基于健商评估的分级营养干预对终末期肾病维持性血液透析患者营养参数及磷钙达标率的影响

doi:10.20047/j.issn1673-7210.2023.14.38

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Abstract Objective To study the effect of graded nutritional intervention based on health quotient assessment on nutritional parameters and phosphorus and calcium compliance rate of patients with end stage renal disease (ESRD) undergoing maintenance hemodialysis. Methods Eighty ESRD patients with maintenance hemodialysis admitted to Bozhou People’s Hospital, Anhui Province from January 2019 to March 2022 were selected as the study subjects. According to random number table method, the subjects were divided into routine group and health quotient nursing group, with 40 cases in each group. The routine group took the routine maintenance hemodialysis nursing mode, and the health quotient nursing group took the graded nutrition management intervention based on the routine group. Nutritional parameters, serum phosphorus, and serum calcium levels were compared between the two groups before and after intervention, and the compliance rate of serum phosphorus and serum calcium after intervention was observed. Results After the intervention, the nutritional risk score of the two groups was lower than that before the intervention, the total protein, hemoglobin, and albumin levels were higher than those before the intervention, and the nutritional risk score of the health quotient nursing group was lower than that of the routine group, and the total protein, hemoglobin, and albumin levels were higher than those of the routine group, and the differences were statistically significant (P＜0.05). After intervention, the blood phosphorus and calcium levels in the two groups were lower than those before intervention, and those in the health quotient nursing group were lower than those in the routine group, and the differences were statistically significant (P＜0.05). The compliance rate of serum calcium and phosphorus in the health quotient nursing group was higher than that in the routine group, and the differences were statistically significant (P＜0.05). Conclusion The graded nutritional intervention based on health quotient assessment in ESRD maintenance hemodialysis patients can effectively improve the nutritional status and blood calcium metabolism of patients.

Key words： Graded nutritional intervention based on health quotient assessment End stage renal disease Maintenance hemodialysis Nutritional parameters Standard rate of calcium and phosphorus

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	LI Juan WU Han LIU Fang CHENG Li

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LI Juan WU Han LIU Fang CHENG Li. Effect of graded nutritional intervention based on health quotient assessment on nutritional parameters and phosphorus and calcium compliance rate of patients with end-stage renal disease undergoing maintenance hemodialysis[J]. 中国医药导报, 2023, 20(14): 175-178.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.14.38 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I14/175

[1] 张迪.过敏性紫癜患儿血浆D二聚体与β2-微球蛋白变化的临床意义[J].血栓与止血学，2022，28（1）：26-27.
[2] 蓝梅金，陈勇平，丘美兰.终末期肾脏病伴肝硬化失代偿患者血液透析和腹膜透析的临床分析[J].中国医药科学，2020，10（23）：247-249，254.
[3] 邹德平，曹灵，钟文渊，等.血液灌流联合血液透析治疗终末期肾病患者的疗效观察[J].中国中西医结合肾病杂志，2021，22（10）：889-890.
[4] 李强.维持性腹膜透析患者微炎症出现的特点分析及其临床干预方法归纳研究[J].中国医药科学，2020，10（13）：199-202.
[5] 于莉，周文华，杨月，等.老年终末期肾病患者不同紧急起始透析方式的预后分析[J].中华老年医学杂志，2021， 40（7）：842-846.
[6] 孔祥栋，齐玲，许金华，等.维持性血液透析患者幽门螺杆菌感染情况及其对微炎症，营养状态的影响[J].中国医药导报，2022，19（4）：103-106.
[7] 潘海燕，曾建好，成月莹，等营养护理干预对终末期肾病维持性血液透析患者生活质量的影响[J].海南医学，2021， 32（5）：678-680.
[8] 王静，王容.健商在老年膀胱肿瘤全切患者术后营养管理中的应用[J].中华护理杂志，2013，48（11）：1023-1024.
[9] 朱宏伟，霍晓鹏，孙红，等.以健商为基础的营养管理在老年股骨颈骨折术后患者中应用的效果[J].中华现代护理杂志，2016，22（11）：1541-1546.
[10] 陈香美，倪兆慧，刘玉宁，等.慢性肾衰竭中西医结合诊疗指南[J].河北中医，2016，38（2）：313-317.
[11] 李腾飞，张宇.健商评估下协同分级营养干预联合中药贴敷对老年髋部骨折术后康复的影响[J].中国医学创新，2022，19（2）：167-171.
[12] 浙江省医师协会营养医师专业委员会，浙江省临床营养中心，浙江省医学会肠外肠内营养学分会，等.营养风险筛查疾病严重程度评分专家共识[J].浙江医学，2022， 44（13）：1351-1355，1361.
[13] 徐庆东，郭焕开，陈小荷，等.腹膜透析和血液透析对终末期肾脏疾病患者钙磷代谢及炎症因子的影响[J].临床肾脏病杂志，2017，17（4）：226-229.
[14] 张小菊，李卿卿，王宏伟.营养疗法结合个性化护理对终末期肾病患者营养状况与生活质量的影响[J].现代中西医结合杂志，2022，31（14）：2019-2022.
[15] 曾敏婕，张梦游，刘敏，等.长沙某三甲医院消化道终末期癌症住院患者营养风险、营养不良（GLIM）患病率横断面调查[J].中华临床营养杂志，2021，29（5）：275-280.
[16] 冯云生，赵亚娟，张宝红，等.血液透析联合血液灌流对终末期糖尿病肾病患者血清炎症因子水平及营养不良的影响[J].河北医学，2016，22（7）：1114-1116.
[17] 乔德丽，山岚，吴红耀，等.营养不良-炎症状态对老年血液透析病人生存质量影响[J].蚌埠医学院学报，2022， 47（2）：184-187.
[18] 刘莲琴，张卫东，缑楠.维持性血液透析联合肠内营养改善透析患者营养状况的观察[J].检验医学与临床，2020， 17（14）：2070-2072.
[19] 区景运，关素娟，苏惠姬，等.营养不良对腹膜透析患者生存及心功能的影响[J].重庆医学，2021，50（11）：1826-1829.
[20] 黄宁川，刘巍，马辉，等.维持性血液透析患者机体营养状况及IL-10基因多态性与肺部感染的相关性[J].中华医院感染学杂志，2020，30（10）：1523-1526.
[21] 朱晓莉，吴翔.基于健商评估的协同式分级营养支持在髋部骨折老年患者中的应用研究[J].护士进修杂志，2020，35（5）：465-467.
[22] 傅巧，王筱霞.腹膜透析替代治疗对终末期肾脏病病人钙磷代谢，炎症因子及营养状态的影响[J].内蒙古医科大学学报，2020，42（5）：528-531.
[23] 姜瑞丰，施妙君，鄢巨振.维持性血液透析患者血清Sfrp5， Klotho水平变化及其与钙磷代谢的关系[J].广东医学，2020，41（2）：152-155.
[24] 韩建芳，李丽华，王宁宁，等.维持性血液透析患者慢性肾脏病矿物质和骨异常患病情况调查及血管钙化的危险因素分析[J].现代生物医学进展，2020，20（5）：953- 956，965.
[25] 何舒宁，张亮亮，郝丽，等.维持性血液透析患者钙磷及iPTH三项指标达标状况分析[J].安徽医学，2020，41（2）：126-129.
[26] 王荣忠，樊萍，娄璠，等.维持性血液透析患者服用不同钙磷调节药物的比较研究[J].成都医学院学报，2022， 17（4）：456-459.
[27] 刘丹，孙笑丁.维持性血液透析患者钙磷代谢在不同透析方式中的变化[J].当代医学，2022，28（16）：85-87.