“H2H”营养干预模式在维持性血液透析患者药物治疗期间的效果

Effect of“H2H”nutrition Intervention Model During Drug Treatment Period in Maintenance Hemodialysis Patients

目的:分析“从医院到家庭(H2H)”营养干预模式在维持性血液透析(MHD)患者琥珀酸亚铁治疗期间贫血管理中的应用价值。方法:将2021年7月—2022年7月医院采取常规干预的48例MHD患者纳入对照组;另将2022年8月—2023年8月医院采取“H2H”营养干预模式的48例MHD患者纳入观察组。于干预前、干预3个月,比较两组贫血相关指标、铁代谢指标、营养相关指标、治疗依从性及营养不良发生情况。结果:干预3个月,两组血红蛋白(HB)、红细胞比容(Hct)、红细胞计数(RBC)、铁蛋白(SF)、血清铁(Fe)、转铁蛋白饱和度(TS)、白蛋白(ALB)、前白蛋白(PAB)、治疗依从性总分高于干预前,且观察组高于对照组(P<0.05);观察组营养不良发生率为37.50%,低于对照组的58.33%(P<0.05)。结论:“H2H”营养干预模式可以有效改善MHD患者琥珀酸亚铁治疗期间营养不良和贫血的状况,提高治疗依从性。

Objective:To analyze the application value of the“Hospital to Home(H2H)”nutritional intervention model in anemia management during ferrous succinate treatment period for maintenance hemodialysis(MHD)patients.Methods:A total of 48 MHD patients who underwent routine interventions at the hospital from July 2021 to July 2022 were included in the control group;48 MHD patients who underwent the“H2H”nutritional intervention model in the hospital from August 2022 to August 2023 were included in the observation group.The anemia related indicators,iron metabolism indicators,nutrition related indicators,treatment compliance,and incidence of malnutrition were compared between the two groups before and three months after intervention.Results:After 3 months of intervention,the total scores of hemoglobin(HB),hematocrit(Hct),red blood cell count(RBC),ferritin(SF),serum iron(Fe),transferrin saturation(TS),albumin(ALB),prealbumin(PAB),and treatment compliance in both groups were higher than before intervention,and those in the observation group were higher than those in the control group(P<0.05).The incidence of malnutrition in the observation group was 37.50%,which was lower than 58.33%in the control group(P<0.05).Conclusion:The“H2H”nutritional intervention model can effectively improve the malnutrition and anemia status of MHD patients during ferrous succinate treatment period,and enhance their treatment compliance.