首页|营养指导对慢性肾脏病腹膜透析患者自我管理能力的影响

营养指导对慢性肾脏病腹膜透析患者自我管理能力的影响

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目的 探讨营养指导对慢性肾脏病腹膜透析患者自我管理能力的影响。方法 选取2020 年1 月至2023 年11 月于高安市人民医院行腹膜透析的慢性肾脏病患者 60 例作为研究对象,按随机数字表法分为对照组与观察组,各 30 例。对照组予以常规护理,观察组在对照组基础上予以营养指导。比较两组患者自我管理能力、饮食依从性、营养状态及生命质量。结果 观察组干预后持续非卧床腹膜透析患者自我管理量表各维度评分较对照组高(P<0。05);观察组干预后肾脏病饮食依从态度量表(RAAQ)、肾脏病因素依从行为量表(RABQ)评分较对照组高(P<0。05);观察组干预后血清总蛋白(TP)、白蛋白(ALB)水平较对照组高(P<0。05);观察组干预后用肾脏病生存质量简明量表(KDQOL-36TM)评分较对照组高(P<0。05)。结论 在慢性肾脏病腹膜透析患者中,予以营养指导可有效改善患者自我管理能力,提升饮食依从性,改善其的营养状态、生命质量。
Influence of Nutritional Guidance on Self-management Ability of Peritoneal Dialysis Patients with Chronic Kidney Disease
Objective To explore the influence of nutritional guidance on self-management ability of peritoneal dialysis patients with chronic kidney disease.Methods Sixty patients with chronic kidney disease who underwent peritoneal dialysis in Gao'an People's Hospital from January 2020 to November 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 30 cases in each group.The control group was given routine nursing,and the observation group was given nutritional guidance on the basis of the control group.Self-management ability,dietary compliance,nutritional status and quality of life were compared between the two groups.Results The scores of the self-management scale in the observation group were higher than those in the control group(P<0.05).The scores of RAAQ and RABQ in the observation group were higher than those in the control group(P<0.05).The levels of serum total protein(TP)and albumin(ALB)in the observation group were higher than those in the control group(P<0.05).The score of Kidney Disease Quality of Life(KDQOL-36TM)in observation group was higher than that in control group(P<0.05).Conclusion In chronic kidney disease peritoneal dialysis patients,nutritional guidance can effectively improve their self-management ability,improve their dietary compliance,and further improve their nutritional status and quality of life.

Nutritional guidanceChronic kidney diseasePeritoneal dialysisDiet managementSelf-managementQuality of life

罗润娟、廖晨

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高安市人民医院肾内科,江西 宜春 330800

营养指导 慢性肾脏病 腹膜透析 饮食管理 自我管理 生命质量

2024

中国药物经济学
中国中医药研究促进会

中国药物经济学

影响因子:0.712
ISSN:1673-5846
年,卷(期):2024.19(11)