nutrition management personnel:nutrition risk screening,nutrition assessment,nutrition treatment,nutrition monitoring,and nutrition health education,with 23 second-level and 52 third-level items.Conclusions The constructed nutrition management plan for chronic kidney disease patients is scientific and can provide a reference for nutrition guidance.
关键词
肾疾病/营养管理/营养护理程序和模型/德尔菲法Key words
Kidney diseases/Nutrition management/Nutritional care procedure and model/Delphi technique引用本文复制引用
基金项目
山东省社会科学规划研究项目(22CGLJ36)
出版年
2024
NETL
NSTL
万方数据