基于营养护理程序和模型的慢性肾脏病患者营养 管理方案的构建

Construction of nutrition management plan for chronic kidney disease patients based on nutritional care procedure and model

目的构建系统化、规范化的慢性肾脏病患者营养管理方案。方法以营养护理程序和模型为理论基础,通过文献检索、文献质量评价、研究小组讨论等方法制订慢性肾脏病患者营养管理方案初稿;经过2轮专家函询修订营养管理方案初稿,形成最终方案。结果共邀请32名专家完成2轮函询。2轮专家函询均发放问卷32份,分别回收有效问卷32、31份,问卷有效回收率分别为100.0%、96.9%;专家权威系数分别为0.853、0.871。最终构建的慢性肾脏病营养管理方案包括营养管理人员、营养风险筛查、营养评估、营养治疗、营养监测、营养健康教育6项一级条目,23项二级条目和52项三级条目。结论本研究构建的慢性肾脏病患者营养管理方案具有科学性,可为慢性肾脏病患者营养指导提供参考。

Objective To build a systematic and standardized nutrition management plan for patients with chronic kidney disease.Methods Based on the nutrition care procedure and model,a preliminary draft of a nutrition management plan for chronic kidney disease patients was developed through a literature search,quality evaluation,and group discussions.After two rounds of expert consultation and revision of the preliminary draft of the nutrition management plan,the final plan was formed.Results A total of 32 experts were invited to complete two rounds of consultation.In two rounds of expert consultation,32 questionnaires were distributed,and 32 and 31 valid questionnaires were collected,with valid response rates of 100.0%and 96.9%,respectively.The expert authority coefficients were 0.853 and 0.871,respectively.The final nutrition management plan for chronic kidney disease patients included six first-level items of nutrition management personnel:nutrition risk screening,nutrition assessment,nutrition treatment,nutrition monitoring,and nutrition health education,with 23 second-level and 52 third-level items.Conclusions The constructed nutrition management plan for chronic kidney disease patients is scientific and can provide a reference for nutrition guidance.