低磷饮食干预对肾衰竭血液透析患者营养状况、心理状况、血磷、血糖管理的影响
|
摘要
目的探讨分析低磷饮食干预对改善肾衰竭血液透析患者身体状况和心理状态的效果。方法该次所有研究资料均为方便选择该院接收治疗的肾衰竭血液透析患者,选择治疗时间为2013年7月—2016年7月,共选择64例患者,并采用随机数字抽取表法对64例患者进行分组,每组32例,其中对传统组采用常规饮食干预进行治疗,观察组采用低磷饮食干预进行治疗,对两组患者实施饮食干预后的身体指标改善情况和心理状态改善情况进行对比分析。结果传统组与观察组治疗前血清清蛋白、前清蛋白及血磷等指标比较差异无统计学意义(P>0.05)。干预后,两组患者各指标均明显改善,其中观察组改善效果更明显,血清清蛋白、前清蛋白及血磷等指标改善程度显著优于传统组,数据比较差异有统计学意义(P<0.05);观察组患者低血糖发生率为3.13%,传统组患者低血糖发生率为18.75%,数据比较差异有统计学意义(P<0.05)。观察组敌对、偏执、躯体化、强迫、敏感人际、恐怖、焦虑、抑郁、精神病性及其他等心理状态指标评分均显著低于对照组,数据比较差异有统计学意义(P<0.05)。结论将低磷饮食干预应用在肾衰竭血液透析患者治疗中能够明显提高患者的营养状况和改善患者的心理状态,降低患者血磷含量,利于患者的健康。
Objective To study and analyze the effect of low phosphate dieting intervention on the physical condition and mental state of patients with renal failure haemodialysis. Methods 64 cases of patients with renal failure haemodialysis admitted and treated in our hospital from July 2013 to July 2016 were conveniently selected and randomly divided into two groups with 32 cases in each, the traditional group were treated with routine dieting intervention, while the observation group were treated with low phosphate dieting intervention, and the improvement situation of physical indexes and mental state after the implementation was compared between the two groups. Results The differences in the serum albumin, prealbumin and blood phosphate before treatment between the two groups were not statistically significant(P>0.05),after the intervention, various indexes of the two groups were obviously improved, and the improvement effect in the observation group was more obvious, and the improvement effect of serum albumin, prealbumin and blood phosphate was obviously better than that in the traditional group, and the differences were statistically significant(P<0.05), and the difference in the incidence rate of low blood glucose between the observation group and the traditional group was statistically significant(3.13% vs18.75%)(P <0.05), and the hostility, paranoia, somatization, obsession, sensitive interpersonal relationship, horror, anxiety,depression, mental disorder and other mental states in the observation group were obviously lower than those in the control group, and the differences between groups were statistically significant(P<0.05). Conclusion The application of low phosphate dieting intervention in treatment of patients with renal failure hemodialysis can obviously improve the nutrition status and mental state of patients and reduce the content of blood phosphate, which is conducive to the health of patients.
Objective To study and analyze the effect of low phosphate dieting intervention on the physical condition and mental state of patients with renal failure haemodialysis. Methods 64 cases of patients with renal failure haemodialysis admitted and treated in our hospital from July 2013 to July 2016 were conveniently selected and randomly divided into two groups with 32 cases in each, the traditional group were treated with routine dieting intervention, while the observation group were treated with low phosphate dieting intervention, and the improvement situation of physical indexes and mental state after the implementation was compared between the two groups. Results The differences in the serum albumin, prealbumin and blood phosphate before treatment between the two groups were not statistically significant(P>0.05),after the intervention, various indexes of the two groups were obviously improved, and the improvement effect in the observation group was more obvious, and the improvement effect of serum albumin, prealbumin and blood phosphate was obviously better than that in the traditional group, and the differences were statistically significant(P<0.05), and the difference in the incidence rate of low blood glucose between the observation group and the traditional group was statistically significant(3.13% vs18.75%)(P <0.05), and the hostility, paranoia, somatization, obsession, sensitive interpersonal relationship, horror, anxiety,depression, mental disorder and other mental states in the observation group were obviously lower than those in the control group, and the differences between groups were statistically significant(P<0.05). Conclusion The application of low phosphate dieting intervention in treatment of patients with renal failure hemodialysis can obviously improve the nutrition status and mental state of patients and reduce the content of blood phosphate, which is conducive to the health of patients.
引文
[1]杜小萍,吕冬宁.低磷饮食干预对肾衰竭血液透析病人营养状况、心理状况、血磷、血糖管理的影响[J].护理研究,2016,30(29):3636-3639.
[2]陈艳丽.低磷饮食对血液透析患者骨矿物质代谢的影响[J].中外医学研究,2015(14):45-46.
[3]杜俊,汪海燕,王铁云,等.低磷饮食干预对腹膜透析患者钙磷代谢及营养状况的影响[J].医药前沿,2015,5(36):23-24.
[4]仲海峰,韩晓骏,申宜梅.低磷饮食对血液透析患者骨矿物质代谢的干预作用[J].医药卫生:引文版,2015(9):39.
[5]迪丽努尔·吐尔洪.肾衰方对维持性血液透析患者残余肾功能和营养状况的影响[J].河南中医,2015,35(11):2710-2713.
[6]谢满静,莫丽霞,罗海凤,等.强化饮食护理干预对维持性血液透析患者营养不良发生率的影响[J].中外医学研究,2014(11):106-107.
[7]朱虹,毛心辉.中西医饮食干预对维持性血液透析患者高磷血症的影响[J].中西医结合护理:中英文,2016,2(6):31-32.
[8]管培兰,孙洪芹,郭玲,等.限磷饮食对改善维持性血液透析患者生活质量的影响[J].齐鲁护理杂志,2016,22(15):103-104.
[9]徐浩.护理指导对肾衰竭血液透析病人高磷血症的干预效果[J].全科护理,2016,14(11):1124-1126.
[10]汪嘉莉,张林,王松,等.复方α-酮酸联合醋酸钙对维持性血液透析患者钙磷代谢的影响[J].医学综述,2015(7):1344.
[2]陈艳丽.低磷饮食对血液透析患者骨矿物质代谢的影响[J].中外医学研究,2015(14):45-46.
[3]杜俊,汪海燕,王铁云,等.低磷饮食干预对腹膜透析患者钙磷代谢及营养状况的影响[J].医药前沿,2015,5(36):23-24.
[4]仲海峰,韩晓骏,申宜梅.低磷饮食对血液透析患者骨矿物质代谢的干预作用[J].医药卫生:引文版,2015(9):39.
[5]迪丽努尔·吐尔洪.肾衰方对维持性血液透析患者残余肾功能和营养状况的影响[J].河南中医,2015,35(11):2710-2713.
[6]谢满静,莫丽霞,罗海凤,等.强化饮食护理干预对维持性血液透析患者营养不良发生率的影响[J].中外医学研究,2014(11):106-107.
[7]朱虹,毛心辉.中西医饮食干预对维持性血液透析患者高磷血症的影响[J].中西医结合护理:中英文,2016,2(6):31-32.
[8]管培兰,孙洪芹,郭玲,等.限磷饮食对改善维持性血液透析患者生活质量的影响[J].齐鲁护理杂志,2016,22(15):103-104.
[9]徐浩.护理指导对肾衰竭血液透析病人高磷血症的干预效果[J].全科护理,2016,14(11):1124-1126.
[10]汪嘉莉,张林,王松,等.复方α-酮酸联合醋酸钙对维持性血液透析患者钙磷代谢的影响[J].医学综述,2015(7):1344.