分段式康复教育联合营养疗法对终末期肾病血液透析患者营养状况的影响

Effect of Staged Rehabilitation Education combined with Nutrition Therapy on Nutritional Status in End-stage Renal Disease Patients with Hemodialysis

目的分析分段式康复教育联合营养疗法对终末期肾病血液透析患者的影响。方法回顾性分析2016年7月至2018年8月于本院接受治疗的终末期肾病血液透析患者共162例的临床资料,依随干预方案的不同分为观察组(采用分段式康复教育联合营养疗法,n=82)及对照组(采用营养疗法,n=80),对比两组营养不良炎症评分表(MIS)、生活质量评价量表(SF-36)评分。结果干预后,两组MIS评分均降低,且观察组MIS评分比对照组低,差异有统计学意义(P <0.05);干预后,两组SF-36的生理功能、生理职能、社会功能、情感职能、精力、精神健康、躯体疼痛、总体健康状态评分均升高,且观察组比对照组高,差异有统计学意义(P <0.05)。结论分段式康复教育联合营养疗法对终末期肾病血液透析患者的干预效果确切,有利于改善患者的营养状况,提升其生活质量。

Objective To analyze the eff ect of staged rehabilitation education combined with nutrition therapy on nutritional status in end-stage renal disease patients with hemodialysis.Methods The clinical data of 162 end-stage renal disease patients with hemodialysis in the hospital from July 2016 to August 2018 were retrospectively analyzed.They were divided into an observation group(staged rehabilitation education and nutrition therapy,n=82)and a control group(nutrition therapy,n=80)according to diff erent intervention plans.The Malnutrition Infl ammation Score(MIS)and Short Form 36 Questionnaire(SF-36)were compared between two groups.Results After intervention,the MIS scores of two groups were decreased,and the MIS score of observation group was lower than that of control group,the diff erence was statistically signifi cant(P<0.05);after intervention,the scores of physiological function,role physical,social function,role emotional,vigor,mental health,body pain and general health status of SF-36 in two groups were increased,and observation group was higher than control group,the diff erence was statistically signifi cant(P<0.05).Conclusion Staged rehabilitation education combined with nutrition therapy in end-stage renal disease patients with hemodialysis has defi nite intervention eff ects,it can improve nutritional status and increase quality of life.