基于网络平台的个性化营养管理对血液透析营养不良患者的影响

Abstract
Figure/Table
References (22)
Related Citation (15)

Download: PDF (575 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the influence of personalized nutrition management based on network platform on maintenance hemodialysis (MHD) malnutrition patients. Methods From January 2016 to December 2017, 100 patients with MHD malnutrition in Renmin Hospital of Wuhan University were selected. According to the method of random number table, the patients were divided into control group and observation group, 50 cases in each group. The control group was given routine nutrition management (oral education and nutrition education manual) and follow-up for 6 months, the observation group was given routine nutrition management + network extension personalized nutrition management and follow-up for 6 months (WeChat and QQ platform). Nutritional assessment were conducted before and 6 months after nutrition management, modified quantitative subjective global assessment (MQSGA) scores, anthropometry, blood biochemical test. The mean execution days of individual recipes were also compared. Results There was no significant difference in MQSGA score between the two groups before nutrition management (P ＞ 0.05); after 6 months of nutrition management, MQSGA scores in both groups were lower than before nutrition management (all P ＜ 0.05), and the MQSGA score in the observation group was significantly lower than that in the control group (P ＜ 0.01). There was no significant difference in TSF between the two groups before nutrition management (P ＞ 0.05); TSF values in both groups increased significantly 6 months after nutrition management compared with those before nutrition management, and the observation group was significantly higher than that in the control group (P ＜ 0.05). There was no significant difference in upper arm muscle circumference (AMC) between the two groups before nutrition management (P ＞ 0.05); after 6 months of nutrition management, there was significantly increased in AMC the observation group compared with that before nutrition management (P ＜ 0.05), while AMC was no significantly difference in the control group compared with that before nutrition management (P ＞ 0.05), and AMC in the observation group was significantly higher than that in the control group (P ＜ 0.05). Before nutrition management, there was no statistically significant difference in serum albumin (ALB), transferrin (TF) and hemoglobin (Hb) between the two groups (P ＞ 0.05). After 6 months of nutrition management, all biochemical indexes in the observation group were higher than those in the control group (all P ＜ 0.05). After 6 months of nutrition management, ALB, TF and Hb in the observation group were increased significantly compared with those before nutrition management (P ＜ 0.05). Compared with the ALB value before nutrition management in the control group (P ＞ 0.05), the TF and Hb value in the control group increased compared with those before nutrition management (P ＜ 0.05). After 6 months of nutrition management, the average number of days of nutrition diet execution per month in the observation group [(29.4±0.5) d] was higher than that in the control group [(22.6±5.7) d] (P ＜ 0.05), and the compliance of nutrition management in the observation group was significantly better than that in the control group. Conclusion Personalized nutrition management based on network platform can carry out out-of-hospital continuous nursing for MHD patients, which can improve nursing compliance and improve patients′ nutritional status.

Key words： Maintenance hemodialysis Malnutrition Network platform Nutrition management

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZENG Tao1 ZHANG Ning1 YANG Lianhua2 DING Wanjun3

Cite this article:

ZENG Tao1 ZHANG Ning1 YANG Lianhua2 DING Wanjun3. Influence of personalized nutrition management based on network platform on the patients with hemodialysis malnutrition[J]. 中国医药导报, 2020, 17(2): 160-164.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I2/160

[1] Kopple JD. National Kidney Foundation K/DOQI clinical practiceguidelines for nutrition in chronic renal failure [J]. Am J Kid Dis，2001，37（1）：66-70.
[2] Yasui S，Shirai Y，Tanimura M，et al. Prevalence of protein-energy wasting （PEW） and evaluation of diagnostic criteria in Japanese maintenance hemodialysis patients [J]. Asia Pac J Clin Nutr，2016，25（2）：292-299.
[3] Kovesdy CP，Kopple JD，Kalantar-Zadeh K. Management of protein-energy wasting in non-dialysis-dependent chronic kidney disease：reconciling low protein intake with nutritional therapy [J]. Am J Clin Nutr，2013，97（6）：1163-1177.
[4] 李士捷，谢华，孙建设.维持性血液透析患者营养不良风险及影响因素[J].全科医疗和社区护理，2016，37（14）：19-21.
[5] Barreto LM，Ferreira SL，Barreto LG，et al. Additional contribution of the malnutrition-inflammation score to predict mortality and patient-reported outcomes as compared with its components in a cohort of African descent hemodialysis patients [J]. J Ren Nutr，2017，27（1）：45-52.
[6] 鲁慧，吕探云，王君俏，等.维持性血液透析患者营养不良原因及干预的研究进展[J].护士进修杂志，2015，20（4）：314-316.
[7] 孙媛，于燕，卢晓娥，等.延伸护理对慢性萎缩性胃炎患者治疗依从性及生活质量的影响[J].长春中医药大学学报，2019，35（1）：156-158.
[8] 杜金金.微信平台健康教育对出院脑卒中病人疾病知识、生活质量及治疗依从性的影响[J].全科护理2019，17（3）：315-317.
[9] Chen J，Peng H，Yuan Z，et al. Combination with Anthropometric Measurements and MQSGA to Assess Nutritional Status in Chinese Hemodialysis Population [J]. Int J Med Sci，2013，10（8）：974-980.
[10] 中国医师协会肾脏病医师分会血液透析充分性协作组.中国血液透析充分性临床实践指南[J].中华医学杂志，2015，95（34）：2748-2753.
[11] 刘淑芹.饮食营养护理并同时进行心理护理在维持性血液透析治疗老年尿毒症患者中的作用[J].中国保健营养，2016，26（4）：210-211.
[12] 赵军，李强，杨世峰，等.甲状旁腺激素水平对慢性肾衰竭患者维持性血液透析期间机体营养的影响[J].现代生物医学进展，2016，16（21）：4150-4152.
[13] 王青峰.人性化护理对慢性肾衰血液透析患者自我管理能力及生活质量的影响[J].中国现代医生，2018，56（12）：151-153.
[14] 吴顺秀，熊佳静，文玲莉.综合护理干预对维持性腹膜透析患者营养状况及生活质量的影响[J].当代医学，2018， 24（2）：132-133.
[15] 曾涛.个体化饮食护理对血液透析营养不良患者的影响[J].中华现代护理杂志，2010，16（28）：3404-3405.
[16] Perri MG，Ariel-Donges AH，Shankar MN，et al. Design of the Rural LEAP randomized trial：An evaluation of extended-care programs for weight management delivered via group or individual telephone counseling [J]. Con Clin Trial，2019， 76（1）：55-63.
[17] Befort CA，Klemp JR，Sullivan DK，et al. Weight loss maintenance strategies among rural breast cancer survivors：the rural women connecting for better health trial [J]. Obesity，2016，24（10）：2070-2077.
[18] Wong AK，Moran JA. Extended care unit：a feasible economic solution for longer-term palliative inpatients，Int Med J [J]. 2018，48（11）：1389-1392.
[19] Wang Q，Liu Y，Luo L，et al. The application of wechat platform in the management of bronchial asthma children （in Chinese） [J]. J Nur Adm，2017，17（7）：501-503.
[20] Wang J，Tong Y，Jiang Y，et al. The effectiveness of extended care based on Internet and home care platform for orthopaedics after hip replacement surgery in China [J]. J Clin Nurs，2018，27（21/22）：4077-4088.
[21] Park K，Song H. The effects of postdischarge telephone counseling and short message service on the knee function，activities of daily living，and life satisfaction of patients undergoing total knee replacement [J]. Orth Nurs，2017，36（3）：229-236.
[22] Feng S，Liang Z，Zhang R，et al. Effects of mobile phone wechat services improve adherence to corticosteroid nasal spray treatment for chronic rhinosinusitis after functional endoscopic sinus surgery：A 3-month follow-up study [J]. Eur Arc Otorhinolaryngol，2017，274（3）：1-9.