个体化饮食指导在慢性肾衰竭血液透析患者中的应用

Application of individualized dietary guidance in hemodialysis patients with chronic renal failure

目的探讨个体化饮食指导在慢性肾衰竭血液透析患者的应用观察。方法分析2015年5月~2018年5月陕西省榆林市第二医院110例慢性肾衰竭患者的临床资料,按照随机数字表法分为两组,对照组(50例)常规饮食指导和观察组(60例)个体化饮食指导。观察两组患者干预前后微型营养评价精简表(MNA-SF)、生活质量评分、血清白蛋白(ALB)、前白蛋白(PA)、肌酐(Cr)、肾病饮食依从态度量表(RAAQ)与行为量表(RABQ)情况。结果两组患者干预前的MNA-SF、RAAQ、RABQ比较,差异均无统计学意义(均P> 0.05),两组患者干预前后生活质量评分、PA、Cr比较,差异均无统计学意义(均P> 0.05)。与干预前比较,两组患者干预后MNA-SF、ALB、RAAQ、RABQ均明显提高,且观察组患者MNA-SF、ALB、RAAQ、RABQ高于对照组,差异均有统计学意义(均P <0.05)。结论个体化饮食指导在慢性肾衰竭血液透析患者应用,可以改善患者营养状态和指标,提高患者饮食依从性,值得临床推广应用。

Objective To investigate the application of individualized dietary guidance in patients with chronic renal failure on hemodialysis. Methods The clinical data of 110 patients with chronic renal failure in Yulin Second Hospital of Shaanxi Province from May 2015 to May 2018 were analyzed. According to the random number table method, the patients were divided into two groups, the control group(50 cases) received regular dietary guidance and the observation group(60 cases) received individualized dietary guidance. The simplified table of micro-nutrition evaluation(MNA-SF), quality of life score, serum albumin(ALB), serum prealbumin(PA), creatinine(Cr), nephrotic diet compliance scale(RAAQ) and behavior scale(RABQ) were observed before and after intervention. Results There was no significant difference in MNA-SF, RAAQ and RABQ between the two groups before intervention(all P > 0.05). Comparison of quality of life score, PA and Cr between the two groups before and after intervention showed no statistically significant difference(all P > 0.05). Compared with before intervention, MNA-SF, ALB, RAAQ and RABQ in both groups were significantly improved after intervention, and MNA-SF, ALB, RAAQ and RABQ in the observation group were higher than those in the control group, with statistically significant differences(all P < 0.05). Conclusion Individualized dietary guidance in patients with chronic renal failure hemodialysis can improve their nutritional status and indicators,improve their dietary compliance, and is worthy of clinical application.