摘要
目的研究基于健商评估的分级营养干预对终末期肾病(ESRD)维持性血液透析患者营养参数及磷钙达标率的影响。方法选取2019年1月至2022年3月安徽省亳州市人民医院收治的80例行维持性血液透析的ESRD患者为研究对象。按照随机数字表法将其分为常规组和健商护理组,各40例。常规组采取常规维持性血液透析护理模式,健商护理组在常规组基础上采取健商评估的分级营养管理干预。比较两组干预前后营养参数、血磷、血钙水平及干预后血磷、血钙达标率。结果干预后,两组营养风险评分低于干预前,总蛋白、血红蛋白、白蛋白水平高于干预前,且健商护理组营养风险评分低于常规组,总蛋白、血红蛋白、白蛋白水平高于常规组,差异有统计学意义(P<0.05)。干预后,两组血磷、血钙水平均低于干预前,且健商护理组低于常规组,差异有统计学意义(P<0.05)。健商护理组血钙、血磷达标率高于常规组,差异有统计学意义(P<0.05)。结论基于健商评估的分级营养对ESRD维持性血液透析患者实施干预,可有效改善患者营养状况和血钙代谢情况。
Objective To study the effect of graded nutritional intervention based on health quotient assessment on nutritional parameters and phosphorus and calcium compliance rate of patients with end stage renal disease(ESRD)undergoing maintenance hemodialysis.Methods Eighty ESRD patients with maintenance hemodialysis admitted to Bozhou People’s Hospital,Anhui Province from January 2019 to March 2022 were selected as the study subjects.According to random number table method,the subjects were divided into routine group and health quotient nursing group,with 40 cases in each group.The routine group took the routine maintenance hemodialysis nursing mode,and the health quotient nursing group took the graded nutrition management intervention based on the routine group.Nutritional parameters,serum phosphorus,and serum calcium levels were compared between the two groups before and after intervention,and the compliance rate of serum phosphorus and serum calcium after intervention was observed.Results After the intervention,the nutritional risk score of the two groups was lower than that before the intervention,the total protein,hemoglobin,and albumin levels were higher than those before the intervention,and the nutritional risk score of the health quotient nursing group was lower than that of the routine group,and the total protein,hemoglobin,and albumin levels were higher than those of the routine group,and the differences were statistically significant(P<0.05).After intervention,the blood phosphorus and calcium levels in the two groups were lower than those before intervention,and those in the health quotient nursing group were lower than those in the routine group,and the differences were statistically significant(P<0.05).The compliance rate of serum calcium and phosphorus in the health quotient nursing group was higher than that in the routine group,and the differences were statistically significant(P<0.05).Conclusion The graded nutritional intervention based on health quotient assessment in ESRD maintenance hemodialysis patients can effectively improve the nutritional status and blood calcium metabolism of patients.
作者
李娟
吴邯
刘芳
程丽
LI Juan;WU Han;LIU Fang;CHENG Li(Hemodialysis Center,Bozhou People’s Hospital,Anhui Province,Bozhou236800,China)
出处
《中国医药导报》
CAS
2023年第14期175-178,共4页
China Medical Herald
关键词
基于健商评估的分级营养干预
终末期肾病
维持性血液透析
营养参数
钙磷达标率
Graded nutritional intervention based on health quotient assessment
End stage renal disease
Maintenance hemodialysis
Nutritional parameters
Standard rate of calcium and phosphorus
