摘要
目的探索适合血液透析患者的系统饮食教育,改善透析患者的钙磷水平,提高患者的营养状况。方法组建健康饮食教育团队,筛选40例高磷血症维持性血液透析患者,采取责任护士分组管理,通过集体教育、个体化教育的系统饮食教育,干预3个月后,采取自身前后对照研究的方法评估患者营养状况及钙磷代谢变化。结果 3个月后,患者血磷由(2.12±0.31)mmol/L下降到(1.68±0.49)mmol/L(P<0.01),全段甲状旁腺激素由(824.52±588.07)ng/ml下降到(567.61±526.59)ng/ml(P<0.05)。结论通过集体教育、个体化教育的系统饮食教育,可以提高患者健康饮食知识水平和依从性,改善饮食习惯,减少磷的摄入,血磷水平下降,改善患者的钙磷代谢。
Objective To evaluate the effects of dietary education for patients with hemodialysis, so as to improve the calcium phosphorus level and the nutrition condition of patients. Methods A healthy diet education team was formed, and 40 patients with hyperphosphatemia in maintenance hemodialysis were screened and received systematic dietary education by charge nurses,including collective education and individual education. After 3 months intervention, nutritional status and calcium phosphorus metabolic changes in patients were compared with before, Results After 3 months, the level of serum phosphate （2.12 ±0.31 mmol/L vs. 1.68 ± 0.49 mmol / L） （ P 〈 0.01 ） and intact parathyroid hormone PTH （824.52± 588.07 ng/ml vs. 567.61 ± 526.59 ng/ml） decreased significantly （ P 〈 0, 05 ）. Conclusion Systematic dietary education can improve healthy diet knowledge level,patient compliance and eating habits, decrease phosphorus intake, serum phosphorus level and improve the calcium - phosphorus metabolism in patients.
出处
《护理管理杂志》
2016年第2期135-136,共2页
Journal of Nursing Administration
基金
北京医院护理课题(BJ-2012-102)
关键词
血液透析
营养不良
钙磷代谢
系统饮食教育
hemodialysis
malnutrition
calcium - phosphorus metabolism
systematic dietary education
