摘要
目的探讨阶段式护理结合改良肾病食物交换份法对慢性肾病(CKD)腹膜透析患者的影响。方法选择2021年1月至2023年1月河南省人民医院收治的100例CKD腹膜透析患者作为研究象,随机分为对照组与观察组,每组50例,对照组接受阶段式护理,观察组在对照组基础上结合改良肾病食物交换份法,对比两组营养指标、疾病管理能力、情感健康指标[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、肾脏病生活质量简表(KDQOL)、并发症发生率。结果护理前两组营养状况、疾病管理能力评分及SAS、SDS、KDQOL评分对比,差异无统计学意义(P>0.05);护理后观察组营养状况优于对照组,疾病管理能力评分高于对照组,SAS、SDS评分低于对照组,KDQOL评分高于对照组(P<0.05)。干预期间观察组并发症发生率低于对照组(P<0.05)。结论阶段式护理结合改良肾病食物交换份法在CKD腹膜透析患者中应用,可提高其疾病管理能力,改善营养状态及情感健康水平,减少并发症。
Objective To analyze the impact of phased nursing combined with improved kidney disease food exchange method in patients with chronic kidney disease(CKD)undergoing peritoneal dialysis.Methods A total of 100 CKD peritoneal dialysis patients admitted to Henan Provincial People’s Hospital from January 2021 to January 2023 were selected as the study subjects.They were divided into control group and observation group randomly,with 50 cases in each group.The control group received staged nursing care,while the observation group received a combination of improved kidney disease food exchange method on the basis of the control group.The nutritional indicators,disease management ability,emotional health indicators[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],kidney disease quality of life short form(KDQOL)and incidence of complications were compared between the two groups.Results There was no statistically significant difference in nutritional status,disease management ability scores,SAS,SDS and KDQOL scores between the two groups before nursing(P>0.05).After nursing,the nutritional status of the observation group was better than that of the control group,with higher disease management ability scores,lower SAS and SDS scores,and higher KDQOL scores than the control group(P<0.05).During the intervention period,the incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion The application of staged nursing and improved kidney disease food exchange method in CKD peritoneal dialysis patients can improve their disease management ability,improve their nutritional status and emotional health level,and reduce complications.
作者
郭兰英
李秀梅
郑燕
武园园
陈亚璞
张雅丽
GUO Lanying;LI Xiumei;ZHENG Yan;WU Yuanyuan;CHEN Yapu;ZHANG Yali(Renal Medicine Department,Henan Provincial People’s Hospital/Zhengzhou University Affiliated People’s Hospital,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2023年第15期2877-2880,共4页
Henan Medical Research
关键词
慢性肾病
腹膜透析
阶段式护理
改良肾病食物交换份法
疾病管理
情感健康
chronic kidney disease
peritoneal dialysis
stage based care
improved kidney disease food exchange method
disease management
emotional health
