Effects of individualized medical nutrition therapy on patients with end-stage renal disease receiving hemodialysis
10.3760/cma.j.issn.1674-2907.2018.27.023
- VernacularTitle:个体化医学营养疗法在终末期肾病血液透析患者中的应用效果研究
- Author:
Shangjun ZHANG
1
;
Xiaodan SUN
Author Information
1. 100144,首都医科大学附属北京康复医院肾内科
- Keywords:
Dialysis;
Quality of life;
End-stage renal disease;
Individualized medical nutrition therapy
- From:
Chinese Journal of Modern Nursing
2018;24(27):3313-3316
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of individualized medical nutrition therapy on patients with end-stage renal disease receiving hemodialysis.Methods Totally 82 patients with end-stage renal disease who received hemodialysis in Beijing Rehabilitation Hospital of Capital Medical University between July 2015 and June 2017 were selected by convenient sampling and randomized divided into the control group (n=41) and the observation group (n=41) according to the treatment time. Patients in the control group received conventional nursing, while patients in the observation group received individualized medical nutrition therapy on this basis for three consecutive months. Nutritional status, quality of life and adverse effects were compared between the two groups.Results There was no significant difference in nutritional status and quality of life between the two groups before intervention (P>0.05). However, the observation group scored higher in body mass index (BMI), hemoglobin (HGB), plasma-albumin (Alb), creatinine (CRE) and quality of life than the control group post intervention (P<0.05), while its malnutrition-inflammation score (MIS) was lower than that of the control group (P<0.05). The incidence rate of adverse effects was lower in the observation group than in the control group (P<0.05).Conclusions Individualized medical nutrition therapy can effectively improve the nutritional status and quality of life, as well as reduce the incidence rate of adverse effects in the patients with end-stage renal disease who receive hemodialysis.
