Volume 22 Issue 12
Dec.  2024
Turn off MathJax
Article Contents
CHEN Kewei, GE Yuying, WEI Wei, WANG Qiumei, ZHENG Juqing. Application effect of diet management based on empowerment theory for patients with maintenance hemodialysis[J]. Chinese Journal of General Practice, 2024, 22(12): 2071-2074. doi: 10.16766/j.cnki.issn.1674-4152.003800
Citation: CHEN Kewei, GE Yuying, WEI Wei, WANG Qiumei, ZHENG Juqing. Application effect of diet management based on empowerment theory for patients with maintenance hemodialysis[J]. Chinese Journal of General Practice, 2024, 22(12): 2071-2074. doi: 10.16766/j.cnki.issn.1674-4152.003800

Application effect of diet management based on empowerment theory for patients with maintenance hemodialysis

doi: 10.16766/j.cnki.issn.1674-4152.003800
Funds:

 LGF21H050003

  • Received Date: 2024-01-02
    Available Online: 2025-01-20
  •   Objective  The aim of this study was to evaluate the effect of a dietary management model based on empowerment theory on the improvement of nutritional status and dietary treatment attitudes of maintenance haemodialysis (MHD) patients, so as to validate the effectiveness of empowerment theory in enhancing the self-management ability and quality of life of MHD patients.  Methods  The clinical data of 130 patients with MHD who were treated in Hangzhou First People's Hospital from January 2019 to January 2022 were retrospectively analyzed. The patients were divided into empowering theory intervention group (n=65) and routine intervention group (n=65) according to patient intervention. The patients in the routine intervention group received routine nursing, and the patients in the empowering theory intervention group received diet management based on empowerment theory. The modified quantitative subjective global assessment of nutrition (MQSGN) score, attitude scale for the dietary therapy of hemodialysis patients (ASDTH) score, albumin (ALB), prealbumin (PAB), hemoglobin (Hb), blood phosphorus and blood calcium were compared.  Results  The MQSGN score of the empowering theory intervention group was less than the routine intervention group [(18.41±4.78) points vs. (21.42±4.31) points, P < 0.05]. The ASDTH score of the empowering theory intervention group was higher than the routine intervention group [(44.07±2.37) points vs. (38.46±2.54) points, P < 0.05]. Compared with routine intervention group, the levels of PAB, ALB and Hb of empowering theory intervention group were increased, and blood phosphorus was decreased, the differences were statistically significant (P < 0.05). There was no difference in blood calcium between the two groups (P>0.05).  Conclusion  Diet management based on empowerment theory for MHD patients can help improve compliance and nutritional status.

     

  • loading
  • [1]
    章如山, 唐根富, 王瑞, 等. 安庆市农村高血压患者低密度脂蛋白胆固醇与肾功能轻度下降的关系[J]. 中华全科医学, 2022, 20(7): 1226-1229. doi: 10.16766/j.cnki.issn.1674-4152.002564

    ZHANG R S, TANG G F, WANG R, et al. Relationship between low density lipoprotein cholesterol and mild decline of renal function in patients with hypertension in rural Anqing city[J]. Chin J Gene Med, 2022, 20(7): 1226-1229. doi: 10.16766/j.cnki.issn.1674-4152.002564
    [2]
    SHAH M K, PARIKH M, PRAJAPATI D, et al. Safety and tolerability of remdesivir in patients with end-stage renal disease on maintenance hemodialysis[J]. Indian J Crit Care Med, 2022, 26(5): 619-625. doi: 10.5005/jp-journals-10071-24168
    [3]
    顾勤, 吴桃峰, 陈静芳. 维持性血液透析患者透析期间饮食管理的最佳证据总结[J]. 中华护理杂志, 2021, 56(10): 1485-1489.

    GU Q, WU T F, CHEN J F. Evidence-based practice of dietetic management in maintenance hemodialysis patients[J]. Chin J Nurs, 2021, 56(10): 1485-1489.
    [4]
    史倩倩, 荆海红, 刘维, 等. 赋能心理护理干预在青年乳腺癌患者及其配偶中的应用[J]. 中华现代护理杂志, 2022, 28(13): 1773-1776.

    SHI Q Q, JING H H, LIU W, et al. Application of empowering psychological nursing intervention in young patients with breast cancer and their spouses[J]. Chin J Mod Nurs, 2022, 28(13): 1773-1776.
    [5]
    中国医师协会肾脏内科医师分会. 中国慢性肾脏病营养治疗临床实践指南(2021版)[J]. 中华医学杂志, 2021, 101(8): 539-559.

    Chinese Medical Doctor Association renal Physicians Branch. Chinese clinical practice guidelines for nutritional treatment of chronic kidney disease (2021 edition)[J]. Chin Med J, 2021, 101(8): 539-559.
    [6]
    杨震, 黄燕林, 卢海珍, 等. 维持性血液透析病人饮食状态影响因素及其与生存质量的相关性研究[J]. 护理研究, 2021, 35(14): 2560-2564.

    YANG Z, HUANG Y L, LU H Z, et al. Study on influencing factors of dietary status and its correlation with quality of life in maintenance hemodialysis patients[J]. Nurs Res, 2021, 35(14): 2560-2564.
    [7]
    李家琳, 付丽. 血液透析病人饮食治疗态度量表的汉化及信效度考评[J]. 护理研究, 2020, 34(2): 202-207.

    LI J L, FU L. Sinicization and reliability and validity evaluation of dietary treatment attitude scale for hemodialysis patients[J]. Nurs Res, 2020, 34(2): 202-207.
    [8]
    侍珍珍, 唐景凤, 庄静. 基于行为转变理论的护理干预对维持性血液透析患者饮食管理依从行为及营养状况的影响[J]. 中国医药导报, 2020, 17(32): 169-172.

    SHI Z Z, TANG J F, ZHUANG J. Effect of nursing intervention based on Behavior change theory on dietary management compliance behavior and nutritional status of maintenance hemodialysis patients[J]. Chin Med Hera, 2020, 17(32): 169-172.
    [9]
    孙美兰, 孙新, 杨丽. 维持性血液透析患者的精准饮食管理[J]. 护理学杂志, 2022, 37(10): 20-22.

    SUN M L, SUN X, YANG L. Management of precision diet in maintenance hemodialysis patients[J]. J Nurs Sci, 2022, 37(10): 20-23.
    [10]
    罗欢, 卿伟, 唐利群, 等. 智谋训练在行维持性血液透析的中青年慢性肾脏病患者中的应用效果[J]. 广西医学, 2023, 45(11): 1369-1373.

    LUO H, QING W, TANG L Q, et al. Application of resourcefulness training in maintenance hemodialysis in young and middle-aged patients with chronic kidney disease[J]. Guangxi Med J, 2023, 45(11): 1369-1373.
    [11]
    王培莉, 林巧红. "互联网+"营养教育在维持性血液透析患者中的应用[J]. 中华护理杂志, 2021, 56(1): 33-36.

    WANG P L, LIN Q H. Application of "Internet+" nutrition education in maintenance hemodialysis patients[J]. Chin J Nurs, 2021, 56(1): 33-36.
    [12]
    张娜, 陈海勤, 蒋娟芬, 等. 赋能教育模式在抑郁症患者中的应用效果评价[J]. 护理管理杂志, 2021, 21(6): 451-456.

    ZHANG N, CHEN H Q, JIANG J F, et al. Evaluation of the application effect of enabling education model in patients with depression[J]. J Nurs Admin, 2021, 21(6): 451-456.
    [13]
    程丽, 李阿敏. 维持性血液透析病人饮食治疗态度现状及影响因素[J]. 护理研究, 2022, 36(15): 2782-2786.

    CHENG L, LI A M. Status quo and influencing factors of dietary treatment attitude of maintenance hemodialysis patients[J]. Nurs Res, 2022, 36(15): 2782-2785.
    [14]
    余祖琳, 胡素君, 潘月瑢, 等. 赋能心理护理干预在癫痫患儿直接照顾者中的应用[J]. 中华现代护理杂志, 2021, 27(13): 1797-1801.

    YU Z L, HU S J, PAN Y R, et al. Application of empowering psychological nursing intervention in direct caregivers of children with epilepsy[J]. Chin J Mod Nurs, 2021, 27(13): 1797-1801.
    [15]
    王志敏, 何佩仪, 杜萍. 专科护理门诊延续跟进式赋能教育对鼻咽癌放疗患者康复的影响[J]. 中国护理管理, 2020, 20(1): 107-111.

    WANG Z M, HE P Y, DU P. Effect of follow-up empowerment education in specialized nursing outpatient Department on rehabilitation of patients with nasopharyngeal carcinoma after radiotherapy[J]. Chin Nurs Manage, 2020, 2(1): 107-111.
    [16]
    陈钦, 郑昌志, 何祥琨. 维持性血液透析患者的血磷水平与冠状动脉钙化的关系研究[J]. 临床内科杂志, 2022, 39(6): 390-391.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (15) PDF downloads(2) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return